var captchaWidgetmpFrm0cc8bbb2177f425694705bf10751c3bd; var mpCurrentScriptmpFrm0cc8bbb2177f425694705bf10751c3bdContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm0cc8bbb2177f425694705bf10751c3bd"; 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); mpFormmpFrm0cc8bbb2177f425694705bf10751c3bdFind(); } })(); function mpFormmpFrm0cc8bbb2177f425694705bf10751c3bdFind() { if(!mpCurrentScriptmpFrm0cc8bbb2177f425694705bf10751c3bdContainer) return; if (mpCurrentScriptmpFrm0cc8bbb2177f425694705bf10751c3bdContainer && mpCurrentScriptmpFrm0cc8bbb2177f425694705bf10751c3bdContainer.nodeName && mpCurrentScriptmpFrm0cc8bbb2177f425694705bf10751c3bdContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm0cc8bbb2177f425694705bf10751c3bd" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm0cc8bbb2177f425694705bf10751c3bdContainer.children).forEach(c => { if (c.id === "mpFrm0cc8bbb2177f425694705bf10751c3bd") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript7fa3b03b7f1f45168345716e4fdae770Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm0cc8bbb2177f425694705bf10751c3bd"; } } } } function mpForm7fa3b03b7f1f45168345716e4fdae770Check() { let checkBoxes = document.getElementById("mpform-7fa3b03b7f1f45168345716e4fdae770").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 mpForm7fa3b03b7f1f45168345716e4fdae770Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-7fa3b03b7f1f45168345716e4fdae770").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-7fa3b03b7f1f45168345716e4fdae770").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-7fa3b03b7f1f45168345716e4fdae770").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-7fa3b03b7f1f45168345716e4fdae770')), 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: getTrackingId7fa3b03b7f1f45168345716e4fdae770() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-7fa3b03b7f1f45168345716e4fdae770").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-7fa3b03b7f1f45168345716e4fdae770").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) { mpForm7fa3b03b7f1f45168345716e4fdae770Check(); 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-7fa3b03b7f1f45168345716e4fdae770').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-7fa3b03b7f1f45168345716e4fdae770").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-7fa3b03b7f1f45168345716e4fdae770').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm0cc8bbb2177f425694705bf10751c3bd); } else { mpForm7fa3b03b7f1f45168345716e4fdae770Check(); 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 mpmRecaptchaLoaded7fa3b03b7f1f45168345716e4fdae770() { captchaWidgetmpFrm0cc8bbb2177f425694705bf10751c3bd = grecaptcha.render('mpmRecaptchampFrm0cc8bbb2177f425694705bf10751c3bd', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId7fa3b03b7f1f45168345716e4fdae770() { 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 mpmFormInit7fa3b03b7f1f45168345716e4fdae770 () { 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 finishedLoading7fa3b03b7f1f45168345716e4fdae770() { window.mpFormLoading = false; let container = document.getElementById('mpFrm0cc8bbb2177f425694705bf10751c3bd'); if (!container) { mpFormmpFrm0cc8bbb2177f425694705bf10751c3bdFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm0cc8bbb2177f425694705bf10751c3bd'); return setTimeout(finishedLoading7fa3b03b7f1f45168345716e4fdae770, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-7fa3b03b7f1f45168345716e4fdae770").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-7fa3b03b7f1f45168345716e4fdae770").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-7fa3b03b7f1f45168345716e4fdae770").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-7fa3b03b7f1f45168345716e4fdae770").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-7fa3b03b7f1f45168345716e4fdae770").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=mpmRecaptchaLoaded7fa3b03b7f1f45168345716e4fdae770&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup7fa3b03b7f1f45168345716e4fdae770() { let popups = document.getElementById("mpform-7fa3b03b7f1f45168345716e4fdae770").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput7fa3b03b7f1f45168345716e4fdae770() { 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 () { finishedLoading7fa3b03b7f1f45168345716e4fdae770(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading7fa3b03b7f1f45168345716e4fdae770(); } } 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); mploadTelInput7fa3b03b7f1f45168345716e4fdae770(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit7fa3b03b7f1f45168345716e4fdae770(); } else { function waitForOtherFormsmpFrm0cc8bbb2177f425694705bf10751c3bd() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit7fa3b03b7f1f45168345716e4fdae770(); } else { setTimeout(waitForOtherFormsmpFrm0cc8bbb2177f425694705bf10751c3bd,300); } } waitForOtherFormsmpFrm0cc8bbb2177f425694705bf10751c3bd(); }