var captchaWidgetmpFrm0d97652259294e19aab2a1b3d906d456; var mpCurrentScriptmpFrm0d97652259294e19aab2a1b3d906d456Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm0d97652259294e19aab2a1b3d906d456"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41955"); 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); mpFormmpFrm0d97652259294e19aab2a1b3d906d456Find(); } })(); function mpFormmpFrm0d97652259294e19aab2a1b3d906d456Find() { if(!mpCurrentScriptmpFrm0d97652259294e19aab2a1b3d906d456Container) return; if (mpCurrentScriptmpFrm0d97652259294e19aab2a1b3d906d456Container && mpCurrentScriptmpFrm0d97652259294e19aab2a1b3d906d456Container.nodeName && mpCurrentScriptmpFrm0d97652259294e19aab2a1b3d906d456Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm0d97652259294e19aab2a1b3d906d456" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm0d97652259294e19aab2a1b3d906d456Container.children).forEach(c => { if (c.id === "mpFrm0d97652259294e19aab2a1b3d906d456") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript1be377c2562f4ba2a739e191ec433964Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm0d97652259294e19aab2a1b3d906d456"; } } } } function mpForm1be377c2562f4ba2a739e191ec433964Check() { let checkBoxes = document.getElementById("mpform-1be377c2562f4ba2a739e191ec433964").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 mpForm1be377c2562f4ba2a739e191ec433964Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-1be377c2562f4ba2a739e191ec433964").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-1be377c2562f4ba2a739e191ec433964").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-1be377c2562f4ba2a739e191ec433964").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-1be377c2562f4ba2a739e191ec433964')), 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: getTrackingId1be377c2562f4ba2a739e191ec433964() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-1be377c2562f4ba2a739e191ec433964").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-1be377c2562f4ba2a739e191ec433964").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=41955", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm1be377c2562f4ba2a739e191ec433964Check(); 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-1be377c2562f4ba2a739e191ec433964').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-1be377c2562f4ba2a739e191ec433964").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-1be377c2562f4ba2a739e191ec433964').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm0d97652259294e19aab2a1b3d906d456); } else { mpForm1be377c2562f4ba2a739e191ec433964Check(); 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 mpmRecaptchaLoaded1be377c2562f4ba2a739e191ec433964() { captchaWidgetmpFrm0d97652259294e19aab2a1b3d906d456 = grecaptcha.render('mpmRecaptchampFrm0d97652259294e19aab2a1b3d906d456', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId1be377c2562f4ba2a739e191ec433964() { 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 mpmFormInit1be377c2562f4ba2a739e191ec433964 () { 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 finishedLoading1be377c2562f4ba2a739e191ec433964() { window.mpFormLoading = false; let container = document.getElementById('mpFrm0d97652259294e19aab2a1b3d906d456'); if (!container) { mpFormmpFrm0d97652259294e19aab2a1b3d906d456Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm0d97652259294e19aab2a1b3d906d456'); return setTimeout(finishedLoading1be377c2562f4ba2a739e191ec433964, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-1be377c2562f4ba2a739e191ec433964").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-1be377c2562f4ba2a739e191ec433964").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-1be377c2562f4ba2a739e191ec433964").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-1be377c2562f4ba2a739e191ec433964").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-1be377c2562f4ba2a739e191ec433964").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=mpmRecaptchaLoaded1be377c2562f4ba2a739e191ec433964&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup1be377c2562f4ba2a739e191ec433964() { let popups = document.getElementById("mpform-1be377c2562f4ba2a739e191ec433964").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput1be377c2562f4ba2a739e191ec433964() { 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 () { finishedLoading1be377c2562f4ba2a739e191ec433964(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading1be377c2562f4ba2a739e191ec433964(); } } 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); mploadTelInput1be377c2562f4ba2a739e191ec433964(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit1be377c2562f4ba2a739e191ec433964(); } else { function waitForOtherFormsmpFrm0d97652259294e19aab2a1b3d906d456() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit1be377c2562f4ba2a739e191ec433964(); } else { setTimeout(waitForOtherFormsmpFrm0d97652259294e19aab2a1b3d906d456,300); } } waitForOtherFormsmpFrm0d97652259294e19aab2a1b3d906d456(); }