var captchaWidgetmpFrm933837ae8daf4ecab810d60a25cef158; var mpCurrentScriptmpFrm933837ae8daf4ecab810d60a25cef158Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm933837ae8daf4ecab810d60a25cef158"; 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); }); } mpFormmpFrm933837ae8daf4ecab810d60a25cef158Find(); } 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); mpFormmpFrm933837ae8daf4ecab810d60a25cef158Find(); } })(); function mpFormmpFrm933837ae8daf4ecab810d60a25cef158Find() { if(!mpCurrentScriptmpFrm933837ae8daf4ecab810d60a25cef158Container) return; if (mpCurrentScriptmpFrm933837ae8daf4ecab810d60a25cef158Container && mpCurrentScriptmpFrm933837ae8daf4ecab810d60a25cef158Container.nodeName && mpCurrentScriptmpFrm933837ae8daf4ecab810d60a25cef158Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm933837ae8daf4ecab810d60a25cef158" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm933837ae8daf4ecab810d60a25cef158Container.children).forEach(c => { if (c.id === "mpFrm933837ae8daf4ecab810d60a25cef158") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript42192182a6cf40fc9fa58014615e0429Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm933837ae8daf4ecab810d60a25cef158"; } } } } function mpForm42192182a6cf40fc9fa58014615e0429Check() { let checkBoxes = document.getElementById("mpform-42192182a6cf40fc9fa58014615e0429").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 mpForm42192182a6cf40fc9fa58014615e0429Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-42192182a6cf40fc9fa58014615e0429").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-42192182a6cf40fc9fa58014615e0429").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-42192182a6cf40fc9fa58014615e0429").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-42192182a6cf40fc9fa58014615e0429')), 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: getTrackingId42192182a6cf40fc9fa58014615e0429() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-42192182a6cf40fc9fa58014615e0429").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-42192182a6cf40fc9fa58014615e0429").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) { mpForm42192182a6cf40fc9fa58014615e0429Check(); 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-42192182a6cf40fc9fa58014615e0429').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-42192182a6cf40fc9fa58014615e0429").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-42192182a6cf40fc9fa58014615e0429').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm933837ae8daf4ecab810d60a25cef158); } else { mpForm42192182a6cf40fc9fa58014615e0429Check(); 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 mpmRecaptchaLoaded42192182a6cf40fc9fa58014615e0429() { captchaWidgetmpFrm933837ae8daf4ecab810d60a25cef158 = grecaptcha.render('mpmRecaptchampFrm933837ae8daf4ecab810d60a25cef158', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId42192182a6cf40fc9fa58014615e0429() { 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 mpmFormInit42192182a6cf40fc9fa58014615e0429 () { 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 finishedLoading42192182a6cf40fc9fa58014615e0429() { window.mpFormLoading = false; let container = document.getElementById('mpFrm933837ae8daf4ecab810d60a25cef158'); if (!container) { mpFormmpFrm933837ae8daf4ecab810d60a25cef158Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm933837ae8daf4ecab810d60a25cef158'); return setTimeout(finishedLoading42192182a6cf40fc9fa58014615e0429, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-42192182a6cf40fc9fa58014615e0429").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-42192182a6cf40fc9fa58014615e0429").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-42192182a6cf40fc9fa58014615e0429-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-42192182a6cf40fc9fa58014615e0429-" + 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-42192182a6cf40fc9fa58014615e0429").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-42192182a6cf40fc9fa58014615e0429").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-42192182a6cf40fc9fa58014615e0429").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=mpmRecaptchaLoaded42192182a6cf40fc9fa58014615e0429&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup42192182a6cf40fc9fa58014615e0429() { let popups = document.getElementById("mpform-42192182a6cf40fc9fa58014615e0429").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput42192182a6cf40fc9fa58014615e0429() { 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 () { finishedLoading42192182a6cf40fc9fa58014615e0429(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading42192182a6cf40fc9fa58014615e0429(); } } 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); mploadTelInput42192182a6cf40fc9fa58014615e0429(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit42192182a6cf40fc9fa58014615e0429(); } else { function waitForOtherFormsmpFrm933837ae8daf4ecab810d60a25cef158() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit42192182a6cf40fc9fa58014615e0429(); } else { setTimeout(waitForOtherFormsmpFrm933837ae8daf4ecab810d60a25cef158,300); } } waitForOtherFormsmpFrm933837ae8daf4ecab810d60a25cef158(); }