var captchaWidgetmpFrmca67b7f9231b454b9c8f868893b5172c; var mpCurrentScriptmpFrmca67b7f9231b454b9c8f868893b5172cContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmca67b7f9231b454b9c8f868893b5172c"; 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); mpFormmpFrmca67b7f9231b454b9c8f868893b5172cFind(); } })(); function mpFormmpFrmca67b7f9231b454b9c8f868893b5172cFind() { if(!mpCurrentScriptmpFrmca67b7f9231b454b9c8f868893b5172cContainer) return; if (mpCurrentScriptmpFrmca67b7f9231b454b9c8f868893b5172cContainer && mpCurrentScriptmpFrmca67b7f9231b454b9c8f868893b5172cContainer.nodeName && mpCurrentScriptmpFrmca67b7f9231b454b9c8f868893b5172cContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmca67b7f9231b454b9c8f868893b5172c" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmca67b7f9231b454b9c8f868893b5172cContainer.children).forEach(c => { if (c.id === "mpFrmca67b7f9231b454b9c8f868893b5172c") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript0c151437464a415cbd4eb43469594004Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmca67b7f9231b454b9c8f868893b5172c"; } } } } function mpForm0c151437464a415cbd4eb43469594004Check() { let checkBoxes = document.getElementById("mpform-0c151437464a415cbd4eb43469594004").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 mpForm0c151437464a415cbd4eb43469594004Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-0c151437464a415cbd4eb43469594004").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-0c151437464a415cbd4eb43469594004").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-0c151437464a415cbd4eb43469594004").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-0c151437464a415cbd4eb43469594004')), 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: getTrackingId0c151437464a415cbd4eb43469594004() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-0c151437464a415cbd4eb43469594004").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-0c151437464a415cbd4eb43469594004").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) { mpForm0c151437464a415cbd4eb43469594004Check(); 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-0c151437464a415cbd4eb43469594004').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-0c151437464a415cbd4eb43469594004").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-0c151437464a415cbd4eb43469594004').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmca67b7f9231b454b9c8f868893b5172c); } else { mpForm0c151437464a415cbd4eb43469594004Check(); 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 mpmRecaptchaLoaded0c151437464a415cbd4eb43469594004() { captchaWidgetmpFrmca67b7f9231b454b9c8f868893b5172c = grecaptcha.render('mpmRecaptchampFrmca67b7f9231b454b9c8f868893b5172c', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId0c151437464a415cbd4eb43469594004() { 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 mpmFormInit0c151437464a415cbd4eb43469594004 () { 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 finishedLoading0c151437464a415cbd4eb43469594004() { window.mpFormLoading = false; let container = document.getElementById('mpFrmca67b7f9231b454b9c8f868893b5172c'); if (!container) { mpFormmpFrmca67b7f9231b454b9c8f868893b5172cFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmca67b7f9231b454b9c8f868893b5172c'); return setTimeout(finishedLoading0c151437464a415cbd4eb43469594004, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-0c151437464a415cbd4eb43469594004").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-0c151437464a415cbd4eb43469594004").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-0c151437464a415cbd4eb43469594004").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-0c151437464a415cbd4eb43469594004").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-0c151437464a415cbd4eb43469594004").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=mpmRecaptchaLoaded0c151437464a415cbd4eb43469594004&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup0c151437464a415cbd4eb43469594004() { let popups = document.getElementById("mpform-0c151437464a415cbd4eb43469594004").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput0c151437464a415cbd4eb43469594004() { 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 () { finishedLoading0c151437464a415cbd4eb43469594004(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading0c151437464a415cbd4eb43469594004(); } } 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); mploadTelInput0c151437464a415cbd4eb43469594004(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit0c151437464a415cbd4eb43469594004(); } else { function waitForOtherFormsmpFrmca67b7f9231b454b9c8f868893b5172c() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit0c151437464a415cbd4eb43469594004(); } else { setTimeout(waitForOtherFormsmpFrmca67b7f9231b454b9c8f868893b5172c,300); } } waitForOtherFormsmpFrmca67b7f9231b454b9c8f868893b5172c(); }