var captchaWidgetmpFrm465faf909261471aad0c31c1033472b5; var mpCurrentScriptmpFrm465faf909261471aad0c31c1033472b5Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm465faf909261471aad0c31c1033472b5"; 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); mpFormmpFrm465faf909261471aad0c31c1033472b5Find(); } })(); function mpFormmpFrm465faf909261471aad0c31c1033472b5Find() { if(!mpCurrentScriptmpFrm465faf909261471aad0c31c1033472b5Container) return; if (mpCurrentScriptmpFrm465faf909261471aad0c31c1033472b5Container && mpCurrentScriptmpFrm465faf909261471aad0c31c1033472b5Container.nodeName && mpCurrentScriptmpFrm465faf909261471aad0c31c1033472b5Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm465faf909261471aad0c31c1033472b5" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm465faf909261471aad0c31c1033472b5Container.children).forEach(c => { if (c.id === "mpFrm465faf909261471aad0c31c1033472b5") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript6800167848054e3c92de6c70306fae83Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm465faf909261471aad0c31c1033472b5"; } } } } function mpForm6800167848054e3c92de6c70306fae83Check() { let checkBoxes = document.getElementById("mpform-6800167848054e3c92de6c70306fae83").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 mpForm6800167848054e3c92de6c70306fae83Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-6800167848054e3c92de6c70306fae83").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-6800167848054e3c92de6c70306fae83").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-6800167848054e3c92de6c70306fae83").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-6800167848054e3c92de6c70306fae83')), 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: getTrackingId6800167848054e3c92de6c70306fae83() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-6800167848054e3c92de6c70306fae83").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-6800167848054e3c92de6c70306fae83").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) { mpForm6800167848054e3c92de6c70306fae83Check(); 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-6800167848054e3c92de6c70306fae83').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-6800167848054e3c92de6c70306fae83").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-6800167848054e3c92de6c70306fae83').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm465faf909261471aad0c31c1033472b5); } else { mpForm6800167848054e3c92de6c70306fae83Check(); 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 mpmRecaptchaLoaded6800167848054e3c92de6c70306fae83() { captchaWidgetmpFrm465faf909261471aad0c31c1033472b5 = grecaptcha.render('mpmRecaptchampFrm465faf909261471aad0c31c1033472b5', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId6800167848054e3c92de6c70306fae83() { 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 mpmFormInit6800167848054e3c92de6c70306fae83 () { 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 finishedLoading6800167848054e3c92de6c70306fae83() { window.mpFormLoading = false; let container = document.getElementById('mpFrm465faf909261471aad0c31c1033472b5'); if (!container) { mpFormmpFrm465faf909261471aad0c31c1033472b5Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm465faf909261471aad0c31c1033472b5'); return setTimeout(finishedLoading6800167848054e3c92de6c70306fae83, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-6800167848054e3c92de6c70306fae83").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-6800167848054e3c92de6c70306fae83").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-6800167848054e3c92de6c70306fae83").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-6800167848054e3c92de6c70306fae83").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-6800167848054e3c92de6c70306fae83").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=mpmRecaptchaLoaded6800167848054e3c92de6c70306fae83&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup6800167848054e3c92de6c70306fae83() { let popups = document.getElementById("mpform-6800167848054e3c92de6c70306fae83").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput6800167848054e3c92de6c70306fae83() { 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 () { finishedLoading6800167848054e3c92de6c70306fae83(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading6800167848054e3c92de6c70306fae83(); } } 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); mploadTelInput6800167848054e3c92de6c70306fae83(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit6800167848054e3c92de6c70306fae83(); } else { function waitForOtherFormsmpFrm465faf909261471aad0c31c1033472b5() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit6800167848054e3c92de6c70306fae83(); } else { setTimeout(waitForOtherFormsmpFrm465faf909261471aad0c31c1033472b5,300); } } waitForOtherFormsmpFrm465faf909261471aad0c31c1033472b5(); }