var captchaWidgetmpFrmb0fc753762f44e0abd9d9ad85f213c6e; var mpCurrentScriptmpFrmb0fc753762f44e0abd9d9ad85f213c6eContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmb0fc753762f44e0abd9d9ad85f213c6e"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41939"); if(document.currentScript && document.currentScript.parentNode && document.currentScript.parentNode.nodeName && document.currentScript.parentNode.nodeName.toLowerCase() === "head") { document.addEventListener("DOMContentLoaded", (event) => { var bodyHolder = document.getElementsByTagName("body"); if (bodyHolder && bodyHolder[0]) { bodyHolder[0].appendChild(containerDiv); } }) } else { document.currentScript.parentNode.insertBefore(containerDiv, document.currentScript); mpFormmpFrmb0fc753762f44e0abd9d9ad85f213c6eFind(); } })(); function mpFormmpFrmb0fc753762f44e0abd9d9ad85f213c6eFind() { if(!mpCurrentScriptmpFrmb0fc753762f44e0abd9d9ad85f213c6eContainer) return; if (mpCurrentScriptmpFrmb0fc753762f44e0abd9d9ad85f213c6eContainer && mpCurrentScriptmpFrmb0fc753762f44e0abd9d9ad85f213c6eContainer.nodeName && mpCurrentScriptmpFrmb0fc753762f44e0abd9d9ad85f213c6eContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmb0fc753762f44e0abd9d9ad85f213c6e" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmb0fc753762f44e0abd9d9ad85f213c6eContainer.children).forEach(c => { if (c.id === "mpFrmb0fc753762f44e0abd9d9ad85f213c6e") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript730626f666944460bd7ff22f6e43161eContainer.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmb0fc753762f44e0abd9d9ad85f213c6e"; } } } } function mpForm730626f666944460bd7ff22f6e43161eCheck() { let checkBoxes = document.getElementById("mpform-730626f666944460bd7ff22f6e43161e").querySelectorAll('input[type="checkbox"]'); if(checkBoxes) { for(var i = 0; i < checkBoxes.length; i++) { let checkBox = checkBoxes[i]; var attr = checkBox.getAttribute('data-prevval'); if (typeof attr !== typeof undefined && attr !== false) { checkBox.value = checkBox.getAttribute("data-prevval"); checkBox.removeAttribute("data-prevval"); checkBox.removeAttribute("checked"); } } } } function mpForm730626f666944460bd7ff22f6e43161eSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-730626f666944460bd7ff22f6e43161e").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-730626f666944460bd7ff22f6e43161e").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-730626f666944460bd7ff22f6e43161e").querySelectorAll('input[type="checkbox"]'); if(checkBoxes) { for(var i = 0; i < checkBoxes.length; i++) { let checkBox = checkBoxes[i]; if( checkBox.checked == true ) { if(checkBox.getAttribute('data-prevval')) { checkBox.value = checkBox.getAttribute('data-prevval'); } else { checkBox.value = 1; } } else { checkBox.setAttribute('data-prevval',checkBox.value); checkBox.value = 0; } } } let form_data = Array.from( new FormData(document.getElementById('mpform-730626f666944460bd7ff22f6e43161e')), function(e) { return { name: e[0], value: e[1] } } ) try { for(var i = 0; i < checkBoxes.length; i++) { let checkBox = checkBoxes[i]; let found = form_data.find(f=>f.name == checkBox.name) if(!found) { form_data.push({name: checkBox.name, value: checkBox.checked ? checkBox.value : "0"}) } } } catch(err){} try { form_data.push({ name: "mpTrkH", value: document.location.host }) form_data.push({ name: "mpTrkO", value: document.location.origin }) form_data.push({ name: "mpTrkP", value: document.location.pathname }) form_data.push({ name: "mpTrkQ", value: document.location.search }) form_data.push({ name: "mpTrkUUID", value: getTrackingId730626f666944460bd7ff22f6e43161e() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-730626f666944460bd7ff22f6e43161e").querySelectorAll('input[type=TELNO]'); if(telInputs) { for(var i = 0; i < telInputs.length; i++) { let telInput = telInputs[i]; var iti = window.intlTelInputGlobals.getInstance(telInput); telInput.classList.remove("mpm-field-error"); if(iti.isValidNumber() == false && telInput.value && telInput.value.length) { telInput.classList.add("mpm-field-error"); failed = "Please enter a valid telephone number"; } else { let found = form_data.find(f=> f.name == telInput.name); if (found) { found.value = iti.getNumber(); // intenationally formatted version of the number } } } } if(failed != "") { mpMsg.innerHTML = failed; msgHlder.style.display = "block"; return; } let button = document.getElementById("mpform-730626f666944460bd7ff22f6e43161e").querySelector('button'); if(button) { button.disabled = true; button.opacity = "0.5"; } mpMsg.innerHTML = 'Sending your details...'; var xhr = new XMLHttpRequest(); xhr.open("POST", "https://api.transpond.io/form?am=40129&fid=41939", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm730626f666944460bd7ff22f6e43161eCheck(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; let response = JSON.parse(xhr.responseText); if (!response || (!response.download && !response.downloads)) { try { document.getElementById('mpform-730626f666944460bd7ff22f6e43161e').reset(); } catch(e) {} } if(response) { if (response.redirect) { window.location.href = response.redirect; } else if (response.message) { if (response.download) window.open(response.download, '_blank'); if (response.downloads && response.downloads.length) { const parent = button.parentElement; response.downloads.forEach(link => { const hiddenButton = document.getElementById("mpform-730626f666944460bd7ff22f6e43161e").querySelector("a[href='" + link.replace + "']"); if (hiddenButton) { hiddenButton.href = link.link; hiddenButton.closest('[data-type="FORMFILE"]').style.display = 'block'; } }); parent.style.display = "none"; } mpMsg.innerHTML = response.message; } else if (response.replace) { document.getElementById('mpform-730626f666944460bd7ff22f6e43161e').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmb0fc753762f44e0abd9d9ad85f213c6e); } else { mpForm730626f666944460bd7ff22f6e43161eCheck(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; var error = "Error submitting form"; if (xhr.responseText) { const errorJson = JSON.parse(xhr.responseText); if(errorJson.error && typeof errorJson.error === 'string') { error = errorJson.error; } } mpMsg.innerHTML = error; grecaptcha.reset(); } }; let urlEncodedDataPairs = []; form_data.forEach((m, i) => { let name = m.name; if (name === 'capsule_note') { name += '_' + i; } urlEncodedDataPairs.push(encodeURIComponent(name)+ "=" + encodeURIComponent(m.value)); }); const urlEncodedData = urlEncodedDataPairs.join('&').replace(/%20/g, '+'); xhr.setRequestHeader('Content-type', 'application/x-www-form-urlencoded'); xhr.send(urlEncodedData); return; } function mpmRecaptchaLoaded730626f666944460bd7ff22f6e43161e() { captchaWidgetmpFrmb0fc753762f44e0abd9d9ad85f213c6e = grecaptcha.render('mpmRecaptchampFrmb0fc753762f44e0abd9d9ad85f213c6e', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId730626f666944460bd7ff22f6e43161e() { try { let uuid = document.cookie.match('(^|;)\s*mpz\s*=\s*([^;]+)')?.pop() || ''; if(!uuid) { let found = document.cookie.split(';').find(c => c.indexOf('mpz=') > -1); if (found) uuid = found.split('=')[1]; } return uuid; } catch(e) { } }; function mpmFormInit730626f666944460bd7ff22f6e43161e () { var subscriberData = undefined; var form = '
First Name
Last Name
Email
Job Title
Company Name
Type of Provider
Number of Learners
If you don\'t want Cognassist to let you know when we publish new events and neuro-inclusion content, check this box
'; let failedCount = 0 function finishedLoading730626f666944460bd7ff22f6e43161e() { window.mpFormLoading = false; let container = document.getElementById('mpFrmb0fc753762f44e0abd9d9ad85f213c6e'); if (!container) { mpFormmpFrmb0fc753762f44e0abd9d9ad85f213c6eFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmb0fc753762f44e0abd9d9ad85f213c6e'); return setTimeout(finishedLoading730626f666944460bd7ff22f6e43161e, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-730626f666944460bd7ff22f6e43161e").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-730626f666944460bd7ff22f6e43161e").querySelectorAll('input[type=TELNO]'); if(telInputs) { for(var i = 0; i < telInputs.length; i++) { let telInp = telInputs[i]; telInp.style.width = "100%"; telInp.style.paddingLeft = "50px"; window.intlTelInput(telInp, { initialCountry: "us", utilsScript: "https://cdn1.ourmailsender.com/scripts/telinput/utils.js" } ); } } if(subscriberData) { let customFields = document.getElementById("mpform-730626f666944460bd7ff22f6e43161e").querySelectorAll('input[name*="customField-"]') if(customFields) { for(var i = 0; i < customFields.length; i++) { let customField = customFields[i]; var cfID = customField.name; if(cfID) { cfID = cfID.split("-")[1]; let newValue = ""; if(subscriberData.customFields[cfID]) newValue = subscriberData.customFields[cfID]; customField.value = newValue } } } let customFieldsTextArea = document.getElementById("mpform-730626f666944460bd7ff22f6e43161e").querySelectorAll('textarea[name*="customField-"]') if(customFieldsTextArea) { for(var i = 0; i < customFieldsTextArea.length; i++) { let customField = customFieldsTextArea[i]; var cfID = customField.name; if(cfID) { cfID = cfID.split("-")[1]; let newValue = ""; if(subscriberData.customFields[cfID]) newValue = subscriberData.customFields[cfID]; customField.value = newValue; } } } let emailAddressFields = document.getElementById("mpform-730626f666944460bd7ff22f6e43161e").querySelectorAll('input[name$="emailAddress"]') if(emailAddressFields) { for(var i = 0; i < emailAddressFields.length; i++) { let emailAddressField = emailAddressFields[i]; emailAddressField.value = subscriberData.emailAddress; } } } var mpmRecaptchaScript = document.createElement("SCRIPT"); mpmRecaptchaScript.src = 'https://www.google.com/recaptcha/api.js?onload=mpmRecaptchaLoaded730626f666944460bd7ff22f6e43161e&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup730626f666944460bd7ff22f6e43161e() { let popups = document.getElementById("mpform-730626f666944460bd7ff22f6e43161e").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput730626f666944460bd7ff22f6e43161e() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://cdn1.ourmailsender.com/scripts/telinput/intlTelInput.min.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading730626f666944460bd7ff22f6e43161e(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading730626f666944460bd7ff22f6e43161e(); } } var link = document.createElement("link"); link.href = "https://api.transpond.io/public/css/form.css"; link.type = "text/css"; link.rel = "stylesheet"; document.getElementsByTagName("head")[0].appendChild(link); var mTelI = document.createElement("link"); mTelI.href = "https://cdn1.ourmailsender.com/scripts/telinput/intlTelInput.min.css"; mTelI.type = "text/css"; mTelI.rel = "stylesheet"; document.getElementsByTagName("head")[0].appendChild(mTelI); mploadTelInput730626f666944460bd7ff22f6e43161e(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit730626f666944460bd7ff22f6e43161e(); } else { function waitForOtherFormsmpFrmb0fc753762f44e0abd9d9ad85f213c6e() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit730626f666944460bd7ff22f6e43161e(); } else { setTimeout(waitForOtherFormsmpFrmb0fc753762f44e0abd9d9ad85f213c6e,300); } } waitForOtherFormsmpFrmb0fc753762f44e0abd9d9ad85f213c6e(); }