var captchaWidgetmpFrm7f52ee2a948f45ac90f4ab0dd8f789a7; var mpCurrentScriptmpFrm7f52ee2a948f45ac90f4ab0dd8f789a7Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm7f52ee2a948f45ac90f4ab0dd8f789a7"; 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); mpFormmpFrm7f52ee2a948f45ac90f4ab0dd8f789a7Find(); } })(); function mpFormmpFrm7f52ee2a948f45ac90f4ab0dd8f789a7Find() { if(!mpCurrentScriptmpFrm7f52ee2a948f45ac90f4ab0dd8f789a7Container) return; if (mpCurrentScriptmpFrm7f52ee2a948f45ac90f4ab0dd8f789a7Container && mpCurrentScriptmpFrm7f52ee2a948f45ac90f4ab0dd8f789a7Container.nodeName && mpCurrentScriptmpFrm7f52ee2a948f45ac90f4ab0dd8f789a7Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm7f52ee2a948f45ac90f4ab0dd8f789a7" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm7f52ee2a948f45ac90f4ab0dd8f789a7Container.children).forEach(c => { if (c.id === "mpFrm7f52ee2a948f45ac90f4ab0dd8f789a7") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScripta08c44927c0246e6a7359b825771b69fContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm7f52ee2a948f45ac90f4ab0dd8f789a7"; } } } } function mpForma08c44927c0246e6a7359b825771b69fCheck() { let checkBoxes = document.getElementById("mpform-a08c44927c0246e6a7359b825771b69f").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 mpForma08c44927c0246e6a7359b825771b69fSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-a08c44927c0246e6a7359b825771b69f").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-a08c44927c0246e6a7359b825771b69f").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-a08c44927c0246e6a7359b825771b69f").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-a08c44927c0246e6a7359b825771b69f')), 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: getTrackingIda08c44927c0246e6a7359b825771b69f() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-a08c44927c0246e6a7359b825771b69f").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-a08c44927c0246e6a7359b825771b69f").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) { mpForma08c44927c0246e6a7359b825771b69fCheck(); 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-a08c44927c0246e6a7359b825771b69f').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-a08c44927c0246e6a7359b825771b69f").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-a08c44927c0246e6a7359b825771b69f').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm7f52ee2a948f45ac90f4ab0dd8f789a7); } else { mpForma08c44927c0246e6a7359b825771b69fCheck(); 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 mpmRecaptchaLoadeda08c44927c0246e6a7359b825771b69f() { captchaWidgetmpFrm7f52ee2a948f45ac90f4ab0dd8f789a7 = grecaptcha.render('mpmRecaptchampFrm7f52ee2a948f45ac90f4ab0dd8f789a7', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIda08c44927c0246e6a7359b825771b69f() { 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 mpmFormInita08c44927c0246e6a7359b825771b69f () { 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 finishedLoadinga08c44927c0246e6a7359b825771b69f() { window.mpFormLoading = false; let container = document.getElementById('mpFrm7f52ee2a948f45ac90f4ab0dd8f789a7'); if (!container) { mpFormmpFrm7f52ee2a948f45ac90f4ab0dd8f789a7Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm7f52ee2a948f45ac90f4ab0dd8f789a7'); return setTimeout(finishedLoadinga08c44927c0246e6a7359b825771b69f, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-a08c44927c0246e6a7359b825771b69f").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-a08c44927c0246e6a7359b825771b69f").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-a08c44927c0246e6a7359b825771b69f").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-a08c44927c0246e6a7359b825771b69f").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-a08c44927c0246e6a7359b825771b69f").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=mpmRecaptchaLoadeda08c44927c0246e6a7359b825771b69f&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupa08c44927c0246e6a7359b825771b69f() { let popups = document.getElementById("mpform-a08c44927c0246e6a7359b825771b69f").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputa08c44927c0246e6a7359b825771b69f() { 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 () { finishedLoadinga08c44927c0246e6a7359b825771b69f(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinga08c44927c0246e6a7359b825771b69f(); } } 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); mploadTelInputa08c44927c0246e6a7359b825771b69f(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInita08c44927c0246e6a7359b825771b69f(); } else { function waitForOtherFormsmpFrm7f52ee2a948f45ac90f4ab0dd8f789a7() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInita08c44927c0246e6a7359b825771b69f(); } else { setTimeout(waitForOtherFormsmpFrm7f52ee2a948f45ac90f4ab0dd8f789a7,300); } } waitForOtherFormsmpFrm7f52ee2a948f45ac90f4ab0dd8f789a7(); }