var captchaWidgetmpFrm14dc1852331b4cb98c8986c049631444; var mpCurrentScriptmpFrm14dc1852331b4cb98c8986c049631444Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm14dc1852331b4cb98c8986c049631444"; 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); mpFormmpFrm14dc1852331b4cb98c8986c049631444Find(); } })(); function mpFormmpFrm14dc1852331b4cb98c8986c049631444Find() { if(!mpCurrentScriptmpFrm14dc1852331b4cb98c8986c049631444Container) return; if (mpCurrentScriptmpFrm14dc1852331b4cb98c8986c049631444Container && mpCurrentScriptmpFrm14dc1852331b4cb98c8986c049631444Container.nodeName && mpCurrentScriptmpFrm14dc1852331b4cb98c8986c049631444Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm14dc1852331b4cb98c8986c049631444" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm14dc1852331b4cb98c8986c049631444Container.children).forEach(c => { if (c.id === "mpFrm14dc1852331b4cb98c8986c049631444") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript1ff57f2db29f4e24adcebc84a8899bf7Container.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm14dc1852331b4cb98c8986c049631444"; } } } } function mpForm1ff57f2db29f4e24adcebc84a8899bf7Check() { let checkBoxes = document.getElementById("mpform-1ff57f2db29f4e24adcebc84a8899bf7").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 mpForm1ff57f2db29f4e24adcebc84a8899bf7Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-1ff57f2db29f4e24adcebc84a8899bf7").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-1ff57f2db29f4e24adcebc84a8899bf7").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-1ff57f2db29f4e24adcebc84a8899bf7").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-1ff57f2db29f4e24adcebc84a8899bf7')), 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: getTrackingId1ff57f2db29f4e24adcebc84a8899bf7() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-1ff57f2db29f4e24adcebc84a8899bf7").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-1ff57f2db29f4e24adcebc84a8899bf7").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) { mpForm1ff57f2db29f4e24adcebc84a8899bf7Check(); 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-1ff57f2db29f4e24adcebc84a8899bf7').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-1ff57f2db29f4e24adcebc84a8899bf7").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-1ff57f2db29f4e24adcebc84a8899bf7').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm14dc1852331b4cb98c8986c049631444); } else { mpForm1ff57f2db29f4e24adcebc84a8899bf7Check(); 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 mpmRecaptchaLoaded1ff57f2db29f4e24adcebc84a8899bf7() { captchaWidgetmpFrm14dc1852331b4cb98c8986c049631444 = grecaptcha.render('mpmRecaptchampFrm14dc1852331b4cb98c8986c049631444', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId1ff57f2db29f4e24adcebc84a8899bf7() { 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 mpmFormInit1ff57f2db29f4e24adcebc84a8899bf7 () { 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 finishedLoading1ff57f2db29f4e24adcebc84a8899bf7() { window.mpFormLoading = false; let container = document.getElementById('mpFrm14dc1852331b4cb98c8986c049631444'); if (!container) { mpFormmpFrm14dc1852331b4cb98c8986c049631444Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm14dc1852331b4cb98c8986c049631444'); return setTimeout(finishedLoading1ff57f2db29f4e24adcebc84a8899bf7, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-1ff57f2db29f4e24adcebc84a8899bf7").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-1ff57f2db29f4e24adcebc84a8899bf7").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-1ff57f2db29f4e24adcebc84a8899bf7").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-1ff57f2db29f4e24adcebc84a8899bf7").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-1ff57f2db29f4e24adcebc84a8899bf7").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=mpmRecaptchaLoaded1ff57f2db29f4e24adcebc84a8899bf7&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup1ff57f2db29f4e24adcebc84a8899bf7() { let popups = document.getElementById("mpform-1ff57f2db29f4e24adcebc84a8899bf7").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput1ff57f2db29f4e24adcebc84a8899bf7() { 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 () { finishedLoading1ff57f2db29f4e24adcebc84a8899bf7(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading1ff57f2db29f4e24adcebc84a8899bf7(); } } 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); mploadTelInput1ff57f2db29f4e24adcebc84a8899bf7(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit1ff57f2db29f4e24adcebc84a8899bf7(); } else { function waitForOtherFormsmpFrm14dc1852331b4cb98c8986c049631444() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit1ff57f2db29f4e24adcebc84a8899bf7(); } else { setTimeout(waitForOtherFormsmpFrm14dc1852331b4cb98c8986c049631444,300); } } waitForOtherFormsmpFrm14dc1852331b4cb98c8986c049631444(); }