var captchaWidgetmpFrm5ff91872a9e14d20876bc4442313ac75; var mpCurrentScriptmpFrm5ff91872a9e14d20876bc4442313ac75Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm5ff91872a9e14d20876bc4442313ac75"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41939"); if (window.self !== window.top) { if (document.currentScript?.parentNode?.nodeName?.toLowerCase() === 'head') { if (document.body) { document.body.appendChild(containerDiv); } else { document.addEventListener('DOMContentLoaded', () => { document.body.appendChild(containerDiv); }); } } else { document.currentScript.parentNode.insertBefore(containerDiv, document.currentScript); } mpFormmpFrm5ff91872a9e14d20876bc4442313ac75Find(); } 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); mpFormmpFrm5ff91872a9e14d20876bc4442313ac75Find(); } })(); function mpFormmpFrm5ff91872a9e14d20876bc4442313ac75Find() { if(!mpCurrentScriptmpFrm5ff91872a9e14d20876bc4442313ac75Container) return; if (mpCurrentScriptmpFrm5ff91872a9e14d20876bc4442313ac75Container && mpCurrentScriptmpFrm5ff91872a9e14d20876bc4442313ac75Container.nodeName && mpCurrentScriptmpFrm5ff91872a9e14d20876bc4442313ac75Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm5ff91872a9e14d20876bc4442313ac75" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm5ff91872a9e14d20876bc4442313ac75Container.children).forEach(c => { if (c.id === "mpFrm5ff91872a9e14d20876bc4442313ac75") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptmpFrm5ff91872a9e14d20876bc4442313ac75Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm5ff91872a9e14d20876bc4442313ac75"; } } } } function mpForm177f3a7690a04788973d2e8a5a0fc442Check() { let checkBoxes = document.getElementById("mpform-177f3a7690a04788973d2e8a5a0fc442").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 mpForm177f3a7690a04788973d2e8a5a0fc442Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-177f3a7690a04788973d2e8a5a0fc442").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-177f3a7690a04788973d2e8a5a0fc442").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-177f3a7690a04788973d2e8a5a0fc442").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-177f3a7690a04788973d2e8a5a0fc442')), 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: getTrackingId177f3a7690a04788973d2e8a5a0fc442() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-177f3a7690a04788973d2e8a5a0fc442").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-177f3a7690a04788973d2e8a5a0fc442").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) { mpForm177f3a7690a04788973d2e8a5a0fc442Check(); 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-177f3a7690a04788973d2e8a5a0fc442').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-177f3a7690a04788973d2e8a5a0fc442").querySelector("a[href='" + link.replace + "']"); if (hiddenButton) { hiddenButton.href = link.link; hiddenButton.closest('[data-type="FORMFILE"]').style.display = 'flex'; } }); parent.style.display = "none"; } if(response.hideForm){ let mpMsgParent = msgHlder.parentElement; if(mpMsgParent && msgHlder){ mpMsg.innerHTML = response.message; mpMsgParent.innerHTML = msgHlder.innerHTML; } } else { mpMsg.innerHTML = response.message; } } else if (response.replace) { document.getElementById('mpform-177f3a7690a04788973d2e8a5a0fc442').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm5ff91872a9e14d20876bc4442313ac75); } else { mpForm177f3a7690a04788973d2e8a5a0fc442Check(); 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 mpmRecaptchaLoaded177f3a7690a04788973d2e8a5a0fc442() { captchaWidgetmpFrm5ff91872a9e14d20876bc4442313ac75 = grecaptcha.render('mpmRecaptchampFrm5ff91872a9e14d20876bc4442313ac75', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId177f3a7690a04788973d2e8a5a0fc442() { 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 mpmFormInit177f3a7690a04788973d2e8a5a0fc442 () { 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 finishedLoading177f3a7690a04788973d2e8a5a0fc442() { window.mpFormLoading = false; let container = document.getElementById('mpFrm5ff91872a9e14d20876bc4442313ac75'); if (!container) { mpFormmpFrm5ff91872a9e14d20876bc4442313ac75Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm5ff91872a9e14d20876bc4442313ac75'); return setTimeout(finishedLoading177f3a7690a04788973d2e8a5a0fc442, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-177f3a7690a04788973d2e8a5a0fc442").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "none" } let telInputs = document.getElementById("mpform-177f3a7690a04788973d2e8a5a0fc442").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-177f3a7690a04788973d2e8a5a0fc442-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-177f3a7690a04788973d2e8a5a0fc442-" + 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-177f3a7690a04788973d2e8a5a0fc442").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-177f3a7690a04788973d2e8a5a0fc442").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-177f3a7690a04788973d2e8a5a0fc442").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=mpmRecaptchaLoaded177f3a7690a04788973d2e8a5a0fc442&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup177f3a7690a04788973d2e8a5a0fc442() { let popups = document.getElementById("mpform-177f3a7690a04788973d2e8a5a0fc442").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput177f3a7690a04788973d2e8a5a0fc442() { 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 () { finishedLoading177f3a7690a04788973d2e8a5a0fc442(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading177f3a7690a04788973d2e8a5a0fc442(); } } 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); mploadTelInput177f3a7690a04788973d2e8a5a0fc442(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit177f3a7690a04788973d2e8a5a0fc442(); } else { function waitForOtherFormsmpFrm5ff91872a9e14d20876bc4442313ac75() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit177f3a7690a04788973d2e8a5a0fc442(); } else { setTimeout(waitForOtherFormsmpFrm5ff91872a9e14d20876bc4442313ac75,300); } } waitForOtherFormsmpFrm5ff91872a9e14d20876bc4442313ac75(); }