var captchaWidgetmpFrm4875abefc6f542f887555ab88535a66d; var mpCurrentScriptmpFrm4875abefc6f542f887555ab88535a66dContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm4875abefc6f542f887555ab88535a66d"; 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); }); } mpFormmpFrm4875abefc6f542f887555ab88535a66dFind(); } 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); mpFormmpFrm4875abefc6f542f887555ab88535a66dFind(); } })(); function mpFormmpFrm4875abefc6f542f887555ab88535a66dFind() { if(!mpCurrentScriptmpFrm4875abefc6f542f887555ab88535a66dContainer) return; if (mpCurrentScriptmpFrm4875abefc6f542f887555ab88535a66dContainer && mpCurrentScriptmpFrm4875abefc6f542f887555ab88535a66dContainer.nodeName && mpCurrentScriptmpFrm4875abefc6f542f887555ab88535a66dContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm4875abefc6f542f887555ab88535a66d" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm4875abefc6f542f887555ab88535a66dContainer.children).forEach(c => { if (c.id === "mpFrm4875abefc6f542f887555ab88535a66d") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptc21694730dd6422c8b1cf4b1f7ba6a7eContainer.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm4875abefc6f542f887555ab88535a66d"; } } } } function mpFormc21694730dd6422c8b1cf4b1f7ba6a7eCheck() { let checkBoxes = document.getElementById("mpform-c21694730dd6422c8b1cf4b1f7ba6a7e").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 mpFormc21694730dd6422c8b1cf4b1f7ba6a7eSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-c21694730dd6422c8b1cf4b1f7ba6a7e").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-c21694730dd6422c8b1cf4b1f7ba6a7e").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-c21694730dd6422c8b1cf4b1f7ba6a7e").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-c21694730dd6422c8b1cf4b1f7ba6a7e')), 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: getTrackingIdc21694730dd6422c8b1cf4b1f7ba6a7e() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-c21694730dd6422c8b1cf4b1f7ba6a7e").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-c21694730dd6422c8b1cf4b1f7ba6a7e").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) { mpFormc21694730dd6422c8b1cf4b1f7ba6a7eCheck(); 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-c21694730dd6422c8b1cf4b1f7ba6a7e').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-c21694730dd6422c8b1cf4b1f7ba6a7e").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-c21694730dd6422c8b1cf4b1f7ba6a7e').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm4875abefc6f542f887555ab88535a66d); } else { mpFormc21694730dd6422c8b1cf4b1f7ba6a7eCheck(); 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 mpmRecaptchaLoadedc21694730dd6422c8b1cf4b1f7ba6a7e() { captchaWidgetmpFrm4875abefc6f542f887555ab88535a66d = grecaptcha.render('mpmRecaptchampFrm4875abefc6f542f887555ab88535a66d', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdc21694730dd6422c8b1cf4b1f7ba6a7e() { 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 mpmFormInitc21694730dd6422c8b1cf4b1f7ba6a7e () { 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 finishedLoadingc21694730dd6422c8b1cf4b1f7ba6a7e() { window.mpFormLoading = false; let container = document.getElementById('mpFrm4875abefc6f542f887555ab88535a66d'); if (!container) { mpFormmpFrm4875abefc6f542f887555ab88535a66dFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm4875abefc6f542f887555ab88535a66d'); return setTimeout(finishedLoadingc21694730dd6422c8b1cf4b1f7ba6a7e, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-c21694730dd6422c8b1cf4b1f7ba6a7e").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-c21694730dd6422c8b1cf4b1f7ba6a7e").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-c21694730dd6422c8b1cf4b1f7ba6a7e").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-c21694730dd6422c8b1cf4b1f7ba6a7e").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-c21694730dd6422c8b1cf4b1f7ba6a7e").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=mpmRecaptchaLoadedc21694730dd6422c8b1cf4b1f7ba6a7e&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupc21694730dd6422c8b1cf4b1f7ba6a7e() { let popups = document.getElementById("mpform-c21694730dd6422c8b1cf4b1f7ba6a7e").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputc21694730dd6422c8b1cf4b1f7ba6a7e() { 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 () { finishedLoadingc21694730dd6422c8b1cf4b1f7ba6a7e(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingc21694730dd6422c8b1cf4b1f7ba6a7e(); } } 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); mploadTelInputc21694730dd6422c8b1cf4b1f7ba6a7e(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitc21694730dd6422c8b1cf4b1f7ba6a7e(); } else { function waitForOtherFormsmpFrm4875abefc6f542f887555ab88535a66d() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitc21694730dd6422c8b1cf4b1f7ba6a7e(); } else { setTimeout(waitForOtherFormsmpFrm4875abefc6f542f887555ab88535a66d,300); } } waitForOtherFormsmpFrm4875abefc6f542f887555ab88535a66d(); }