var captchaWidgetmpFrm3cb7637ecd824147a2c137202ae5a9b0; var mpCurrentScriptmpFrm3cb7637ecd824147a2c137202ae5a9b0Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm3cb7637ecd824147a2c137202ae5a9b0"; 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); mpFormmpFrm3cb7637ecd824147a2c137202ae5a9b0Find(); } })(); function mpFormmpFrm3cb7637ecd824147a2c137202ae5a9b0Find() { if(!mpCurrentScriptmpFrm3cb7637ecd824147a2c137202ae5a9b0Container) return; if (mpCurrentScriptmpFrm3cb7637ecd824147a2c137202ae5a9b0Container && mpCurrentScriptmpFrm3cb7637ecd824147a2c137202ae5a9b0Container.nodeName && mpCurrentScriptmpFrm3cb7637ecd824147a2c137202ae5a9b0Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm3cb7637ecd824147a2c137202ae5a9b0" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm3cb7637ecd824147a2c137202ae5a9b0Container.children).forEach(c => { if (c.id === "mpFrm3cb7637ecd824147a2c137202ae5a9b0") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript87f43543b8044c95800885c127852846Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm3cb7637ecd824147a2c137202ae5a9b0"; } } } } function mpForm87f43543b8044c95800885c127852846Check() { let checkBoxes = document.getElementById("mpform-87f43543b8044c95800885c127852846").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 mpForm87f43543b8044c95800885c127852846Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-87f43543b8044c95800885c127852846").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-87f43543b8044c95800885c127852846").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-87f43543b8044c95800885c127852846").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-87f43543b8044c95800885c127852846')), 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: getTrackingId87f43543b8044c95800885c127852846() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-87f43543b8044c95800885c127852846").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-87f43543b8044c95800885c127852846").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) { mpForm87f43543b8044c95800885c127852846Check(); 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-87f43543b8044c95800885c127852846').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-87f43543b8044c95800885c127852846").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-87f43543b8044c95800885c127852846').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm3cb7637ecd824147a2c137202ae5a9b0); } else { mpForm87f43543b8044c95800885c127852846Check(); 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 mpmRecaptchaLoaded87f43543b8044c95800885c127852846() { captchaWidgetmpFrm3cb7637ecd824147a2c137202ae5a9b0 = grecaptcha.render('mpmRecaptchampFrm3cb7637ecd824147a2c137202ae5a9b0', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId87f43543b8044c95800885c127852846() { 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 mpmFormInit87f43543b8044c95800885c127852846 () { 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 finishedLoading87f43543b8044c95800885c127852846() { window.mpFormLoading = false; let container = document.getElementById('mpFrm3cb7637ecd824147a2c137202ae5a9b0'); if (!container) { mpFormmpFrm3cb7637ecd824147a2c137202ae5a9b0Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm3cb7637ecd824147a2c137202ae5a9b0'); return setTimeout(finishedLoading87f43543b8044c95800885c127852846, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-87f43543b8044c95800885c127852846").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-87f43543b8044c95800885c127852846").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-87f43543b8044c95800885c127852846").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-87f43543b8044c95800885c127852846").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-87f43543b8044c95800885c127852846").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=mpmRecaptchaLoaded87f43543b8044c95800885c127852846&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup87f43543b8044c95800885c127852846() { let popups = document.getElementById("mpform-87f43543b8044c95800885c127852846").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput87f43543b8044c95800885c127852846() { 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 () { finishedLoading87f43543b8044c95800885c127852846(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading87f43543b8044c95800885c127852846(); } } 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); mploadTelInput87f43543b8044c95800885c127852846(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit87f43543b8044c95800885c127852846(); } else { function waitForOtherFormsmpFrm3cb7637ecd824147a2c137202ae5a9b0() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit87f43543b8044c95800885c127852846(); } else { setTimeout(waitForOtherFormsmpFrm3cb7637ecd824147a2c137202ae5a9b0,300); } } waitForOtherFormsmpFrm3cb7637ecd824147a2c137202ae5a9b0(); }