var captchaWidgetmpFrm4538c93183614e05b06b5e7c8e465a68; var mpCurrentScriptmpFrm4538c93183614e05b06b5e7c8e465a68Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm4538c93183614e05b06b5e7c8e465a68"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41783"); 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); mpFormmpFrm4538c93183614e05b06b5e7c8e465a68Find(); } })(); function mpFormmpFrm4538c93183614e05b06b5e7c8e465a68Find() { if(!mpCurrentScriptmpFrm4538c93183614e05b06b5e7c8e465a68Container) return; if (mpCurrentScriptmpFrm4538c93183614e05b06b5e7c8e465a68Container && mpCurrentScriptmpFrm4538c93183614e05b06b5e7c8e465a68Container.nodeName && mpCurrentScriptmpFrm4538c93183614e05b06b5e7c8e465a68Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm4538c93183614e05b06b5e7c8e465a68" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm4538c93183614e05b06b5e7c8e465a68Container.children).forEach(c => { if (c.id === "mpFrm4538c93183614e05b06b5e7c8e465a68") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript309ee35d406549d18ec48a427f73f758Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm4538c93183614e05b06b5e7c8e465a68"; } } } } function mpForm309ee35d406549d18ec48a427f73f758Check() { let checkBoxes = document.getElementById("mpform-309ee35d406549d18ec48a427f73f758").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 mpForm309ee35d406549d18ec48a427f73f758Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-309ee35d406549d18ec48a427f73f758").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-309ee35d406549d18ec48a427f73f758").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-309ee35d406549d18ec48a427f73f758").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-309ee35d406549d18ec48a427f73f758')), 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: getTrackingId309ee35d406549d18ec48a427f73f758() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-309ee35d406549d18ec48a427f73f758").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-309ee35d406549d18ec48a427f73f758").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=41783", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm309ee35d406549d18ec48a427f73f758Check(); 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-309ee35d406549d18ec48a427f73f758').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-309ee35d406549d18ec48a427f73f758").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-309ee35d406549d18ec48a427f73f758').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm4538c93183614e05b06b5e7c8e465a68); } else { mpForm309ee35d406549d18ec48a427f73f758Check(); 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 mpmRecaptchaLoaded309ee35d406549d18ec48a427f73f758() { captchaWidgetmpFrm4538c93183614e05b06b5e7c8e465a68 = grecaptcha.render('mpmRecaptchampFrm4538c93183614e05b06b5e7c8e465a68', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId309ee35d406549d18ec48a427f73f758() { 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 mpmFormInit309ee35d406549d18ec48a427f73f758 () { 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 finishedLoading309ee35d406549d18ec48a427f73f758() { window.mpFormLoading = false; let container = document.getElementById('mpFrm4538c93183614e05b06b5e7c8e465a68'); if (!container) { mpFormmpFrm4538c93183614e05b06b5e7c8e465a68Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm4538c93183614e05b06b5e7c8e465a68'); return setTimeout(finishedLoading309ee35d406549d18ec48a427f73f758, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-309ee35d406549d18ec48a427f73f758").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-309ee35d406549d18ec48a427f73f758").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-309ee35d406549d18ec48a427f73f758").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-309ee35d406549d18ec48a427f73f758").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-309ee35d406549d18ec48a427f73f758").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=mpmRecaptchaLoaded309ee35d406549d18ec48a427f73f758&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup309ee35d406549d18ec48a427f73f758() { let popups = document.getElementById("mpform-309ee35d406549d18ec48a427f73f758").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput309ee35d406549d18ec48a427f73f758() { 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 () { finishedLoading309ee35d406549d18ec48a427f73f758(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading309ee35d406549d18ec48a427f73f758(); } } 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); mploadTelInput309ee35d406549d18ec48a427f73f758(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit309ee35d406549d18ec48a427f73f758(); } else { function waitForOtherFormsmpFrm4538c93183614e05b06b5e7c8e465a68() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit309ee35d406549d18ec48a427f73f758(); } else { setTimeout(waitForOtherFormsmpFrm4538c93183614e05b06b5e7c8e465a68,300); } } waitForOtherFormsmpFrm4538c93183614e05b06b5e7c8e465a68(); }