var captchaWidgetmpFrmd5dafc7c02244227a887164e331ac12c; var mpCurrentScriptmpFrmd5dafc7c02244227a887164e331ac12cContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmd5dafc7c02244227a887164e331ac12c"; 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); mpFormmpFrmd5dafc7c02244227a887164e331ac12cFind(); } })(); function mpFormmpFrmd5dafc7c02244227a887164e331ac12cFind() { if(!mpCurrentScriptmpFrmd5dafc7c02244227a887164e331ac12cContainer) return; if (mpCurrentScriptmpFrmd5dafc7c02244227a887164e331ac12cContainer && mpCurrentScriptmpFrmd5dafc7c02244227a887164e331ac12cContainer.nodeName && mpCurrentScriptmpFrmd5dafc7c02244227a887164e331ac12cContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmd5dafc7c02244227a887164e331ac12c" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmd5dafc7c02244227a887164e331ac12cContainer.children).forEach(c => { if (c.id === "mpFrmd5dafc7c02244227a887164e331ac12c") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript6ba67873edc8436f925422d990c04172Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmd5dafc7c02244227a887164e331ac12c"; } } } } function mpForm6ba67873edc8436f925422d990c04172Check() { let checkBoxes = document.getElementById("mpform-6ba67873edc8436f925422d990c04172").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 mpForm6ba67873edc8436f925422d990c04172Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-6ba67873edc8436f925422d990c04172").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-6ba67873edc8436f925422d990c04172").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-6ba67873edc8436f925422d990c04172").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-6ba67873edc8436f925422d990c04172')), 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: getTrackingId6ba67873edc8436f925422d990c04172() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-6ba67873edc8436f925422d990c04172").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-6ba67873edc8436f925422d990c04172").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) { mpForm6ba67873edc8436f925422d990c04172Check(); 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-6ba67873edc8436f925422d990c04172').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-6ba67873edc8436f925422d990c04172").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-6ba67873edc8436f925422d990c04172').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmd5dafc7c02244227a887164e331ac12c); } else { mpForm6ba67873edc8436f925422d990c04172Check(); 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 mpmRecaptchaLoaded6ba67873edc8436f925422d990c04172() { captchaWidgetmpFrmd5dafc7c02244227a887164e331ac12c = grecaptcha.render('mpmRecaptchampFrmd5dafc7c02244227a887164e331ac12c', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId6ba67873edc8436f925422d990c04172() { 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 mpmFormInit6ba67873edc8436f925422d990c04172 () { 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 finishedLoading6ba67873edc8436f925422d990c04172() { window.mpFormLoading = false; let container = document.getElementById('mpFrmd5dafc7c02244227a887164e331ac12c'); if (!container) { mpFormmpFrmd5dafc7c02244227a887164e331ac12cFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmd5dafc7c02244227a887164e331ac12c'); return setTimeout(finishedLoading6ba67873edc8436f925422d990c04172, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-6ba67873edc8436f925422d990c04172").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-6ba67873edc8436f925422d990c04172").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-6ba67873edc8436f925422d990c04172").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-6ba67873edc8436f925422d990c04172").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-6ba67873edc8436f925422d990c04172").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=mpmRecaptchaLoaded6ba67873edc8436f925422d990c04172&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup6ba67873edc8436f925422d990c04172() { let popups = document.getElementById("mpform-6ba67873edc8436f925422d990c04172").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput6ba67873edc8436f925422d990c04172() { 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 () { finishedLoading6ba67873edc8436f925422d990c04172(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading6ba67873edc8436f925422d990c04172(); } } 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); mploadTelInput6ba67873edc8436f925422d990c04172(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit6ba67873edc8436f925422d990c04172(); } else { function waitForOtherFormsmpFrmd5dafc7c02244227a887164e331ac12c() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit6ba67873edc8436f925422d990c04172(); } else { setTimeout(waitForOtherFormsmpFrmd5dafc7c02244227a887164e331ac12c,300); } } waitForOtherFormsmpFrmd5dafc7c02244227a887164e331ac12c(); }