var captchaWidgetmpFrmcbdf7df38d4a4d19b932420114051dce; var mpCurrentScriptmpFrmcbdf7df38d4a4d19b932420114051dceContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmcbdf7df38d4a4d19b932420114051dce"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41911"); 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); mpFormmpFrmcbdf7df38d4a4d19b932420114051dceFind(); } })(); function mpFormmpFrmcbdf7df38d4a4d19b932420114051dceFind() { if(!mpCurrentScriptmpFrmcbdf7df38d4a4d19b932420114051dceContainer) return; if (mpCurrentScriptmpFrmcbdf7df38d4a4d19b932420114051dceContainer && mpCurrentScriptmpFrmcbdf7df38d4a4d19b932420114051dceContainer.nodeName && mpCurrentScriptmpFrmcbdf7df38d4a4d19b932420114051dceContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmcbdf7df38d4a4d19b932420114051dce" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmcbdf7df38d4a4d19b932420114051dceContainer.children).forEach(c => { if (c.id === "mpFrmcbdf7df38d4a4d19b932420114051dce") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScripte40d1933848043399faf395bdfe1e294Container.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmcbdf7df38d4a4d19b932420114051dce"; } } } } function mpForme40d1933848043399faf395bdfe1e294Check() { let checkBoxes = document.getElementById("mpform-e40d1933848043399faf395bdfe1e294").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 mpForme40d1933848043399faf395bdfe1e294Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-e40d1933848043399faf395bdfe1e294").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-e40d1933848043399faf395bdfe1e294").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-e40d1933848043399faf395bdfe1e294").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-e40d1933848043399faf395bdfe1e294')), 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: getTrackingIde40d1933848043399faf395bdfe1e294() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-e40d1933848043399faf395bdfe1e294").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-e40d1933848043399faf395bdfe1e294").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=41911", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForme40d1933848043399faf395bdfe1e294Check(); 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-e40d1933848043399faf395bdfe1e294').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-e40d1933848043399faf395bdfe1e294").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-e40d1933848043399faf395bdfe1e294').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmcbdf7df38d4a4d19b932420114051dce); } else { mpForme40d1933848043399faf395bdfe1e294Check(); 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 mpmRecaptchaLoadede40d1933848043399faf395bdfe1e294() { captchaWidgetmpFrmcbdf7df38d4a4d19b932420114051dce = grecaptcha.render('mpmRecaptchampFrmcbdf7df38d4a4d19b932420114051dce', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIde40d1933848043399faf395bdfe1e294() { 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 mpmFormInite40d1933848043399faf395bdfe1e294 () { 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 finishedLoadinge40d1933848043399faf395bdfe1e294() { window.mpFormLoading = false; let container = document.getElementById('mpFrmcbdf7df38d4a4d19b932420114051dce'); if (!container) { mpFormmpFrmcbdf7df38d4a4d19b932420114051dceFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmcbdf7df38d4a4d19b932420114051dce'); return setTimeout(finishedLoadinge40d1933848043399faf395bdfe1e294, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-e40d1933848043399faf395bdfe1e294").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-e40d1933848043399faf395bdfe1e294").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-e40d1933848043399faf395bdfe1e294").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-e40d1933848043399faf395bdfe1e294").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-e40d1933848043399faf395bdfe1e294").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=mpmRecaptchaLoadede40d1933848043399faf395bdfe1e294&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupe40d1933848043399faf395bdfe1e294() { let popups = document.getElementById("mpform-e40d1933848043399faf395bdfe1e294").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInpute40d1933848043399faf395bdfe1e294() { 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 () { finishedLoadinge40d1933848043399faf395bdfe1e294(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinge40d1933848043399faf395bdfe1e294(); } } 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); mploadTelInpute40d1933848043399faf395bdfe1e294(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInite40d1933848043399faf395bdfe1e294(); } else { function waitForOtherFormsmpFrmcbdf7df38d4a4d19b932420114051dce() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInite40d1933848043399faf395bdfe1e294(); } else { setTimeout(waitForOtherFormsmpFrmcbdf7df38d4a4d19b932420114051dce,300); } } waitForOtherFormsmpFrmcbdf7df38d4a4d19b932420114051dce(); }