var captchaWidgetmpFrma343f1d32ab24d029b48daf7bfaf6e20; var mpCurrentScriptmpFrma343f1d32ab24d029b48daf7bfaf6e20Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrma343f1d32ab24d029b48daf7bfaf6e20"; 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); mpFormmpFrma343f1d32ab24d029b48daf7bfaf6e20Find(); } })(); function mpFormmpFrma343f1d32ab24d029b48daf7bfaf6e20Find() { if(!mpCurrentScriptmpFrma343f1d32ab24d029b48daf7bfaf6e20Container) return; if (mpCurrentScriptmpFrma343f1d32ab24d029b48daf7bfaf6e20Container && mpCurrentScriptmpFrma343f1d32ab24d029b48daf7bfaf6e20Container.nodeName && mpCurrentScriptmpFrma343f1d32ab24d029b48daf7bfaf6e20Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrma343f1d32ab24d029b48daf7bfaf6e20" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrma343f1d32ab24d029b48daf7bfaf6e20Container.children).forEach(c => { if (c.id === "mpFrma343f1d32ab24d029b48daf7bfaf6e20") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript03a35a9cf2ce4214949d02a7deb75fceContainer.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrma343f1d32ab24d029b48daf7bfaf6e20"; } } } } function mpForm03a35a9cf2ce4214949d02a7deb75fceCheck() { let checkBoxes = document.getElementById("mpform-03a35a9cf2ce4214949d02a7deb75fce").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 mpForm03a35a9cf2ce4214949d02a7deb75fceSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-03a35a9cf2ce4214949d02a7deb75fce").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-03a35a9cf2ce4214949d02a7deb75fce").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-03a35a9cf2ce4214949d02a7deb75fce").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-03a35a9cf2ce4214949d02a7deb75fce')), 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: getTrackingId03a35a9cf2ce4214949d02a7deb75fce() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-03a35a9cf2ce4214949d02a7deb75fce").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-03a35a9cf2ce4214949d02a7deb75fce").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) { mpForm03a35a9cf2ce4214949d02a7deb75fceCheck(); 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-03a35a9cf2ce4214949d02a7deb75fce').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-03a35a9cf2ce4214949d02a7deb75fce").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-03a35a9cf2ce4214949d02a7deb75fce').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrma343f1d32ab24d029b48daf7bfaf6e20); } else { mpForm03a35a9cf2ce4214949d02a7deb75fceCheck(); 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 mpmRecaptchaLoaded03a35a9cf2ce4214949d02a7deb75fce() { captchaWidgetmpFrma343f1d32ab24d029b48daf7bfaf6e20 = grecaptcha.render('mpmRecaptchampFrma343f1d32ab24d029b48daf7bfaf6e20', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId03a35a9cf2ce4214949d02a7deb75fce() { 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 mpmFormInit03a35a9cf2ce4214949d02a7deb75fce () { 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 finishedLoading03a35a9cf2ce4214949d02a7deb75fce() { window.mpFormLoading = false; let container = document.getElementById('mpFrma343f1d32ab24d029b48daf7bfaf6e20'); if (!container) { mpFormmpFrma343f1d32ab24d029b48daf7bfaf6e20Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrma343f1d32ab24d029b48daf7bfaf6e20'); return setTimeout(finishedLoading03a35a9cf2ce4214949d02a7deb75fce, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-03a35a9cf2ce4214949d02a7deb75fce").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-03a35a9cf2ce4214949d02a7deb75fce").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-03a35a9cf2ce4214949d02a7deb75fce").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-03a35a9cf2ce4214949d02a7deb75fce").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-03a35a9cf2ce4214949d02a7deb75fce").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=mpmRecaptchaLoaded03a35a9cf2ce4214949d02a7deb75fce&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup03a35a9cf2ce4214949d02a7deb75fce() { let popups = document.getElementById("mpform-03a35a9cf2ce4214949d02a7deb75fce").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput03a35a9cf2ce4214949d02a7deb75fce() { 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 () { finishedLoading03a35a9cf2ce4214949d02a7deb75fce(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading03a35a9cf2ce4214949d02a7deb75fce(); } } 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); mploadTelInput03a35a9cf2ce4214949d02a7deb75fce(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit03a35a9cf2ce4214949d02a7deb75fce(); } else { function waitForOtherFormsmpFrma343f1d32ab24d029b48daf7bfaf6e20() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit03a35a9cf2ce4214949d02a7deb75fce(); } else { setTimeout(waitForOtherFormsmpFrma343f1d32ab24d029b48daf7bfaf6e20,300); } } waitForOtherFormsmpFrma343f1d32ab24d029b48daf7bfaf6e20(); }