var captchaWidgetmpFrm9bac8ff109584f3bb9374d259254efed; var mpCurrentScriptmpFrm9bac8ff109584f3bb9374d259254efedContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm9bac8ff109584f3bb9374d259254efed"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41943"); 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); mpFormmpFrm9bac8ff109584f3bb9374d259254efedFind(); } })(); function mpFormmpFrm9bac8ff109584f3bb9374d259254efedFind() { if(!mpCurrentScriptmpFrm9bac8ff109584f3bb9374d259254efedContainer) return; if (mpCurrentScriptmpFrm9bac8ff109584f3bb9374d259254efedContainer && mpCurrentScriptmpFrm9bac8ff109584f3bb9374d259254efedContainer.nodeName && mpCurrentScriptmpFrm9bac8ff109584f3bb9374d259254efedContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm9bac8ff109584f3bb9374d259254efed" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm9bac8ff109584f3bb9374d259254efedContainer.children).forEach(c => { if (c.id === "mpFrm9bac8ff109584f3bb9374d259254efed") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScripte5aa3a576e3447ef98d2c6679afae28bContainer.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm9bac8ff109584f3bb9374d259254efed"; } } } } function mpForme5aa3a576e3447ef98d2c6679afae28bCheck() { let checkBoxes = document.getElementById("mpform-e5aa3a576e3447ef98d2c6679afae28b").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 mpForme5aa3a576e3447ef98d2c6679afae28bSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-e5aa3a576e3447ef98d2c6679afae28b").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-e5aa3a576e3447ef98d2c6679afae28b").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-e5aa3a576e3447ef98d2c6679afae28b").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-e5aa3a576e3447ef98d2c6679afae28b')), 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: getTrackingIde5aa3a576e3447ef98d2c6679afae28b() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-e5aa3a576e3447ef98d2c6679afae28b").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-e5aa3a576e3447ef98d2c6679afae28b").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=41943", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForme5aa3a576e3447ef98d2c6679afae28bCheck(); 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-e5aa3a576e3447ef98d2c6679afae28b').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-e5aa3a576e3447ef98d2c6679afae28b").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-e5aa3a576e3447ef98d2c6679afae28b').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm9bac8ff109584f3bb9374d259254efed); } else { mpForme5aa3a576e3447ef98d2c6679afae28bCheck(); 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 mpmRecaptchaLoadede5aa3a576e3447ef98d2c6679afae28b() { captchaWidgetmpFrm9bac8ff109584f3bb9374d259254efed = grecaptcha.render('mpmRecaptchampFrm9bac8ff109584f3bb9374d259254efed', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIde5aa3a576e3447ef98d2c6679afae28b() { 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 mpmFormInite5aa3a576e3447ef98d2c6679afae28b () { 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 finishedLoadinge5aa3a576e3447ef98d2c6679afae28b() { window.mpFormLoading = false; let container = document.getElementById('mpFrm9bac8ff109584f3bb9374d259254efed'); if (!container) { mpFormmpFrm9bac8ff109584f3bb9374d259254efedFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm9bac8ff109584f3bb9374d259254efed'); return setTimeout(finishedLoadinge5aa3a576e3447ef98d2c6679afae28b, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-e5aa3a576e3447ef98d2c6679afae28b").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-e5aa3a576e3447ef98d2c6679afae28b").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-e5aa3a576e3447ef98d2c6679afae28b").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-e5aa3a576e3447ef98d2c6679afae28b").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-e5aa3a576e3447ef98d2c6679afae28b").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=mpmRecaptchaLoadede5aa3a576e3447ef98d2c6679afae28b&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupe5aa3a576e3447ef98d2c6679afae28b() { let popups = document.getElementById("mpform-e5aa3a576e3447ef98d2c6679afae28b").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInpute5aa3a576e3447ef98d2c6679afae28b() { 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 () { finishedLoadinge5aa3a576e3447ef98d2c6679afae28b(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinge5aa3a576e3447ef98d2c6679afae28b(); } } 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); mploadTelInpute5aa3a576e3447ef98d2c6679afae28b(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInite5aa3a576e3447ef98d2c6679afae28b(); } else { function waitForOtherFormsmpFrm9bac8ff109584f3bb9374d259254efed() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInite5aa3a576e3447ef98d2c6679afae28b(); } else { setTimeout(waitForOtherFormsmpFrm9bac8ff109584f3bb9374d259254efed,300); } } waitForOtherFormsmpFrm9bac8ff109584f3bb9374d259254efed(); }