var captchaWidgetmpFrmf62697dc5ce840d8a1358712176aaa4e; var mpCurrentScriptmpFrmf62697dc5ce840d8a1358712176aaa4eContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmf62697dc5ce840d8a1358712176aaa4e"; 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); }); } mpFormmpFrmf62697dc5ce840d8a1358712176aaa4eFind(); } 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); mpFormmpFrmf62697dc5ce840d8a1358712176aaa4eFind(); } })(); function mpFormmpFrmf62697dc5ce840d8a1358712176aaa4eFind() { if(!mpCurrentScriptmpFrmf62697dc5ce840d8a1358712176aaa4eContainer) return; if (mpCurrentScriptmpFrmf62697dc5ce840d8a1358712176aaa4eContainer && mpCurrentScriptmpFrmf62697dc5ce840d8a1358712176aaa4eContainer.nodeName && mpCurrentScriptmpFrmf62697dc5ce840d8a1358712176aaa4eContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmf62697dc5ce840d8a1358712176aaa4e" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmf62697dc5ce840d8a1358712176aaa4eContainer.children).forEach(c => { if (c.id === "mpFrmf62697dc5ce840d8a1358712176aaa4e") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript50f612f71db24db8be19ab1ded5f5251Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmf62697dc5ce840d8a1358712176aaa4e"; } } } } function mpForm50f612f71db24db8be19ab1ded5f5251Check() { let checkBoxes = document.getElementById("mpform-50f612f71db24db8be19ab1ded5f5251").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 mpForm50f612f71db24db8be19ab1ded5f5251Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-50f612f71db24db8be19ab1ded5f5251").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-50f612f71db24db8be19ab1ded5f5251").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-50f612f71db24db8be19ab1ded5f5251").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-50f612f71db24db8be19ab1ded5f5251')), 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: getTrackingId50f612f71db24db8be19ab1ded5f5251() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-50f612f71db24db8be19ab1ded5f5251").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-50f612f71db24db8be19ab1ded5f5251").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) { mpForm50f612f71db24db8be19ab1ded5f5251Check(); 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-50f612f71db24db8be19ab1ded5f5251').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-50f612f71db24db8be19ab1ded5f5251").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-50f612f71db24db8be19ab1ded5f5251').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmf62697dc5ce840d8a1358712176aaa4e); } else { mpForm50f612f71db24db8be19ab1ded5f5251Check(); 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 mpmRecaptchaLoaded50f612f71db24db8be19ab1ded5f5251() { captchaWidgetmpFrmf62697dc5ce840d8a1358712176aaa4e = grecaptcha.render('mpmRecaptchampFrmf62697dc5ce840d8a1358712176aaa4e', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId50f612f71db24db8be19ab1ded5f5251() { 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 mpmFormInit50f612f71db24db8be19ab1ded5f5251 () { 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 finishedLoading50f612f71db24db8be19ab1ded5f5251() { window.mpFormLoading = false; let container = document.getElementById('mpFrmf62697dc5ce840d8a1358712176aaa4e'); if (!container) { mpFormmpFrmf62697dc5ce840d8a1358712176aaa4eFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmf62697dc5ce840d8a1358712176aaa4e'); return setTimeout(finishedLoading50f612f71db24db8be19ab1ded5f5251, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-50f612f71db24db8be19ab1ded5f5251").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-50f612f71db24db8be19ab1ded5f5251").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-50f612f71db24db8be19ab1ded5f5251").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-50f612f71db24db8be19ab1ded5f5251").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-50f612f71db24db8be19ab1ded5f5251").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=mpmRecaptchaLoaded50f612f71db24db8be19ab1ded5f5251&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup50f612f71db24db8be19ab1ded5f5251() { let popups = document.getElementById("mpform-50f612f71db24db8be19ab1ded5f5251").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput50f612f71db24db8be19ab1ded5f5251() { 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 () { finishedLoading50f612f71db24db8be19ab1ded5f5251(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading50f612f71db24db8be19ab1ded5f5251(); } } 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); mploadTelInput50f612f71db24db8be19ab1ded5f5251(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit50f612f71db24db8be19ab1ded5f5251(); } else { function waitForOtherFormsmpFrmf62697dc5ce840d8a1358712176aaa4e() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit50f612f71db24db8be19ab1ded5f5251(); } else { setTimeout(waitForOtherFormsmpFrmf62697dc5ce840d8a1358712176aaa4e,300); } } waitForOtherFormsmpFrmf62697dc5ce840d8a1358712176aaa4e(); }