var captchaWidgetmpFrm94c53ace3bd1402488cd3e501f9f6985; var mpCurrentScriptmpFrm94c53ace3bd1402488cd3e501f9f6985Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm94c53ace3bd1402488cd3e501f9f6985"; 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); mpFormmpFrm94c53ace3bd1402488cd3e501f9f6985Find(); } })(); function mpFormmpFrm94c53ace3bd1402488cd3e501f9f6985Find() { if(!mpCurrentScriptmpFrm94c53ace3bd1402488cd3e501f9f6985Container) return; if (mpCurrentScriptmpFrm94c53ace3bd1402488cd3e501f9f6985Container && mpCurrentScriptmpFrm94c53ace3bd1402488cd3e501f9f6985Container.nodeName && mpCurrentScriptmpFrm94c53ace3bd1402488cd3e501f9f6985Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm94c53ace3bd1402488cd3e501f9f6985" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm94c53ace3bd1402488cd3e501f9f6985Container.children).forEach(c => { if (c.id === "mpFrm94c53ace3bd1402488cd3e501f9f6985") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptf2935c58de0f49fb8c0082c89879eec3Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm94c53ace3bd1402488cd3e501f9f6985"; } } } } function mpFormf2935c58de0f49fb8c0082c89879eec3Check() { let checkBoxes = document.getElementById("mpform-f2935c58de0f49fb8c0082c89879eec3").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 mpFormf2935c58de0f49fb8c0082c89879eec3Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-f2935c58de0f49fb8c0082c89879eec3").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-f2935c58de0f49fb8c0082c89879eec3").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-f2935c58de0f49fb8c0082c89879eec3").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-f2935c58de0f49fb8c0082c89879eec3')), 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: getTrackingIdf2935c58de0f49fb8c0082c89879eec3() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-f2935c58de0f49fb8c0082c89879eec3").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-f2935c58de0f49fb8c0082c89879eec3").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) { mpFormf2935c58de0f49fb8c0082c89879eec3Check(); 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-f2935c58de0f49fb8c0082c89879eec3').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-f2935c58de0f49fb8c0082c89879eec3").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-f2935c58de0f49fb8c0082c89879eec3').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm94c53ace3bd1402488cd3e501f9f6985); } else { mpFormf2935c58de0f49fb8c0082c89879eec3Check(); 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 mpmRecaptchaLoadedf2935c58de0f49fb8c0082c89879eec3() { captchaWidgetmpFrm94c53ace3bd1402488cd3e501f9f6985 = grecaptcha.render('mpmRecaptchampFrm94c53ace3bd1402488cd3e501f9f6985', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdf2935c58de0f49fb8c0082c89879eec3() { 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 mpmFormInitf2935c58de0f49fb8c0082c89879eec3 () { 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 finishedLoadingf2935c58de0f49fb8c0082c89879eec3() { window.mpFormLoading = false; let container = document.getElementById('mpFrm94c53ace3bd1402488cd3e501f9f6985'); if (!container) { mpFormmpFrm94c53ace3bd1402488cd3e501f9f6985Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm94c53ace3bd1402488cd3e501f9f6985'); return setTimeout(finishedLoadingf2935c58de0f49fb8c0082c89879eec3, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-f2935c58de0f49fb8c0082c89879eec3").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-f2935c58de0f49fb8c0082c89879eec3").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-f2935c58de0f49fb8c0082c89879eec3").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-f2935c58de0f49fb8c0082c89879eec3").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-f2935c58de0f49fb8c0082c89879eec3").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=mpmRecaptchaLoadedf2935c58de0f49fb8c0082c89879eec3&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupf2935c58de0f49fb8c0082c89879eec3() { let popups = document.getElementById("mpform-f2935c58de0f49fb8c0082c89879eec3").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputf2935c58de0f49fb8c0082c89879eec3() { 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 () { finishedLoadingf2935c58de0f49fb8c0082c89879eec3(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingf2935c58de0f49fb8c0082c89879eec3(); } } 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); mploadTelInputf2935c58de0f49fb8c0082c89879eec3(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitf2935c58de0f49fb8c0082c89879eec3(); } else { function waitForOtherFormsmpFrm94c53ace3bd1402488cd3e501f9f6985() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitf2935c58de0f49fb8c0082c89879eec3(); } else { setTimeout(waitForOtherFormsmpFrm94c53ace3bd1402488cd3e501f9f6985,300); } } waitForOtherFormsmpFrm94c53ace3bd1402488cd3e501f9f6985(); }