var captchaWidgetmpFrm311edc767bfc4b6da4ea0daa59ccbe36; var mpCurrentScriptmpFrm311edc767bfc4b6da4ea0daa59ccbe36Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm311edc767bfc4b6da4ea0daa59ccbe36"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41783"); if (window.self !== window.top) { if (document.body) { document.body.appendChild(containerDiv); } else { document.addEventListener("DOMContentLoaded", function() { document.body.appendChild(containerDiv); }); } mpFormmpFrm311edc767bfc4b6da4ea0daa59ccbe36Find(); } else 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); mpFormmpFrm311edc767bfc4b6da4ea0daa59ccbe36Find(); } })(); function mpFormmpFrm311edc767bfc4b6da4ea0daa59ccbe36Find() { if(!mpCurrentScriptmpFrm311edc767bfc4b6da4ea0daa59ccbe36Container) return; if (mpCurrentScriptmpFrm311edc767bfc4b6da4ea0daa59ccbe36Container && mpCurrentScriptmpFrm311edc767bfc4b6da4ea0daa59ccbe36Container.nodeName && mpCurrentScriptmpFrm311edc767bfc4b6da4ea0daa59ccbe36Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm311edc767bfc4b6da4ea0daa59ccbe36" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm311edc767bfc4b6da4ea0daa59ccbe36Container.children).forEach(c => { if (c.id === "mpFrm311edc767bfc4b6da4ea0daa59ccbe36") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript275d292a556b4e69a9a0e71534d960baContainer.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm311edc767bfc4b6da4ea0daa59ccbe36"; } } } } function mpForm275d292a556b4e69a9a0e71534d960baCheck() { let checkBoxes = document.getElementById("mpform-275d292a556b4e69a9a0e71534d960ba").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 mpForm275d292a556b4e69a9a0e71534d960baSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-275d292a556b4e69a9a0e71534d960ba").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-275d292a556b4e69a9a0e71534d960ba").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-275d292a556b4e69a9a0e71534d960ba").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-275d292a556b4e69a9a0e71534d960ba')), 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: getTrackingId275d292a556b4e69a9a0e71534d960ba() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-275d292a556b4e69a9a0e71534d960ba").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-275d292a556b4e69a9a0e71534d960ba").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) { mpForm275d292a556b4e69a9a0e71534d960baCheck(); 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-275d292a556b4e69a9a0e71534d960ba').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-275d292a556b4e69a9a0e71534d960ba").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-275d292a556b4e69a9a0e71534d960ba').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm311edc767bfc4b6da4ea0daa59ccbe36); } else { mpForm275d292a556b4e69a9a0e71534d960baCheck(); 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 mpmRecaptchaLoaded275d292a556b4e69a9a0e71534d960ba() { captchaWidgetmpFrm311edc767bfc4b6da4ea0daa59ccbe36 = grecaptcha.render('mpmRecaptchampFrm311edc767bfc4b6da4ea0daa59ccbe36', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId275d292a556b4e69a9a0e71534d960ba() { 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 mpmFormInit275d292a556b4e69a9a0e71534d960ba () { 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 finishedLoading275d292a556b4e69a9a0e71534d960ba() { window.mpFormLoading = false; let container = document.getElementById('mpFrm311edc767bfc4b6da4ea0daa59ccbe36'); if (!container) { mpFormmpFrm311edc767bfc4b6da4ea0daa59ccbe36Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm311edc767bfc4b6da4ea0daa59ccbe36'); return setTimeout(finishedLoading275d292a556b4e69a9a0e71534d960ba, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-275d292a556b4e69a9a0e71534d960ba").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-275d292a556b4e69a9a0e71534d960ba").querySelectorAll('input[type=TELNO]'); if(telInputs) { let telInputCSSOver = ""; 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", customContainer: "mpm-tel-input-container-275d292a556b4e69a9a0e71534d960ba-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-275d292a556b4e69a9a0e71534d960ba-" + i + " { margin: " + tmpMargin + " } " } } if(telInputCSSOver) { let style = document.createElement("style"); style.innerHTML = telInputCSSOver; document.getElementsByTagName("head")[0].appendChild(style); } } if(subscriberData) { let customFields = document.getElementById("mpform-275d292a556b4e69a9a0e71534d960ba").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-275d292a556b4e69a9a0e71534d960ba").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-275d292a556b4e69a9a0e71534d960ba").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=mpmRecaptchaLoaded275d292a556b4e69a9a0e71534d960ba&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup275d292a556b4e69a9a0e71534d960ba() { let popups = document.getElementById("mpform-275d292a556b4e69a9a0e71534d960ba").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput275d292a556b4e69a9a0e71534d960ba() { 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 () { finishedLoading275d292a556b4e69a9a0e71534d960ba(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading275d292a556b4e69a9a0e71534d960ba(); } } 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); mploadTelInput275d292a556b4e69a9a0e71534d960ba(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit275d292a556b4e69a9a0e71534d960ba(); } else { function waitForOtherFormsmpFrm311edc767bfc4b6da4ea0daa59ccbe36() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit275d292a556b4e69a9a0e71534d960ba(); } else { setTimeout(waitForOtherFormsmpFrm311edc767bfc4b6da4ea0daa59ccbe36,300); } } waitForOtherFormsmpFrm311edc767bfc4b6da4ea0daa59ccbe36(); }