var captchaWidgetmpFrm47365da160d24af0b8af3fb30291781e; var mpCurrentScriptmpFrm47365da160d24af0b8af3fb30291781eContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm47365da160d24af0b8af3fb30291781e"; 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); }); } mpFormmpFrm47365da160d24af0b8af3fb30291781eFind(); } 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); mpFormmpFrm47365da160d24af0b8af3fb30291781eFind(); } })(); function mpFormmpFrm47365da160d24af0b8af3fb30291781eFind() { if(!mpCurrentScriptmpFrm47365da160d24af0b8af3fb30291781eContainer) return; if (mpCurrentScriptmpFrm47365da160d24af0b8af3fb30291781eContainer && mpCurrentScriptmpFrm47365da160d24af0b8af3fb30291781eContainer.nodeName && mpCurrentScriptmpFrm47365da160d24af0b8af3fb30291781eContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm47365da160d24af0b8af3fb30291781e" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm47365da160d24af0b8af3fb30291781eContainer.children).forEach(c => { if (c.id === "mpFrm47365da160d24af0b8af3fb30291781e") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript86c6a39246074d809bf10aaf3d41da3fContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm47365da160d24af0b8af3fb30291781e"; } } } } function mpForm86c6a39246074d809bf10aaf3d41da3fCheck() { let checkBoxes = document.getElementById("mpform-86c6a39246074d809bf10aaf3d41da3f").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 mpForm86c6a39246074d809bf10aaf3d41da3fSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-86c6a39246074d809bf10aaf3d41da3f").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-86c6a39246074d809bf10aaf3d41da3f").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-86c6a39246074d809bf10aaf3d41da3f").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-86c6a39246074d809bf10aaf3d41da3f')), 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: getTrackingId86c6a39246074d809bf10aaf3d41da3f() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-86c6a39246074d809bf10aaf3d41da3f").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-86c6a39246074d809bf10aaf3d41da3f").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) { mpForm86c6a39246074d809bf10aaf3d41da3fCheck(); 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-86c6a39246074d809bf10aaf3d41da3f').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-86c6a39246074d809bf10aaf3d41da3f").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-86c6a39246074d809bf10aaf3d41da3f').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm47365da160d24af0b8af3fb30291781e); } else { mpForm86c6a39246074d809bf10aaf3d41da3fCheck(); 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 mpmRecaptchaLoaded86c6a39246074d809bf10aaf3d41da3f() { captchaWidgetmpFrm47365da160d24af0b8af3fb30291781e = grecaptcha.render('mpmRecaptchampFrm47365da160d24af0b8af3fb30291781e', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId86c6a39246074d809bf10aaf3d41da3f() { 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 mpmFormInit86c6a39246074d809bf10aaf3d41da3f () { 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 finishedLoading86c6a39246074d809bf10aaf3d41da3f() { window.mpFormLoading = false; let container = document.getElementById('mpFrm47365da160d24af0b8af3fb30291781e'); if (!container) { mpFormmpFrm47365da160d24af0b8af3fb30291781eFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm47365da160d24af0b8af3fb30291781e'); return setTimeout(finishedLoading86c6a39246074d809bf10aaf3d41da3f, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-86c6a39246074d809bf10aaf3d41da3f").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-86c6a39246074d809bf10aaf3d41da3f").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-86c6a39246074d809bf10aaf3d41da3f-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-86c6a39246074d809bf10aaf3d41da3f-" + 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-86c6a39246074d809bf10aaf3d41da3f").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-86c6a39246074d809bf10aaf3d41da3f").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-86c6a39246074d809bf10aaf3d41da3f").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=mpmRecaptchaLoaded86c6a39246074d809bf10aaf3d41da3f&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup86c6a39246074d809bf10aaf3d41da3f() { let popups = document.getElementById("mpform-86c6a39246074d809bf10aaf3d41da3f").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput86c6a39246074d809bf10aaf3d41da3f() { 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 () { finishedLoading86c6a39246074d809bf10aaf3d41da3f(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading86c6a39246074d809bf10aaf3d41da3f(); } } 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); mploadTelInput86c6a39246074d809bf10aaf3d41da3f(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit86c6a39246074d809bf10aaf3d41da3f(); } else { function waitForOtherFormsmpFrm47365da160d24af0b8af3fb30291781e() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit86c6a39246074d809bf10aaf3d41da3f(); } else { setTimeout(waitForOtherFormsmpFrm47365da160d24af0b8af3fb30291781e,300); } } waitForOtherFormsmpFrm47365da160d24af0b8af3fb30291781e(); }