var captchaWidgetmpFrm7eb378dbee2b43f18c25f2ca3782a638; var mpCurrentScriptmpFrm7eb378dbee2b43f18c25f2ca3782a638Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm7eb378dbee2b43f18c25f2ca3782a638"; 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); mpFormmpFrm7eb378dbee2b43f18c25f2ca3782a638Find(); } })(); function mpFormmpFrm7eb378dbee2b43f18c25f2ca3782a638Find() { if(!mpCurrentScriptmpFrm7eb378dbee2b43f18c25f2ca3782a638Container) return; if (mpCurrentScriptmpFrm7eb378dbee2b43f18c25f2ca3782a638Container && mpCurrentScriptmpFrm7eb378dbee2b43f18c25f2ca3782a638Container.nodeName && mpCurrentScriptmpFrm7eb378dbee2b43f18c25f2ca3782a638Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm7eb378dbee2b43f18c25f2ca3782a638" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm7eb378dbee2b43f18c25f2ca3782a638Container.children).forEach(c => { if (c.id === "mpFrm7eb378dbee2b43f18c25f2ca3782a638") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript95d0baac0ee3400ab800768be16a7288Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm7eb378dbee2b43f18c25f2ca3782a638"; } } } } function mpForm95d0baac0ee3400ab800768be16a7288Check() { let checkBoxes = document.getElementById("mpform-95d0baac0ee3400ab800768be16a7288").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 mpForm95d0baac0ee3400ab800768be16a7288Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-95d0baac0ee3400ab800768be16a7288").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-95d0baac0ee3400ab800768be16a7288").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-95d0baac0ee3400ab800768be16a7288").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-95d0baac0ee3400ab800768be16a7288')), 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: getTrackingId95d0baac0ee3400ab800768be16a7288() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-95d0baac0ee3400ab800768be16a7288").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-95d0baac0ee3400ab800768be16a7288").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) { mpForm95d0baac0ee3400ab800768be16a7288Check(); 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-95d0baac0ee3400ab800768be16a7288').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-95d0baac0ee3400ab800768be16a7288").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-95d0baac0ee3400ab800768be16a7288').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm7eb378dbee2b43f18c25f2ca3782a638); } else { mpForm95d0baac0ee3400ab800768be16a7288Check(); 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 mpmRecaptchaLoaded95d0baac0ee3400ab800768be16a7288() { captchaWidgetmpFrm7eb378dbee2b43f18c25f2ca3782a638 = grecaptcha.render('mpmRecaptchampFrm7eb378dbee2b43f18c25f2ca3782a638', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId95d0baac0ee3400ab800768be16a7288() { 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 mpmFormInit95d0baac0ee3400ab800768be16a7288 () { 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 finishedLoading95d0baac0ee3400ab800768be16a7288() { window.mpFormLoading = false; let container = document.getElementById('mpFrm7eb378dbee2b43f18c25f2ca3782a638'); if (!container) { mpFormmpFrm7eb378dbee2b43f18c25f2ca3782a638Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm7eb378dbee2b43f18c25f2ca3782a638'); return setTimeout(finishedLoading95d0baac0ee3400ab800768be16a7288, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-95d0baac0ee3400ab800768be16a7288").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-95d0baac0ee3400ab800768be16a7288").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-95d0baac0ee3400ab800768be16a7288").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-95d0baac0ee3400ab800768be16a7288").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-95d0baac0ee3400ab800768be16a7288").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=mpmRecaptchaLoaded95d0baac0ee3400ab800768be16a7288&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup95d0baac0ee3400ab800768be16a7288() { let popups = document.getElementById("mpform-95d0baac0ee3400ab800768be16a7288").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput95d0baac0ee3400ab800768be16a7288() { 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 () { finishedLoading95d0baac0ee3400ab800768be16a7288(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading95d0baac0ee3400ab800768be16a7288(); } } 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); mploadTelInput95d0baac0ee3400ab800768be16a7288(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit95d0baac0ee3400ab800768be16a7288(); } else { function waitForOtherFormsmpFrm7eb378dbee2b43f18c25f2ca3782a638() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit95d0baac0ee3400ab800768be16a7288(); } else { setTimeout(waitForOtherFormsmpFrm7eb378dbee2b43f18c25f2ca3782a638,300); } } waitForOtherFormsmpFrm7eb378dbee2b43f18c25f2ca3782a638(); }