var captchaWidgetmpFrmb7c10abd1cc84097900d3a03d674f021; var mpCurrentScriptmpFrmb7c10abd1cc84097900d3a03d674f021Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmb7c10abd1cc84097900d3a03d674f021"; 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); mpFormmpFrmb7c10abd1cc84097900d3a03d674f021Find(); } })(); function mpFormmpFrmb7c10abd1cc84097900d3a03d674f021Find() { if(!mpCurrentScriptmpFrmb7c10abd1cc84097900d3a03d674f021Container) return; if (mpCurrentScriptmpFrmb7c10abd1cc84097900d3a03d674f021Container && mpCurrentScriptmpFrmb7c10abd1cc84097900d3a03d674f021Container.nodeName && mpCurrentScriptmpFrmb7c10abd1cc84097900d3a03d674f021Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmb7c10abd1cc84097900d3a03d674f021" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmb7c10abd1cc84097900d3a03d674f021Container.children).forEach(c => { if (c.id === "mpFrmb7c10abd1cc84097900d3a03d674f021") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript6428945def3b494fbe0db4713bff593bContainer.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmb7c10abd1cc84097900d3a03d674f021"; } } } } function mpForm6428945def3b494fbe0db4713bff593bCheck() { let checkBoxes = document.getElementById("mpform-6428945def3b494fbe0db4713bff593b").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 mpForm6428945def3b494fbe0db4713bff593bSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-6428945def3b494fbe0db4713bff593b").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-6428945def3b494fbe0db4713bff593b").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-6428945def3b494fbe0db4713bff593b").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-6428945def3b494fbe0db4713bff593b')), 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: getTrackingId6428945def3b494fbe0db4713bff593b() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-6428945def3b494fbe0db4713bff593b").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-6428945def3b494fbe0db4713bff593b").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) { mpForm6428945def3b494fbe0db4713bff593bCheck(); 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-6428945def3b494fbe0db4713bff593b').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-6428945def3b494fbe0db4713bff593b").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-6428945def3b494fbe0db4713bff593b').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmb7c10abd1cc84097900d3a03d674f021); } else { mpForm6428945def3b494fbe0db4713bff593bCheck(); 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 mpmRecaptchaLoaded6428945def3b494fbe0db4713bff593b() { captchaWidgetmpFrmb7c10abd1cc84097900d3a03d674f021 = grecaptcha.render('mpmRecaptchampFrmb7c10abd1cc84097900d3a03d674f021', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId6428945def3b494fbe0db4713bff593b() { 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 mpmFormInit6428945def3b494fbe0db4713bff593b () { 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 finishedLoading6428945def3b494fbe0db4713bff593b() { window.mpFormLoading = false; let container = document.getElementById('mpFrmb7c10abd1cc84097900d3a03d674f021'); if (!container) { mpFormmpFrmb7c10abd1cc84097900d3a03d674f021Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmb7c10abd1cc84097900d3a03d674f021'); return setTimeout(finishedLoading6428945def3b494fbe0db4713bff593b, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-6428945def3b494fbe0db4713bff593b").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-6428945def3b494fbe0db4713bff593b").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-6428945def3b494fbe0db4713bff593b").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-6428945def3b494fbe0db4713bff593b").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-6428945def3b494fbe0db4713bff593b").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=mpmRecaptchaLoaded6428945def3b494fbe0db4713bff593b&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup6428945def3b494fbe0db4713bff593b() { let popups = document.getElementById("mpform-6428945def3b494fbe0db4713bff593b").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput6428945def3b494fbe0db4713bff593b() { 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 () { finishedLoading6428945def3b494fbe0db4713bff593b(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading6428945def3b494fbe0db4713bff593b(); } } 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); mploadTelInput6428945def3b494fbe0db4713bff593b(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit6428945def3b494fbe0db4713bff593b(); } else { function waitForOtherFormsmpFrmb7c10abd1cc84097900d3a03d674f021() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit6428945def3b494fbe0db4713bff593b(); } else { setTimeout(waitForOtherFormsmpFrmb7c10abd1cc84097900d3a03d674f021,300); } } waitForOtherFormsmpFrmb7c10abd1cc84097900d3a03d674f021(); }