var captchaWidgetmpFrm6f883219a9714778aeb0196212abc6d8; var mpCurrentScriptmpFrm6f883219a9714778aeb0196212abc6d8Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm6f883219a9714778aeb0196212abc6d8"; 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); mpFormmpFrm6f883219a9714778aeb0196212abc6d8Find(); } })(); function mpFormmpFrm6f883219a9714778aeb0196212abc6d8Find() { if(!mpCurrentScriptmpFrm6f883219a9714778aeb0196212abc6d8Container) return; if (mpCurrentScriptmpFrm6f883219a9714778aeb0196212abc6d8Container && mpCurrentScriptmpFrm6f883219a9714778aeb0196212abc6d8Container.nodeName && mpCurrentScriptmpFrm6f883219a9714778aeb0196212abc6d8Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm6f883219a9714778aeb0196212abc6d8" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm6f883219a9714778aeb0196212abc6d8Container.children).forEach(c => { if (c.id === "mpFrm6f883219a9714778aeb0196212abc6d8") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptea4bef7d16c442efaf3ec93631aca937Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm6f883219a9714778aeb0196212abc6d8"; } } } } function mpFormea4bef7d16c442efaf3ec93631aca937Check() { let checkBoxes = document.getElementById("mpform-ea4bef7d16c442efaf3ec93631aca937").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 mpFormea4bef7d16c442efaf3ec93631aca937Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-ea4bef7d16c442efaf3ec93631aca937").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-ea4bef7d16c442efaf3ec93631aca937").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-ea4bef7d16c442efaf3ec93631aca937").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-ea4bef7d16c442efaf3ec93631aca937')), 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: getTrackingIdea4bef7d16c442efaf3ec93631aca937() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-ea4bef7d16c442efaf3ec93631aca937").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-ea4bef7d16c442efaf3ec93631aca937").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) { mpFormea4bef7d16c442efaf3ec93631aca937Check(); 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-ea4bef7d16c442efaf3ec93631aca937').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-ea4bef7d16c442efaf3ec93631aca937").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-ea4bef7d16c442efaf3ec93631aca937').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm6f883219a9714778aeb0196212abc6d8); } else { mpFormea4bef7d16c442efaf3ec93631aca937Check(); 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 mpmRecaptchaLoadedea4bef7d16c442efaf3ec93631aca937() { captchaWidgetmpFrm6f883219a9714778aeb0196212abc6d8 = grecaptcha.render('mpmRecaptchampFrm6f883219a9714778aeb0196212abc6d8', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdea4bef7d16c442efaf3ec93631aca937() { 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 mpmFormInitea4bef7d16c442efaf3ec93631aca937 () { 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 finishedLoadingea4bef7d16c442efaf3ec93631aca937() { window.mpFormLoading = false; let container = document.getElementById('mpFrm6f883219a9714778aeb0196212abc6d8'); if (!container) { mpFormmpFrm6f883219a9714778aeb0196212abc6d8Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm6f883219a9714778aeb0196212abc6d8'); return setTimeout(finishedLoadingea4bef7d16c442efaf3ec93631aca937, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-ea4bef7d16c442efaf3ec93631aca937").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-ea4bef7d16c442efaf3ec93631aca937").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-ea4bef7d16c442efaf3ec93631aca937").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-ea4bef7d16c442efaf3ec93631aca937").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-ea4bef7d16c442efaf3ec93631aca937").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=mpmRecaptchaLoadedea4bef7d16c442efaf3ec93631aca937&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupea4bef7d16c442efaf3ec93631aca937() { let popups = document.getElementById("mpform-ea4bef7d16c442efaf3ec93631aca937").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputea4bef7d16c442efaf3ec93631aca937() { 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 () { finishedLoadingea4bef7d16c442efaf3ec93631aca937(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingea4bef7d16c442efaf3ec93631aca937(); } } 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); mploadTelInputea4bef7d16c442efaf3ec93631aca937(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitea4bef7d16c442efaf3ec93631aca937(); } else { function waitForOtherFormsmpFrm6f883219a9714778aeb0196212abc6d8() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitea4bef7d16c442efaf3ec93631aca937(); } else { setTimeout(waitForOtherFormsmpFrm6f883219a9714778aeb0196212abc6d8,300); } } waitForOtherFormsmpFrm6f883219a9714778aeb0196212abc6d8(); }