var captchaWidgetmpFrmbb945517bfc94c3ca34457de766846de; var mpCurrentScriptmpFrmbb945517bfc94c3ca34457de766846deContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmbb945517bfc94c3ca34457de766846de"; 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); mpFormmpFrmbb945517bfc94c3ca34457de766846deFind(); } })(); function mpFormmpFrmbb945517bfc94c3ca34457de766846deFind() { if(!mpCurrentScriptmpFrmbb945517bfc94c3ca34457de766846deContainer) return; if (mpCurrentScriptmpFrmbb945517bfc94c3ca34457de766846deContainer && mpCurrentScriptmpFrmbb945517bfc94c3ca34457de766846deContainer.nodeName && mpCurrentScriptmpFrmbb945517bfc94c3ca34457de766846deContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmbb945517bfc94c3ca34457de766846de" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmbb945517bfc94c3ca34457de766846deContainer.children).forEach(c => { if (c.id === "mpFrmbb945517bfc94c3ca34457de766846de") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptf0c20e276ffd4cafa0c114b5d2c0b6e9Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmbb945517bfc94c3ca34457de766846de"; } } } } function mpFormf0c20e276ffd4cafa0c114b5d2c0b6e9Check() { let checkBoxes = document.getElementById("mpform-f0c20e276ffd4cafa0c114b5d2c0b6e9").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 mpFormf0c20e276ffd4cafa0c114b5d2c0b6e9Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-f0c20e276ffd4cafa0c114b5d2c0b6e9").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-f0c20e276ffd4cafa0c114b5d2c0b6e9").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-f0c20e276ffd4cafa0c114b5d2c0b6e9").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-f0c20e276ffd4cafa0c114b5d2c0b6e9')), 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: getTrackingIdf0c20e276ffd4cafa0c114b5d2c0b6e9() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-f0c20e276ffd4cafa0c114b5d2c0b6e9").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-f0c20e276ffd4cafa0c114b5d2c0b6e9").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) { mpFormf0c20e276ffd4cafa0c114b5d2c0b6e9Check(); 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-f0c20e276ffd4cafa0c114b5d2c0b6e9').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-f0c20e276ffd4cafa0c114b5d2c0b6e9").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-f0c20e276ffd4cafa0c114b5d2c0b6e9').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmbb945517bfc94c3ca34457de766846de); } else { mpFormf0c20e276ffd4cafa0c114b5d2c0b6e9Check(); 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 mpmRecaptchaLoadedf0c20e276ffd4cafa0c114b5d2c0b6e9() { captchaWidgetmpFrmbb945517bfc94c3ca34457de766846de = grecaptcha.render('mpmRecaptchampFrmbb945517bfc94c3ca34457de766846de', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdf0c20e276ffd4cafa0c114b5d2c0b6e9() { 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 mpmFormInitf0c20e276ffd4cafa0c114b5d2c0b6e9 () { 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 finishedLoadingf0c20e276ffd4cafa0c114b5d2c0b6e9() { window.mpFormLoading = false; let container = document.getElementById('mpFrmbb945517bfc94c3ca34457de766846de'); if (!container) { mpFormmpFrmbb945517bfc94c3ca34457de766846deFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmbb945517bfc94c3ca34457de766846de'); return setTimeout(finishedLoadingf0c20e276ffd4cafa0c114b5d2c0b6e9, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-f0c20e276ffd4cafa0c114b5d2c0b6e9").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-f0c20e276ffd4cafa0c114b5d2c0b6e9").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-f0c20e276ffd4cafa0c114b5d2c0b6e9").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-f0c20e276ffd4cafa0c114b5d2c0b6e9").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-f0c20e276ffd4cafa0c114b5d2c0b6e9").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=mpmRecaptchaLoadedf0c20e276ffd4cafa0c114b5d2c0b6e9&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupf0c20e276ffd4cafa0c114b5d2c0b6e9() { let popups = document.getElementById("mpform-f0c20e276ffd4cafa0c114b5d2c0b6e9").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputf0c20e276ffd4cafa0c114b5d2c0b6e9() { 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 () { finishedLoadingf0c20e276ffd4cafa0c114b5d2c0b6e9(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingf0c20e276ffd4cafa0c114b5d2c0b6e9(); } } 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); mploadTelInputf0c20e276ffd4cafa0c114b5d2c0b6e9(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitf0c20e276ffd4cafa0c114b5d2c0b6e9(); } else { function waitForOtherFormsmpFrmbb945517bfc94c3ca34457de766846de() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitf0c20e276ffd4cafa0c114b5d2c0b6e9(); } else { setTimeout(waitForOtherFormsmpFrmbb945517bfc94c3ca34457de766846de,300); } } waitForOtherFormsmpFrmbb945517bfc94c3ca34457de766846de(); }