var captchaWidgetmpFrm316b52e4cf644485bc1c6fcb2e0cb3b7; var mpCurrentScriptmpFrm316b52e4cf644485bc1c6fcb2e0cb3b7Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm316b52e4cf644485bc1c6fcb2e0cb3b7"; 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); mpFormmpFrm316b52e4cf644485bc1c6fcb2e0cb3b7Find(); } })(); function mpFormmpFrm316b52e4cf644485bc1c6fcb2e0cb3b7Find() { if(!mpCurrentScriptmpFrm316b52e4cf644485bc1c6fcb2e0cb3b7Container) return; if (mpCurrentScriptmpFrm316b52e4cf644485bc1c6fcb2e0cb3b7Container && mpCurrentScriptmpFrm316b52e4cf644485bc1c6fcb2e0cb3b7Container.nodeName && mpCurrentScriptmpFrm316b52e4cf644485bc1c6fcb2e0cb3b7Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm316b52e4cf644485bc1c6fcb2e0cb3b7" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm316b52e4cf644485bc1c6fcb2e0cb3b7Container.children).forEach(c => { if (c.id === "mpFrm316b52e4cf644485bc1c6fcb2e0cb3b7") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptba97b74b54fa49d9a72257e3f0883cdaContainer.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm316b52e4cf644485bc1c6fcb2e0cb3b7"; } } } } function mpFormba97b74b54fa49d9a72257e3f0883cdaCheck() { let checkBoxes = document.getElementById("mpform-ba97b74b54fa49d9a72257e3f0883cda").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 mpFormba97b74b54fa49d9a72257e3f0883cdaSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-ba97b74b54fa49d9a72257e3f0883cda").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-ba97b74b54fa49d9a72257e3f0883cda").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-ba97b74b54fa49d9a72257e3f0883cda").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-ba97b74b54fa49d9a72257e3f0883cda')), 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: getTrackingIdba97b74b54fa49d9a72257e3f0883cda() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-ba97b74b54fa49d9a72257e3f0883cda").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-ba97b74b54fa49d9a72257e3f0883cda").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) { mpFormba97b74b54fa49d9a72257e3f0883cdaCheck(); 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-ba97b74b54fa49d9a72257e3f0883cda').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-ba97b74b54fa49d9a72257e3f0883cda").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-ba97b74b54fa49d9a72257e3f0883cda').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm316b52e4cf644485bc1c6fcb2e0cb3b7); } else { mpFormba97b74b54fa49d9a72257e3f0883cdaCheck(); 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 mpmRecaptchaLoadedba97b74b54fa49d9a72257e3f0883cda() { captchaWidgetmpFrm316b52e4cf644485bc1c6fcb2e0cb3b7 = grecaptcha.render('mpmRecaptchampFrm316b52e4cf644485bc1c6fcb2e0cb3b7', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdba97b74b54fa49d9a72257e3f0883cda() { 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 mpmFormInitba97b74b54fa49d9a72257e3f0883cda () { 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 finishedLoadingba97b74b54fa49d9a72257e3f0883cda() { window.mpFormLoading = false; let container = document.getElementById('mpFrm316b52e4cf644485bc1c6fcb2e0cb3b7'); if (!container) { mpFormmpFrm316b52e4cf644485bc1c6fcb2e0cb3b7Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm316b52e4cf644485bc1c6fcb2e0cb3b7'); return setTimeout(finishedLoadingba97b74b54fa49d9a72257e3f0883cda, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-ba97b74b54fa49d9a72257e3f0883cda").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-ba97b74b54fa49d9a72257e3f0883cda").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-ba97b74b54fa49d9a72257e3f0883cda").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-ba97b74b54fa49d9a72257e3f0883cda").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-ba97b74b54fa49d9a72257e3f0883cda").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=mpmRecaptchaLoadedba97b74b54fa49d9a72257e3f0883cda&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupba97b74b54fa49d9a72257e3f0883cda() { let popups = document.getElementById("mpform-ba97b74b54fa49d9a72257e3f0883cda").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputba97b74b54fa49d9a72257e3f0883cda() { 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 () { finishedLoadingba97b74b54fa49d9a72257e3f0883cda(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingba97b74b54fa49d9a72257e3f0883cda(); } } 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); mploadTelInputba97b74b54fa49d9a72257e3f0883cda(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitba97b74b54fa49d9a72257e3f0883cda(); } else { function waitForOtherFormsmpFrm316b52e4cf644485bc1c6fcb2e0cb3b7() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitba97b74b54fa49d9a72257e3f0883cda(); } else { setTimeout(waitForOtherFormsmpFrm316b52e4cf644485bc1c6fcb2e0cb3b7,300); } } waitForOtherFormsmpFrm316b52e4cf644485bc1c6fcb2e0cb3b7(); }