var captchaWidgetmpFrma51a96fafb7442d6b1f002ecb3792e03; var mpCurrentScriptmpFrma51a96fafb7442d6b1f002ecb3792e03Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrma51a96fafb7442d6b1f002ecb3792e03"; 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); mpFormmpFrma51a96fafb7442d6b1f002ecb3792e03Find(); } })(); function mpFormmpFrma51a96fafb7442d6b1f002ecb3792e03Find() { if(!mpCurrentScriptmpFrma51a96fafb7442d6b1f002ecb3792e03Container) return; if (mpCurrentScriptmpFrma51a96fafb7442d6b1f002ecb3792e03Container && mpCurrentScriptmpFrma51a96fafb7442d6b1f002ecb3792e03Container.nodeName && mpCurrentScriptmpFrma51a96fafb7442d6b1f002ecb3792e03Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrma51a96fafb7442d6b1f002ecb3792e03" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrma51a96fafb7442d6b1f002ecb3792e03Container.children).forEach(c => { if (c.id === "mpFrma51a96fafb7442d6b1f002ecb3792e03") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScripta192a770f14342bcbadcea07c732bad4Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrma51a96fafb7442d6b1f002ecb3792e03"; } } } } function mpForma192a770f14342bcbadcea07c732bad4Check() { let checkBoxes = document.getElementById("mpform-a192a770f14342bcbadcea07c732bad4").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 mpForma192a770f14342bcbadcea07c732bad4Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-a192a770f14342bcbadcea07c732bad4").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-a192a770f14342bcbadcea07c732bad4").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-a192a770f14342bcbadcea07c732bad4").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-a192a770f14342bcbadcea07c732bad4')), 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: getTrackingIda192a770f14342bcbadcea07c732bad4() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-a192a770f14342bcbadcea07c732bad4").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-a192a770f14342bcbadcea07c732bad4").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) { mpForma192a770f14342bcbadcea07c732bad4Check(); 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-a192a770f14342bcbadcea07c732bad4').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-a192a770f14342bcbadcea07c732bad4").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-a192a770f14342bcbadcea07c732bad4').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrma51a96fafb7442d6b1f002ecb3792e03); } else { mpForma192a770f14342bcbadcea07c732bad4Check(); 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 mpmRecaptchaLoadeda192a770f14342bcbadcea07c732bad4() { captchaWidgetmpFrma51a96fafb7442d6b1f002ecb3792e03 = grecaptcha.render('mpmRecaptchampFrma51a96fafb7442d6b1f002ecb3792e03', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIda192a770f14342bcbadcea07c732bad4() { 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 mpmFormInita192a770f14342bcbadcea07c732bad4 () { 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 finishedLoadinga192a770f14342bcbadcea07c732bad4() { window.mpFormLoading = false; let container = document.getElementById('mpFrma51a96fafb7442d6b1f002ecb3792e03'); if (!container) { mpFormmpFrma51a96fafb7442d6b1f002ecb3792e03Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrma51a96fafb7442d6b1f002ecb3792e03'); return setTimeout(finishedLoadinga192a770f14342bcbadcea07c732bad4, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-a192a770f14342bcbadcea07c732bad4").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-a192a770f14342bcbadcea07c732bad4").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-a192a770f14342bcbadcea07c732bad4").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-a192a770f14342bcbadcea07c732bad4").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-a192a770f14342bcbadcea07c732bad4").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=mpmRecaptchaLoadeda192a770f14342bcbadcea07c732bad4&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupa192a770f14342bcbadcea07c732bad4() { let popups = document.getElementById("mpform-a192a770f14342bcbadcea07c732bad4").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputa192a770f14342bcbadcea07c732bad4() { 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 () { finishedLoadinga192a770f14342bcbadcea07c732bad4(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinga192a770f14342bcbadcea07c732bad4(); } } 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); mploadTelInputa192a770f14342bcbadcea07c732bad4(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInita192a770f14342bcbadcea07c732bad4(); } else { function waitForOtherFormsmpFrma51a96fafb7442d6b1f002ecb3792e03() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInita192a770f14342bcbadcea07c732bad4(); } else { setTimeout(waitForOtherFormsmpFrma51a96fafb7442d6b1f002ecb3792e03,300); } } waitForOtherFormsmpFrma51a96fafb7442d6b1f002ecb3792e03(); }