var captchaWidgetmpFrmfddc0c9f77a6410185dfbad260456793; var mpCurrentScriptmpFrmfddc0c9f77a6410185dfbad260456793Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmfddc0c9f77a6410185dfbad260456793"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41955"); if (window.self !== window.top) { if (document.body) { document.body.appendChild(containerDiv); } else { document.addEventListener("DOMContentLoaded", function() { document.body.appendChild(containerDiv); }); } mpFormmpFrmfddc0c9f77a6410185dfbad260456793Find(); } 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); mpFormmpFrmfddc0c9f77a6410185dfbad260456793Find(); } })(); function mpFormmpFrmfddc0c9f77a6410185dfbad260456793Find() { if(!mpCurrentScriptmpFrmfddc0c9f77a6410185dfbad260456793Container) return; if (mpCurrentScriptmpFrmfddc0c9f77a6410185dfbad260456793Container && mpCurrentScriptmpFrmfddc0c9f77a6410185dfbad260456793Container.nodeName && mpCurrentScriptmpFrmfddc0c9f77a6410185dfbad260456793Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmfddc0c9f77a6410185dfbad260456793" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmfddc0c9f77a6410185dfbad260456793Container.children).forEach(c => { if (c.id === "mpFrmfddc0c9f77a6410185dfbad260456793") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript5537d6122fc34753b8457c3a2b642e13Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmfddc0c9f77a6410185dfbad260456793"; } } } } function mpForm5537d6122fc34753b8457c3a2b642e13Check() { let checkBoxes = document.getElementById("mpform-5537d6122fc34753b8457c3a2b642e13").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 mpForm5537d6122fc34753b8457c3a2b642e13Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-5537d6122fc34753b8457c3a2b642e13").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-5537d6122fc34753b8457c3a2b642e13").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-5537d6122fc34753b8457c3a2b642e13").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-5537d6122fc34753b8457c3a2b642e13')), 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: getTrackingId5537d6122fc34753b8457c3a2b642e13() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-5537d6122fc34753b8457c3a2b642e13").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-5537d6122fc34753b8457c3a2b642e13").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) { mpForm5537d6122fc34753b8457c3a2b642e13Check(); 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-5537d6122fc34753b8457c3a2b642e13').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-5537d6122fc34753b8457c3a2b642e13").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-5537d6122fc34753b8457c3a2b642e13').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmfddc0c9f77a6410185dfbad260456793); } else { mpForm5537d6122fc34753b8457c3a2b642e13Check(); 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 mpmRecaptchaLoaded5537d6122fc34753b8457c3a2b642e13() { captchaWidgetmpFrmfddc0c9f77a6410185dfbad260456793 = grecaptcha.render('mpmRecaptchampFrmfddc0c9f77a6410185dfbad260456793', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId5537d6122fc34753b8457c3a2b642e13() { 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 mpmFormInit5537d6122fc34753b8457c3a2b642e13 () { 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 finishedLoading5537d6122fc34753b8457c3a2b642e13() { window.mpFormLoading = false; let container = document.getElementById('mpFrmfddc0c9f77a6410185dfbad260456793'); if (!container) { mpFormmpFrmfddc0c9f77a6410185dfbad260456793Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmfddc0c9f77a6410185dfbad260456793'); return setTimeout(finishedLoading5537d6122fc34753b8457c3a2b642e13, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-5537d6122fc34753b8457c3a2b642e13").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-5537d6122fc34753b8457c3a2b642e13").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-5537d6122fc34753b8457c3a2b642e13").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-5537d6122fc34753b8457c3a2b642e13").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-5537d6122fc34753b8457c3a2b642e13").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=mpmRecaptchaLoaded5537d6122fc34753b8457c3a2b642e13&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup5537d6122fc34753b8457c3a2b642e13() { let popups = document.getElementById("mpform-5537d6122fc34753b8457c3a2b642e13").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput5537d6122fc34753b8457c3a2b642e13() { 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 () { finishedLoading5537d6122fc34753b8457c3a2b642e13(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading5537d6122fc34753b8457c3a2b642e13(); } } 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); mploadTelInput5537d6122fc34753b8457c3a2b642e13(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit5537d6122fc34753b8457c3a2b642e13(); } else { function waitForOtherFormsmpFrmfddc0c9f77a6410185dfbad260456793() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit5537d6122fc34753b8457c3a2b642e13(); } else { setTimeout(waitForOtherFormsmpFrmfddc0c9f77a6410185dfbad260456793,300); } } waitForOtherFormsmpFrmfddc0c9f77a6410185dfbad260456793(); }