var captchaWidgetmpFrm98221f7c4f1c4bfea838a069a979c835; var mpCurrentScriptmpFrm98221f7c4f1c4bfea838a069a979c835Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm98221f7c4f1c4bfea838a069a979c835"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41911"); if (window.self !== window.top) { if (document.body) { document.body.appendChild(containerDiv); } else { document.addEventListener("DOMContentLoaded", function() { document.body.appendChild(containerDiv); }); } mpFormmpFrm98221f7c4f1c4bfea838a069a979c835Find(); } 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); mpFormmpFrm98221f7c4f1c4bfea838a069a979c835Find(); } })(); function mpFormmpFrm98221f7c4f1c4bfea838a069a979c835Find() { if(!mpCurrentScriptmpFrm98221f7c4f1c4bfea838a069a979c835Container) return; if (mpCurrentScriptmpFrm98221f7c4f1c4bfea838a069a979c835Container && mpCurrentScriptmpFrm98221f7c4f1c4bfea838a069a979c835Container.nodeName && mpCurrentScriptmpFrm98221f7c4f1c4bfea838a069a979c835Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm98221f7c4f1c4bfea838a069a979c835" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm98221f7c4f1c4bfea838a069a979c835Container.children).forEach(c => { if (c.id === "mpFrm98221f7c4f1c4bfea838a069a979c835") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScripte0b7f0454fb34d59a52eca26a3d09cc4Container.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm98221f7c4f1c4bfea838a069a979c835"; } } } } function mpForme0b7f0454fb34d59a52eca26a3d09cc4Check() { let checkBoxes = document.getElementById("mpform-e0b7f0454fb34d59a52eca26a3d09cc4").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 mpForme0b7f0454fb34d59a52eca26a3d09cc4Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-e0b7f0454fb34d59a52eca26a3d09cc4").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-e0b7f0454fb34d59a52eca26a3d09cc4").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-e0b7f0454fb34d59a52eca26a3d09cc4").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-e0b7f0454fb34d59a52eca26a3d09cc4')), 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: getTrackingIde0b7f0454fb34d59a52eca26a3d09cc4() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-e0b7f0454fb34d59a52eca26a3d09cc4").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-e0b7f0454fb34d59a52eca26a3d09cc4").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) { mpForme0b7f0454fb34d59a52eca26a3d09cc4Check(); 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-e0b7f0454fb34d59a52eca26a3d09cc4').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-e0b7f0454fb34d59a52eca26a3d09cc4").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-e0b7f0454fb34d59a52eca26a3d09cc4').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm98221f7c4f1c4bfea838a069a979c835); } else { mpForme0b7f0454fb34d59a52eca26a3d09cc4Check(); 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 mpmRecaptchaLoadede0b7f0454fb34d59a52eca26a3d09cc4() { captchaWidgetmpFrm98221f7c4f1c4bfea838a069a979c835 = grecaptcha.render('mpmRecaptchampFrm98221f7c4f1c4bfea838a069a979c835', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIde0b7f0454fb34d59a52eca26a3d09cc4() { 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 mpmFormInite0b7f0454fb34d59a52eca26a3d09cc4 () { 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 finishedLoadinge0b7f0454fb34d59a52eca26a3d09cc4() { window.mpFormLoading = false; let container = document.getElementById('mpFrm98221f7c4f1c4bfea838a069a979c835'); if (!container) { mpFormmpFrm98221f7c4f1c4bfea838a069a979c835Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm98221f7c4f1c4bfea838a069a979c835'); return setTimeout(finishedLoadinge0b7f0454fb34d59a52eca26a3d09cc4, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-e0b7f0454fb34d59a52eca26a3d09cc4").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-e0b7f0454fb34d59a52eca26a3d09cc4").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-e0b7f0454fb34d59a52eca26a3d09cc4").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-e0b7f0454fb34d59a52eca26a3d09cc4").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-e0b7f0454fb34d59a52eca26a3d09cc4").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=mpmRecaptchaLoadede0b7f0454fb34d59a52eca26a3d09cc4&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupe0b7f0454fb34d59a52eca26a3d09cc4() { let popups = document.getElementById("mpform-e0b7f0454fb34d59a52eca26a3d09cc4").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInpute0b7f0454fb34d59a52eca26a3d09cc4() { 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 () { finishedLoadinge0b7f0454fb34d59a52eca26a3d09cc4(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinge0b7f0454fb34d59a52eca26a3d09cc4(); } } 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); mploadTelInpute0b7f0454fb34d59a52eca26a3d09cc4(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInite0b7f0454fb34d59a52eca26a3d09cc4(); } else { function waitForOtherFormsmpFrm98221f7c4f1c4bfea838a069a979c835() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInite0b7f0454fb34d59a52eca26a3d09cc4(); } else { setTimeout(waitForOtherFormsmpFrm98221f7c4f1c4bfea838a069a979c835,300); } } waitForOtherFormsmpFrm98221f7c4f1c4bfea838a069a979c835(); }