var captchaWidgetmpFrm29d54b45ecca45df90ef407a1bfab285; var mpCurrentScriptmpFrm29d54b45ecca45df90ef407a1bfab285Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm29d54b45ecca45df90ef407a1bfab285"; 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); }); } mpFormmpFrm29d54b45ecca45df90ef407a1bfab285Find(); } 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); mpFormmpFrm29d54b45ecca45df90ef407a1bfab285Find(); } })(); function mpFormmpFrm29d54b45ecca45df90ef407a1bfab285Find() { if(!mpCurrentScriptmpFrm29d54b45ecca45df90ef407a1bfab285Container) return; if (mpCurrentScriptmpFrm29d54b45ecca45df90ef407a1bfab285Container && mpCurrentScriptmpFrm29d54b45ecca45df90ef407a1bfab285Container.nodeName && mpCurrentScriptmpFrm29d54b45ecca45df90ef407a1bfab285Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm29d54b45ecca45df90ef407a1bfab285" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm29d54b45ecca45df90ef407a1bfab285Container.children).forEach(c => { if (c.id === "mpFrm29d54b45ecca45df90ef407a1bfab285") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript50978837eaee4a408a3da2f4df95500fContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm29d54b45ecca45df90ef407a1bfab285"; } } } } function mpForm50978837eaee4a408a3da2f4df95500fCheck() { let checkBoxes = document.getElementById("mpform-50978837eaee4a408a3da2f4df95500f").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 mpForm50978837eaee4a408a3da2f4df95500fSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-50978837eaee4a408a3da2f4df95500f").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-50978837eaee4a408a3da2f4df95500f").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-50978837eaee4a408a3da2f4df95500f").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-50978837eaee4a408a3da2f4df95500f')), 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: getTrackingId50978837eaee4a408a3da2f4df95500f() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-50978837eaee4a408a3da2f4df95500f").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-50978837eaee4a408a3da2f4df95500f").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) { mpForm50978837eaee4a408a3da2f4df95500fCheck(); 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-50978837eaee4a408a3da2f4df95500f').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-50978837eaee4a408a3da2f4df95500f").querySelector("a[href='" + link.replace + "']"); if (hiddenButton) { hiddenButton.href = link.link; hiddenButton.closest('[data-type="FORMFILE"]').style.display = 'flex'; } }); parent.style.display = "none"; } mpMsg.innerHTML = response.message; } else if (response.replace) { document.getElementById('mpform-50978837eaee4a408a3da2f4df95500f').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm29d54b45ecca45df90ef407a1bfab285); } else { mpForm50978837eaee4a408a3da2f4df95500fCheck(); 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 mpmRecaptchaLoaded50978837eaee4a408a3da2f4df95500f() { captchaWidgetmpFrm29d54b45ecca45df90ef407a1bfab285 = grecaptcha.render('mpmRecaptchampFrm29d54b45ecca45df90ef407a1bfab285', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId50978837eaee4a408a3da2f4df95500f() { 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 mpmFormInit50978837eaee4a408a3da2f4df95500f () { 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 finishedLoading50978837eaee4a408a3da2f4df95500f() { window.mpFormLoading = false; let container = document.getElementById('mpFrm29d54b45ecca45df90ef407a1bfab285'); if (!container) { mpFormmpFrm29d54b45ecca45df90ef407a1bfab285Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm29d54b45ecca45df90ef407a1bfab285'); return setTimeout(finishedLoading50978837eaee4a408a3da2f4df95500f, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-50978837eaee4a408a3da2f4df95500f").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-50978837eaee4a408a3da2f4df95500f").querySelectorAll('input[type=TELNO]'); if(telInputs) { let telInputCSSOver = ""; 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", customContainer: "mpm-tel-input-container-50978837eaee4a408a3da2f4df95500f-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-50978837eaee4a408a3da2f4df95500f-" + i + " { margin: " + tmpMargin + " } " } } if(telInputCSSOver) { let style = document.createElement("style"); style.innerHTML = telInputCSSOver; document.getElementsByTagName("head")[0].appendChild(style); } } if(subscriberData) { let customFields = document.getElementById("mpform-50978837eaee4a408a3da2f4df95500f").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-50978837eaee4a408a3da2f4df95500f").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-50978837eaee4a408a3da2f4df95500f").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=mpmRecaptchaLoaded50978837eaee4a408a3da2f4df95500f&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup50978837eaee4a408a3da2f4df95500f() { let popups = document.getElementById("mpform-50978837eaee4a408a3da2f4df95500f").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput50978837eaee4a408a3da2f4df95500f() { 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 () { finishedLoading50978837eaee4a408a3da2f4df95500f(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading50978837eaee4a408a3da2f4df95500f(); } } 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); mploadTelInput50978837eaee4a408a3da2f4df95500f(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit50978837eaee4a408a3da2f4df95500f(); } else { function waitForOtherFormsmpFrm29d54b45ecca45df90ef407a1bfab285() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit50978837eaee4a408a3da2f4df95500f(); } else { setTimeout(waitForOtherFormsmpFrm29d54b45ecca45df90ef407a1bfab285,300); } } waitForOtherFormsmpFrm29d54b45ecca45df90ef407a1bfab285(); }