var captchaWidgetmpFrm6a0c51cc2a764bf0b00af07b59136945; var mpCurrentScriptmpFrm6a0c51cc2a764bf0b00af07b59136945Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm6a0c51cc2a764bf0b00af07b59136945"; 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); }); } mpFormmpFrm6a0c51cc2a764bf0b00af07b59136945Find(); } 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); mpFormmpFrm6a0c51cc2a764bf0b00af07b59136945Find(); } })(); function mpFormmpFrm6a0c51cc2a764bf0b00af07b59136945Find() { if(!mpCurrentScriptmpFrm6a0c51cc2a764bf0b00af07b59136945Container) return; if (mpCurrentScriptmpFrm6a0c51cc2a764bf0b00af07b59136945Container && mpCurrentScriptmpFrm6a0c51cc2a764bf0b00af07b59136945Container.nodeName && mpCurrentScriptmpFrm6a0c51cc2a764bf0b00af07b59136945Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm6a0c51cc2a764bf0b00af07b59136945" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm6a0c51cc2a764bf0b00af07b59136945Container.children).forEach(c => { if (c.id === "mpFrm6a0c51cc2a764bf0b00af07b59136945") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript3b67b3209ed74ea4aa68be053391570dContainer.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm6a0c51cc2a764bf0b00af07b59136945"; } } } } function mpForm3b67b3209ed74ea4aa68be053391570dCheck() { let checkBoxes = document.getElementById("mpform-3b67b3209ed74ea4aa68be053391570d").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 mpForm3b67b3209ed74ea4aa68be053391570dSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-3b67b3209ed74ea4aa68be053391570d").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-3b67b3209ed74ea4aa68be053391570d").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-3b67b3209ed74ea4aa68be053391570d").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-3b67b3209ed74ea4aa68be053391570d')), 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: getTrackingId3b67b3209ed74ea4aa68be053391570d() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-3b67b3209ed74ea4aa68be053391570d").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-3b67b3209ed74ea4aa68be053391570d").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) { mpForm3b67b3209ed74ea4aa68be053391570dCheck(); 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-3b67b3209ed74ea4aa68be053391570d').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-3b67b3209ed74ea4aa68be053391570d").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-3b67b3209ed74ea4aa68be053391570d').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm6a0c51cc2a764bf0b00af07b59136945); } else { mpForm3b67b3209ed74ea4aa68be053391570dCheck(); 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 mpmRecaptchaLoaded3b67b3209ed74ea4aa68be053391570d() { captchaWidgetmpFrm6a0c51cc2a764bf0b00af07b59136945 = grecaptcha.render('mpmRecaptchampFrm6a0c51cc2a764bf0b00af07b59136945', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId3b67b3209ed74ea4aa68be053391570d() { 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 mpmFormInit3b67b3209ed74ea4aa68be053391570d () { 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 finishedLoading3b67b3209ed74ea4aa68be053391570d() { window.mpFormLoading = false; let container = document.getElementById('mpFrm6a0c51cc2a764bf0b00af07b59136945'); if (!container) { mpFormmpFrm6a0c51cc2a764bf0b00af07b59136945Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm6a0c51cc2a764bf0b00af07b59136945'); return setTimeout(finishedLoading3b67b3209ed74ea4aa68be053391570d, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-3b67b3209ed74ea4aa68be053391570d").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-3b67b3209ed74ea4aa68be053391570d").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-3b67b3209ed74ea4aa68be053391570d-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-3b67b3209ed74ea4aa68be053391570d-" + 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-3b67b3209ed74ea4aa68be053391570d").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-3b67b3209ed74ea4aa68be053391570d").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-3b67b3209ed74ea4aa68be053391570d").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=mpmRecaptchaLoaded3b67b3209ed74ea4aa68be053391570d&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup3b67b3209ed74ea4aa68be053391570d() { let popups = document.getElementById("mpform-3b67b3209ed74ea4aa68be053391570d").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput3b67b3209ed74ea4aa68be053391570d() { 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 () { finishedLoading3b67b3209ed74ea4aa68be053391570d(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading3b67b3209ed74ea4aa68be053391570d(); } } 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); mploadTelInput3b67b3209ed74ea4aa68be053391570d(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit3b67b3209ed74ea4aa68be053391570d(); } else { function waitForOtherFormsmpFrm6a0c51cc2a764bf0b00af07b59136945() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit3b67b3209ed74ea4aa68be053391570d(); } else { setTimeout(waitForOtherFormsmpFrm6a0c51cc2a764bf0b00af07b59136945,300); } } waitForOtherFormsmpFrm6a0c51cc2a764bf0b00af07b59136945(); }