var captchaWidgetmpFrm634f6fa58ecb4b9fbc041a4640c7dfaf; var mpCurrentScriptmpFrm634f6fa58ecb4b9fbc041a4640c7dfafContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm634f6fa58ecb4b9fbc041a4640c7dfaf"; 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); mpFormmpFrm634f6fa58ecb4b9fbc041a4640c7dfafFind(); } })(); function mpFormmpFrm634f6fa58ecb4b9fbc041a4640c7dfafFind() { if(!mpCurrentScriptmpFrm634f6fa58ecb4b9fbc041a4640c7dfafContainer) return; if (mpCurrentScriptmpFrm634f6fa58ecb4b9fbc041a4640c7dfafContainer && mpCurrentScriptmpFrm634f6fa58ecb4b9fbc041a4640c7dfafContainer.nodeName && mpCurrentScriptmpFrm634f6fa58ecb4b9fbc041a4640c7dfafContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm634f6fa58ecb4b9fbc041a4640c7dfaf" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm634f6fa58ecb4b9fbc041a4640c7dfafContainer.children).forEach(c => { if (c.id === "mpFrm634f6fa58ecb4b9fbc041a4640c7dfaf") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript729dc445f95c4771989deee0f266033aContainer.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm634f6fa58ecb4b9fbc041a4640c7dfaf"; } } } } function mpForm729dc445f95c4771989deee0f266033aCheck() { let checkBoxes = document.getElementById("mpform-729dc445f95c4771989deee0f266033a").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 mpForm729dc445f95c4771989deee0f266033aSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-729dc445f95c4771989deee0f266033a").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-729dc445f95c4771989deee0f266033a").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-729dc445f95c4771989deee0f266033a").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-729dc445f95c4771989deee0f266033a')), 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: getTrackingId729dc445f95c4771989deee0f266033a() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-729dc445f95c4771989deee0f266033a").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-729dc445f95c4771989deee0f266033a").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) { mpForm729dc445f95c4771989deee0f266033aCheck(); 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-729dc445f95c4771989deee0f266033a').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-729dc445f95c4771989deee0f266033a").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-729dc445f95c4771989deee0f266033a').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm634f6fa58ecb4b9fbc041a4640c7dfaf); } else { mpForm729dc445f95c4771989deee0f266033aCheck(); 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 mpmRecaptchaLoaded729dc445f95c4771989deee0f266033a() { captchaWidgetmpFrm634f6fa58ecb4b9fbc041a4640c7dfaf = grecaptcha.render('mpmRecaptchampFrm634f6fa58ecb4b9fbc041a4640c7dfaf', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId729dc445f95c4771989deee0f266033a() { 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 mpmFormInit729dc445f95c4771989deee0f266033a () { 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 finishedLoading729dc445f95c4771989deee0f266033a() { window.mpFormLoading = false; let container = document.getElementById('mpFrm634f6fa58ecb4b9fbc041a4640c7dfaf'); if (!container) { mpFormmpFrm634f6fa58ecb4b9fbc041a4640c7dfafFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm634f6fa58ecb4b9fbc041a4640c7dfaf'); return setTimeout(finishedLoading729dc445f95c4771989deee0f266033a, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-729dc445f95c4771989deee0f266033a").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-729dc445f95c4771989deee0f266033a").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-729dc445f95c4771989deee0f266033a").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-729dc445f95c4771989deee0f266033a").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-729dc445f95c4771989deee0f266033a").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=mpmRecaptchaLoaded729dc445f95c4771989deee0f266033a&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup729dc445f95c4771989deee0f266033a() { let popups = document.getElementById("mpform-729dc445f95c4771989deee0f266033a").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput729dc445f95c4771989deee0f266033a() { 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 () { finishedLoading729dc445f95c4771989deee0f266033a(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading729dc445f95c4771989deee0f266033a(); } } 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); mploadTelInput729dc445f95c4771989deee0f266033a(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit729dc445f95c4771989deee0f266033a(); } else { function waitForOtherFormsmpFrm634f6fa58ecb4b9fbc041a4640c7dfaf() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit729dc445f95c4771989deee0f266033a(); } else { setTimeout(waitForOtherFormsmpFrm634f6fa58ecb4b9fbc041a4640c7dfaf,300); } } waitForOtherFormsmpFrm634f6fa58ecb4b9fbc041a4640c7dfaf(); }