var captchaWidgetmpFrm513aebcaddd04219b1bebf1f0c6e8307; var mpCurrentScriptmpFrm513aebcaddd04219b1bebf1f0c6e8307Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm513aebcaddd04219b1bebf1f0c6e8307"; 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); mpFormmpFrm513aebcaddd04219b1bebf1f0c6e8307Find(); } })(); function mpFormmpFrm513aebcaddd04219b1bebf1f0c6e8307Find() { if(!mpCurrentScriptmpFrm513aebcaddd04219b1bebf1f0c6e8307Container) return; if (mpCurrentScriptmpFrm513aebcaddd04219b1bebf1f0c6e8307Container && mpCurrentScriptmpFrm513aebcaddd04219b1bebf1f0c6e8307Container.nodeName && mpCurrentScriptmpFrm513aebcaddd04219b1bebf1f0c6e8307Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm513aebcaddd04219b1bebf1f0c6e8307" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm513aebcaddd04219b1bebf1f0c6e8307Container.children).forEach(c => { if (c.id === "mpFrm513aebcaddd04219b1bebf1f0c6e8307") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptd3823319200f48a5a82ea75ba37efba4Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm513aebcaddd04219b1bebf1f0c6e8307"; } } } } function mpFormd3823319200f48a5a82ea75ba37efba4Check() { let checkBoxes = document.getElementById("mpform-d3823319200f48a5a82ea75ba37efba4").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 mpFormd3823319200f48a5a82ea75ba37efba4Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-d3823319200f48a5a82ea75ba37efba4").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-d3823319200f48a5a82ea75ba37efba4").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-d3823319200f48a5a82ea75ba37efba4").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-d3823319200f48a5a82ea75ba37efba4')), 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: getTrackingIdd3823319200f48a5a82ea75ba37efba4() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-d3823319200f48a5a82ea75ba37efba4").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-d3823319200f48a5a82ea75ba37efba4").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) { mpFormd3823319200f48a5a82ea75ba37efba4Check(); 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-d3823319200f48a5a82ea75ba37efba4').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-d3823319200f48a5a82ea75ba37efba4").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-d3823319200f48a5a82ea75ba37efba4').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm513aebcaddd04219b1bebf1f0c6e8307); } else { mpFormd3823319200f48a5a82ea75ba37efba4Check(); 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 mpmRecaptchaLoadedd3823319200f48a5a82ea75ba37efba4() { captchaWidgetmpFrm513aebcaddd04219b1bebf1f0c6e8307 = grecaptcha.render('mpmRecaptchampFrm513aebcaddd04219b1bebf1f0c6e8307', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdd3823319200f48a5a82ea75ba37efba4() { 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 mpmFormInitd3823319200f48a5a82ea75ba37efba4 () { 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 finishedLoadingd3823319200f48a5a82ea75ba37efba4() { window.mpFormLoading = false; let container = document.getElementById('mpFrm513aebcaddd04219b1bebf1f0c6e8307'); if (!container) { mpFormmpFrm513aebcaddd04219b1bebf1f0c6e8307Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm513aebcaddd04219b1bebf1f0c6e8307'); return setTimeout(finishedLoadingd3823319200f48a5a82ea75ba37efba4, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-d3823319200f48a5a82ea75ba37efba4").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-d3823319200f48a5a82ea75ba37efba4").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-d3823319200f48a5a82ea75ba37efba4").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-d3823319200f48a5a82ea75ba37efba4").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-d3823319200f48a5a82ea75ba37efba4").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=mpmRecaptchaLoadedd3823319200f48a5a82ea75ba37efba4&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupd3823319200f48a5a82ea75ba37efba4() { let popups = document.getElementById("mpform-d3823319200f48a5a82ea75ba37efba4").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputd3823319200f48a5a82ea75ba37efba4() { 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 () { finishedLoadingd3823319200f48a5a82ea75ba37efba4(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingd3823319200f48a5a82ea75ba37efba4(); } } 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); mploadTelInputd3823319200f48a5a82ea75ba37efba4(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitd3823319200f48a5a82ea75ba37efba4(); } else { function waitForOtherFormsmpFrm513aebcaddd04219b1bebf1f0c6e8307() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitd3823319200f48a5a82ea75ba37efba4(); } else { setTimeout(waitForOtherFormsmpFrm513aebcaddd04219b1bebf1f0c6e8307,300); } } waitForOtherFormsmpFrm513aebcaddd04219b1bebf1f0c6e8307(); }