var captchaWidgetmpFrma386341336c9409da218eea88edc9a56; var mpCurrentScriptmpFrma386341336c9409da218eea88edc9a56Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrma386341336c9409da218eea88edc9a56"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41939"); if (window.self !== window.top) { if (document.body) { document.body.appendChild(containerDiv); } else { document.addEventListener("DOMContentLoaded", function() { document.body.appendChild(containerDiv); }); } mpFormmpFrma386341336c9409da218eea88edc9a56Find(); } else 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); mpFormmpFrma386341336c9409da218eea88edc9a56Find(); } })(); function mpFormmpFrma386341336c9409da218eea88edc9a56Find() { if(!mpCurrentScriptmpFrma386341336c9409da218eea88edc9a56Container) return; if (mpCurrentScriptmpFrma386341336c9409da218eea88edc9a56Container && mpCurrentScriptmpFrma386341336c9409da218eea88edc9a56Container.nodeName && mpCurrentScriptmpFrma386341336c9409da218eea88edc9a56Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrma386341336c9409da218eea88edc9a56" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrma386341336c9409da218eea88edc9a56Container.children).forEach(c => { if (c.id === "mpFrma386341336c9409da218eea88edc9a56") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScripte1165bacc8d94863a62ebaadc48ac2c1Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrma386341336c9409da218eea88edc9a56"; } } } } function mpForme1165bacc8d94863a62ebaadc48ac2c1Check() { let checkBoxes = document.getElementById("mpform-e1165bacc8d94863a62ebaadc48ac2c1").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 mpForme1165bacc8d94863a62ebaadc48ac2c1Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-e1165bacc8d94863a62ebaadc48ac2c1").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-e1165bacc8d94863a62ebaadc48ac2c1").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-e1165bacc8d94863a62ebaadc48ac2c1").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-e1165bacc8d94863a62ebaadc48ac2c1')), 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: getTrackingIde1165bacc8d94863a62ebaadc48ac2c1() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-e1165bacc8d94863a62ebaadc48ac2c1").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-e1165bacc8d94863a62ebaadc48ac2c1").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) { mpForme1165bacc8d94863a62ebaadc48ac2c1Check(); 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-e1165bacc8d94863a62ebaadc48ac2c1').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-e1165bacc8d94863a62ebaadc48ac2c1").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-e1165bacc8d94863a62ebaadc48ac2c1').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrma386341336c9409da218eea88edc9a56); } else { mpForme1165bacc8d94863a62ebaadc48ac2c1Check(); 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 mpmRecaptchaLoadede1165bacc8d94863a62ebaadc48ac2c1() { captchaWidgetmpFrma386341336c9409da218eea88edc9a56 = grecaptcha.render('mpmRecaptchampFrma386341336c9409da218eea88edc9a56', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIde1165bacc8d94863a62ebaadc48ac2c1() { 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 mpmFormInite1165bacc8d94863a62ebaadc48ac2c1 () { 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 finishedLoadinge1165bacc8d94863a62ebaadc48ac2c1() { window.mpFormLoading = false; let container = document.getElementById('mpFrma386341336c9409da218eea88edc9a56'); if (!container) { mpFormmpFrma386341336c9409da218eea88edc9a56Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrma386341336c9409da218eea88edc9a56'); return setTimeout(finishedLoadinge1165bacc8d94863a62ebaadc48ac2c1, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-e1165bacc8d94863a62ebaadc48ac2c1").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-e1165bacc8d94863a62ebaadc48ac2c1").querySelectorAll('input[type=TELNO]'); if(telInputs) { let telInputCSSOver = ""; 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", customContainer: "mpm-tel-input-container-e1165bacc8d94863a62ebaadc48ac2c1-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-e1165bacc8d94863a62ebaadc48ac2c1-" + i + " { margin: " + tmpMargin + " } " } } if(telInputCSSOver) { let style = document.createElement("style"); style.innerHTML = telInputCSSOver; document.getElementsByTagName("head")[0].appendChild(style); } } if(subscriberData) { let customFields = document.getElementById("mpform-e1165bacc8d94863a62ebaadc48ac2c1").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-e1165bacc8d94863a62ebaadc48ac2c1").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-e1165bacc8d94863a62ebaadc48ac2c1").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=mpmRecaptchaLoadede1165bacc8d94863a62ebaadc48ac2c1&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupe1165bacc8d94863a62ebaadc48ac2c1() { let popups = document.getElementById("mpform-e1165bacc8d94863a62ebaadc48ac2c1").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInpute1165bacc8d94863a62ebaadc48ac2c1() { 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 () { finishedLoadinge1165bacc8d94863a62ebaadc48ac2c1(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinge1165bacc8d94863a62ebaadc48ac2c1(); } } 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); mploadTelInpute1165bacc8d94863a62ebaadc48ac2c1(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInite1165bacc8d94863a62ebaadc48ac2c1(); } else { function waitForOtherFormsmpFrma386341336c9409da218eea88edc9a56() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInite1165bacc8d94863a62ebaadc48ac2c1(); } else { setTimeout(waitForOtherFormsmpFrma386341336c9409da218eea88edc9a56,300); } } waitForOtherFormsmpFrma386341336c9409da218eea88edc9a56(); }