var captchaWidgetmpFrmc55f04a944654f98a637adff81bc8e6d; var mpCurrentScriptmpFrmc55f04a944654f98a637adff81bc8e6dContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmc55f04a944654f98a637adff81bc8e6d"; 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); }); } mpFormmpFrmc55f04a944654f98a637adff81bc8e6dFind(); } 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); mpFormmpFrmc55f04a944654f98a637adff81bc8e6dFind(); } })(); function mpFormmpFrmc55f04a944654f98a637adff81bc8e6dFind() { if(!mpCurrentScriptmpFrmc55f04a944654f98a637adff81bc8e6dContainer) return; if (mpCurrentScriptmpFrmc55f04a944654f98a637adff81bc8e6dContainer && mpCurrentScriptmpFrmc55f04a944654f98a637adff81bc8e6dContainer.nodeName && mpCurrentScriptmpFrmc55f04a944654f98a637adff81bc8e6dContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmc55f04a944654f98a637adff81bc8e6d" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmc55f04a944654f98a637adff81bc8e6dContainer.children).forEach(c => { if (c.id === "mpFrmc55f04a944654f98a637adff81bc8e6d") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript2dc6d186a66c4bf097072cc9a78acdf7Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmc55f04a944654f98a637adff81bc8e6d"; } } } } function mpForm2dc6d186a66c4bf097072cc9a78acdf7Check() { let checkBoxes = document.getElementById("mpform-2dc6d186a66c4bf097072cc9a78acdf7").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 mpForm2dc6d186a66c4bf097072cc9a78acdf7Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-2dc6d186a66c4bf097072cc9a78acdf7").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-2dc6d186a66c4bf097072cc9a78acdf7").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-2dc6d186a66c4bf097072cc9a78acdf7").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-2dc6d186a66c4bf097072cc9a78acdf7')), 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: getTrackingId2dc6d186a66c4bf097072cc9a78acdf7() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-2dc6d186a66c4bf097072cc9a78acdf7").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-2dc6d186a66c4bf097072cc9a78acdf7").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) { mpForm2dc6d186a66c4bf097072cc9a78acdf7Check(); 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-2dc6d186a66c4bf097072cc9a78acdf7').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-2dc6d186a66c4bf097072cc9a78acdf7").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-2dc6d186a66c4bf097072cc9a78acdf7').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmc55f04a944654f98a637adff81bc8e6d); } else { mpForm2dc6d186a66c4bf097072cc9a78acdf7Check(); 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 mpmRecaptchaLoaded2dc6d186a66c4bf097072cc9a78acdf7() { captchaWidgetmpFrmc55f04a944654f98a637adff81bc8e6d = grecaptcha.render('mpmRecaptchampFrmc55f04a944654f98a637adff81bc8e6d', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId2dc6d186a66c4bf097072cc9a78acdf7() { 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 mpmFormInit2dc6d186a66c4bf097072cc9a78acdf7 () { 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 finishedLoading2dc6d186a66c4bf097072cc9a78acdf7() { window.mpFormLoading = false; let container = document.getElementById('mpFrmc55f04a944654f98a637adff81bc8e6d'); if (!container) { mpFormmpFrmc55f04a944654f98a637adff81bc8e6dFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmc55f04a944654f98a637adff81bc8e6d'); return setTimeout(finishedLoading2dc6d186a66c4bf097072cc9a78acdf7, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-2dc6d186a66c4bf097072cc9a78acdf7").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-2dc6d186a66c4bf097072cc9a78acdf7").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-2dc6d186a66c4bf097072cc9a78acdf7").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-2dc6d186a66c4bf097072cc9a78acdf7").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-2dc6d186a66c4bf097072cc9a78acdf7").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=mpmRecaptchaLoaded2dc6d186a66c4bf097072cc9a78acdf7&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup2dc6d186a66c4bf097072cc9a78acdf7() { let popups = document.getElementById("mpform-2dc6d186a66c4bf097072cc9a78acdf7").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput2dc6d186a66c4bf097072cc9a78acdf7() { 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 () { finishedLoading2dc6d186a66c4bf097072cc9a78acdf7(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading2dc6d186a66c4bf097072cc9a78acdf7(); } } 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); mploadTelInput2dc6d186a66c4bf097072cc9a78acdf7(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit2dc6d186a66c4bf097072cc9a78acdf7(); } else { function waitForOtherFormsmpFrmc55f04a944654f98a637adff81bc8e6d() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit2dc6d186a66c4bf097072cc9a78acdf7(); } else { setTimeout(waitForOtherFormsmpFrmc55f04a944654f98a637adff81bc8e6d,300); } } waitForOtherFormsmpFrmc55f04a944654f98a637adff81bc8e6d(); }