var captchaWidgetmpFrmbc53bb1b4d99407283873a017981b15d; var mpCurrentScriptmpFrmbc53bb1b4d99407283873a017981b15dContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmbc53bb1b4d99407283873a017981b15d"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41943"); if (window.self !== window.top) { if (document.body) { document.body.appendChild(containerDiv); } else { document.addEventListener("DOMContentLoaded", function() { document.body.appendChild(containerDiv); }); } mpFormmpFrmbc53bb1b4d99407283873a017981b15dFind(); } else 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); mpFormmpFrmbc53bb1b4d99407283873a017981b15dFind(); } })(); function mpFormmpFrmbc53bb1b4d99407283873a017981b15dFind() { if(!mpCurrentScriptmpFrmbc53bb1b4d99407283873a017981b15dContainer) return; if (mpCurrentScriptmpFrmbc53bb1b4d99407283873a017981b15dContainer && mpCurrentScriptmpFrmbc53bb1b4d99407283873a017981b15dContainer.nodeName && mpCurrentScriptmpFrmbc53bb1b4d99407283873a017981b15dContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmbc53bb1b4d99407283873a017981b15d" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmbc53bb1b4d99407283873a017981b15dContainer.children).forEach(c => { if (c.id === "mpFrmbc53bb1b4d99407283873a017981b15d") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptf8a3a056cb6041a298841aad26b7353fContainer.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmbc53bb1b4d99407283873a017981b15d"; } } } } function mpFormf8a3a056cb6041a298841aad26b7353fCheck() { let checkBoxes = document.getElementById("mpform-f8a3a056cb6041a298841aad26b7353f").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 mpFormf8a3a056cb6041a298841aad26b7353fSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-f8a3a056cb6041a298841aad26b7353f").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-f8a3a056cb6041a298841aad26b7353f").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-f8a3a056cb6041a298841aad26b7353f").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-f8a3a056cb6041a298841aad26b7353f')), 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: getTrackingIdf8a3a056cb6041a298841aad26b7353f() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-f8a3a056cb6041a298841aad26b7353f").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-f8a3a056cb6041a298841aad26b7353f").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) { mpFormf8a3a056cb6041a298841aad26b7353fCheck(); 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-f8a3a056cb6041a298841aad26b7353f').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-f8a3a056cb6041a298841aad26b7353f").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-f8a3a056cb6041a298841aad26b7353f').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmbc53bb1b4d99407283873a017981b15d); } else { mpFormf8a3a056cb6041a298841aad26b7353fCheck(); 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 mpmRecaptchaLoadedf8a3a056cb6041a298841aad26b7353f() { captchaWidgetmpFrmbc53bb1b4d99407283873a017981b15d = grecaptcha.render('mpmRecaptchampFrmbc53bb1b4d99407283873a017981b15d', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdf8a3a056cb6041a298841aad26b7353f() { 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 mpmFormInitf8a3a056cb6041a298841aad26b7353f () { 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 finishedLoadingf8a3a056cb6041a298841aad26b7353f() { window.mpFormLoading = false; let container = document.getElementById('mpFrmbc53bb1b4d99407283873a017981b15d'); if (!container) { mpFormmpFrmbc53bb1b4d99407283873a017981b15dFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmbc53bb1b4d99407283873a017981b15d'); return setTimeout(finishedLoadingf8a3a056cb6041a298841aad26b7353f, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-f8a3a056cb6041a298841aad26b7353f").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-f8a3a056cb6041a298841aad26b7353f").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-f8a3a056cb6041a298841aad26b7353f").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-f8a3a056cb6041a298841aad26b7353f").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-f8a3a056cb6041a298841aad26b7353f").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=mpmRecaptchaLoadedf8a3a056cb6041a298841aad26b7353f&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupf8a3a056cb6041a298841aad26b7353f() { let popups = document.getElementById("mpform-f8a3a056cb6041a298841aad26b7353f").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputf8a3a056cb6041a298841aad26b7353f() { 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 () { finishedLoadingf8a3a056cb6041a298841aad26b7353f(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingf8a3a056cb6041a298841aad26b7353f(); } } 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); mploadTelInputf8a3a056cb6041a298841aad26b7353f(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitf8a3a056cb6041a298841aad26b7353f(); } else { function waitForOtherFormsmpFrmbc53bb1b4d99407283873a017981b15d() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitf8a3a056cb6041a298841aad26b7353f(); } else { setTimeout(waitForOtherFormsmpFrmbc53bb1b4d99407283873a017981b15d,300); } } waitForOtherFormsmpFrmbc53bb1b4d99407283873a017981b15d(); }