var captchaWidgetmpFrm1edf1019972c4526ae3ceca955d53f3d; var mpCurrentScriptmpFrm1edf1019972c4526ae3ceca955d53f3dContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm1edf1019972c4526ae3ceca955d53f3d"; 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); }); } mpFormmpFrm1edf1019972c4526ae3ceca955d53f3dFind(); } 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); mpFormmpFrm1edf1019972c4526ae3ceca955d53f3dFind(); } })(); function mpFormmpFrm1edf1019972c4526ae3ceca955d53f3dFind() { if(!mpCurrentScriptmpFrm1edf1019972c4526ae3ceca955d53f3dContainer) return; if (mpCurrentScriptmpFrm1edf1019972c4526ae3ceca955d53f3dContainer && mpCurrentScriptmpFrm1edf1019972c4526ae3ceca955d53f3dContainer.nodeName && mpCurrentScriptmpFrm1edf1019972c4526ae3ceca955d53f3dContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm1edf1019972c4526ae3ceca955d53f3d" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm1edf1019972c4526ae3ceca955d53f3dContainer.children).forEach(c => { if (c.id === "mpFrm1edf1019972c4526ae3ceca955d53f3d") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptaf6bbacdba954c4398f32ff4e2ad697eContainer.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm1edf1019972c4526ae3ceca955d53f3d"; } } } } function mpFormaf6bbacdba954c4398f32ff4e2ad697eCheck() { let checkBoxes = document.getElementById("mpform-af6bbacdba954c4398f32ff4e2ad697e").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 mpFormaf6bbacdba954c4398f32ff4e2ad697eSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-af6bbacdba954c4398f32ff4e2ad697e").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-af6bbacdba954c4398f32ff4e2ad697e").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-af6bbacdba954c4398f32ff4e2ad697e").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-af6bbacdba954c4398f32ff4e2ad697e')), 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: getTrackingIdaf6bbacdba954c4398f32ff4e2ad697e() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-af6bbacdba954c4398f32ff4e2ad697e").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-af6bbacdba954c4398f32ff4e2ad697e").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) { mpFormaf6bbacdba954c4398f32ff4e2ad697eCheck(); 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-af6bbacdba954c4398f32ff4e2ad697e').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-af6bbacdba954c4398f32ff4e2ad697e").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-af6bbacdba954c4398f32ff4e2ad697e').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm1edf1019972c4526ae3ceca955d53f3d); } else { mpFormaf6bbacdba954c4398f32ff4e2ad697eCheck(); 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 mpmRecaptchaLoadedaf6bbacdba954c4398f32ff4e2ad697e() { captchaWidgetmpFrm1edf1019972c4526ae3ceca955d53f3d = grecaptcha.render('mpmRecaptchampFrm1edf1019972c4526ae3ceca955d53f3d', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdaf6bbacdba954c4398f32ff4e2ad697e() { 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 mpmFormInitaf6bbacdba954c4398f32ff4e2ad697e () { 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 finishedLoadingaf6bbacdba954c4398f32ff4e2ad697e() { window.mpFormLoading = false; let container = document.getElementById('mpFrm1edf1019972c4526ae3ceca955d53f3d'); if (!container) { mpFormmpFrm1edf1019972c4526ae3ceca955d53f3dFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm1edf1019972c4526ae3ceca955d53f3d'); return setTimeout(finishedLoadingaf6bbacdba954c4398f32ff4e2ad697e, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-af6bbacdba954c4398f32ff4e2ad697e").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-af6bbacdba954c4398f32ff4e2ad697e").querySelectorAll('input[type=TELNO]'); if(telInputs) { let telInputCSSOver = ""; 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", customContainer: "mpm-tel-input-container-af6bbacdba954c4398f32ff4e2ad697e-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-af6bbacdba954c4398f32ff4e2ad697e-" + i + " { margin: " + tmpMargin + " } " } } if(telInputCSSOver) { let style = document.createElement("style"); style.innerHTML = telInputCSSOver; document.getElementsByTagName("head")[0].appendChild(style); } } if(subscriberData) { let customFields = document.getElementById("mpform-af6bbacdba954c4398f32ff4e2ad697e").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-af6bbacdba954c4398f32ff4e2ad697e").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-af6bbacdba954c4398f32ff4e2ad697e").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=mpmRecaptchaLoadedaf6bbacdba954c4398f32ff4e2ad697e&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupaf6bbacdba954c4398f32ff4e2ad697e() { let popups = document.getElementById("mpform-af6bbacdba954c4398f32ff4e2ad697e").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputaf6bbacdba954c4398f32ff4e2ad697e() { 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 () { finishedLoadingaf6bbacdba954c4398f32ff4e2ad697e(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingaf6bbacdba954c4398f32ff4e2ad697e(); } } 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); mploadTelInputaf6bbacdba954c4398f32ff4e2ad697e(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitaf6bbacdba954c4398f32ff4e2ad697e(); } else { function waitForOtherFormsmpFrm1edf1019972c4526ae3ceca955d53f3d() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitaf6bbacdba954c4398f32ff4e2ad697e(); } else { setTimeout(waitForOtherFormsmpFrm1edf1019972c4526ae3ceca955d53f3d,300); } } waitForOtherFormsmpFrm1edf1019972c4526ae3ceca955d53f3d(); }