var captchaWidgetmpFrmb6416d702ef64aa6ae70958cf7c0a540; var mpCurrentScriptmpFrmb6416d702ef64aa6ae70958cf7c0a540Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmb6416d702ef64aa6ae70958cf7c0a540"; 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); }); } mpFormmpFrmb6416d702ef64aa6ae70958cf7c0a540Find(); } 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); mpFormmpFrmb6416d702ef64aa6ae70958cf7c0a540Find(); } })(); function mpFormmpFrmb6416d702ef64aa6ae70958cf7c0a540Find() { if(!mpCurrentScriptmpFrmb6416d702ef64aa6ae70958cf7c0a540Container) return; if (mpCurrentScriptmpFrmb6416d702ef64aa6ae70958cf7c0a540Container && mpCurrentScriptmpFrmb6416d702ef64aa6ae70958cf7c0a540Container.nodeName && mpCurrentScriptmpFrmb6416d702ef64aa6ae70958cf7c0a540Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmb6416d702ef64aa6ae70958cf7c0a540" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmb6416d702ef64aa6ae70958cf7c0a540Container.children).forEach(c => { if (c.id === "mpFrmb6416d702ef64aa6ae70958cf7c0a540") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript0c45974b068741df90ba503661fe7b86Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmb6416d702ef64aa6ae70958cf7c0a540"; } } } } function mpForm0c45974b068741df90ba503661fe7b86Check() { let checkBoxes = document.getElementById("mpform-0c45974b068741df90ba503661fe7b86").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 mpForm0c45974b068741df90ba503661fe7b86Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-0c45974b068741df90ba503661fe7b86").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-0c45974b068741df90ba503661fe7b86").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-0c45974b068741df90ba503661fe7b86").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-0c45974b068741df90ba503661fe7b86')), 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: getTrackingId0c45974b068741df90ba503661fe7b86() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-0c45974b068741df90ba503661fe7b86").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-0c45974b068741df90ba503661fe7b86").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) { mpForm0c45974b068741df90ba503661fe7b86Check(); 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-0c45974b068741df90ba503661fe7b86').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-0c45974b068741df90ba503661fe7b86").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-0c45974b068741df90ba503661fe7b86').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmb6416d702ef64aa6ae70958cf7c0a540); } else { mpForm0c45974b068741df90ba503661fe7b86Check(); 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 mpmRecaptchaLoaded0c45974b068741df90ba503661fe7b86() { captchaWidgetmpFrmb6416d702ef64aa6ae70958cf7c0a540 = grecaptcha.render('mpmRecaptchampFrmb6416d702ef64aa6ae70958cf7c0a540', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId0c45974b068741df90ba503661fe7b86() { 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 mpmFormInit0c45974b068741df90ba503661fe7b86 () { 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 finishedLoading0c45974b068741df90ba503661fe7b86() { window.mpFormLoading = false; let container = document.getElementById('mpFrmb6416d702ef64aa6ae70958cf7c0a540'); if (!container) { mpFormmpFrmb6416d702ef64aa6ae70958cf7c0a540Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmb6416d702ef64aa6ae70958cf7c0a540'); return setTimeout(finishedLoading0c45974b068741df90ba503661fe7b86, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-0c45974b068741df90ba503661fe7b86").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-0c45974b068741df90ba503661fe7b86").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-0c45974b068741df90ba503661fe7b86").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-0c45974b068741df90ba503661fe7b86").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-0c45974b068741df90ba503661fe7b86").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=mpmRecaptchaLoaded0c45974b068741df90ba503661fe7b86&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup0c45974b068741df90ba503661fe7b86() { let popups = document.getElementById("mpform-0c45974b068741df90ba503661fe7b86").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput0c45974b068741df90ba503661fe7b86() { 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 () { finishedLoading0c45974b068741df90ba503661fe7b86(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading0c45974b068741df90ba503661fe7b86(); } } 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); mploadTelInput0c45974b068741df90ba503661fe7b86(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit0c45974b068741df90ba503661fe7b86(); } else { function waitForOtherFormsmpFrmb6416d702ef64aa6ae70958cf7c0a540() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit0c45974b068741df90ba503661fe7b86(); } else { setTimeout(waitForOtherFormsmpFrmb6416d702ef64aa6ae70958cf7c0a540,300); } } waitForOtherFormsmpFrmb6416d702ef64aa6ae70958cf7c0a540(); }