var captchaWidgetmpFrmde5cb56910814876b533aa76dd1b2d0d; var mpCurrentScriptmpFrmde5cb56910814876b533aa76dd1b2d0dContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmde5cb56910814876b533aa76dd1b2d0d"; 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); }); } mpFormmpFrmde5cb56910814876b533aa76dd1b2d0dFind(); } 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); mpFormmpFrmde5cb56910814876b533aa76dd1b2d0dFind(); } })(); function mpFormmpFrmde5cb56910814876b533aa76dd1b2d0dFind() { if(!mpCurrentScriptmpFrmde5cb56910814876b533aa76dd1b2d0dContainer) return; if (mpCurrentScriptmpFrmde5cb56910814876b533aa76dd1b2d0dContainer && mpCurrentScriptmpFrmde5cb56910814876b533aa76dd1b2d0dContainer.nodeName && mpCurrentScriptmpFrmde5cb56910814876b533aa76dd1b2d0dContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmde5cb56910814876b533aa76dd1b2d0d" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmde5cb56910814876b533aa76dd1b2d0dContainer.children).forEach(c => { if (c.id === "mpFrmde5cb56910814876b533aa76dd1b2d0d") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript68280929037e435bab8901dfc5d0c24aContainer.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmde5cb56910814876b533aa76dd1b2d0d"; } } } } function mpForm68280929037e435bab8901dfc5d0c24aCheck() { let checkBoxes = document.getElementById("mpform-68280929037e435bab8901dfc5d0c24a").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 mpForm68280929037e435bab8901dfc5d0c24aSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-68280929037e435bab8901dfc5d0c24a").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-68280929037e435bab8901dfc5d0c24a").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-68280929037e435bab8901dfc5d0c24a").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-68280929037e435bab8901dfc5d0c24a')), 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: getTrackingId68280929037e435bab8901dfc5d0c24a() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-68280929037e435bab8901dfc5d0c24a").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-68280929037e435bab8901dfc5d0c24a").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) { mpForm68280929037e435bab8901dfc5d0c24aCheck(); 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-68280929037e435bab8901dfc5d0c24a').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-68280929037e435bab8901dfc5d0c24a").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-68280929037e435bab8901dfc5d0c24a').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmde5cb56910814876b533aa76dd1b2d0d); } else { mpForm68280929037e435bab8901dfc5d0c24aCheck(); 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 mpmRecaptchaLoaded68280929037e435bab8901dfc5d0c24a() { captchaWidgetmpFrmde5cb56910814876b533aa76dd1b2d0d = grecaptcha.render('mpmRecaptchampFrmde5cb56910814876b533aa76dd1b2d0d', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId68280929037e435bab8901dfc5d0c24a() { 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 mpmFormInit68280929037e435bab8901dfc5d0c24a () { 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 finishedLoading68280929037e435bab8901dfc5d0c24a() { window.mpFormLoading = false; let container = document.getElementById('mpFrmde5cb56910814876b533aa76dd1b2d0d'); if (!container) { mpFormmpFrmde5cb56910814876b533aa76dd1b2d0dFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmde5cb56910814876b533aa76dd1b2d0d'); return setTimeout(finishedLoading68280929037e435bab8901dfc5d0c24a, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-68280929037e435bab8901dfc5d0c24a").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-68280929037e435bab8901dfc5d0c24a").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-68280929037e435bab8901dfc5d0c24a").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-68280929037e435bab8901dfc5d0c24a").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-68280929037e435bab8901dfc5d0c24a").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=mpmRecaptchaLoaded68280929037e435bab8901dfc5d0c24a&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup68280929037e435bab8901dfc5d0c24a() { let popups = document.getElementById("mpform-68280929037e435bab8901dfc5d0c24a").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput68280929037e435bab8901dfc5d0c24a() { 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 () { finishedLoading68280929037e435bab8901dfc5d0c24a(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading68280929037e435bab8901dfc5d0c24a(); } } 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); mploadTelInput68280929037e435bab8901dfc5d0c24a(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit68280929037e435bab8901dfc5d0c24a(); } else { function waitForOtherFormsmpFrmde5cb56910814876b533aa76dd1b2d0d() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit68280929037e435bab8901dfc5d0c24a(); } else { setTimeout(waitForOtherFormsmpFrmde5cb56910814876b533aa76dd1b2d0d,300); } } waitForOtherFormsmpFrmde5cb56910814876b533aa76dd1b2d0d(); }