var captchaWidgetmpFrm35eaf187985c49a8bc2f7f506d148094; var mpCurrentScriptmpFrm35eaf187985c49a8bc2f7f506d148094Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm35eaf187985c49a8bc2f7f506d148094"; 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); }); } mpFormmpFrm35eaf187985c49a8bc2f7f506d148094Find(); } 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); mpFormmpFrm35eaf187985c49a8bc2f7f506d148094Find(); } })(); function mpFormmpFrm35eaf187985c49a8bc2f7f506d148094Find() { if(!mpCurrentScriptmpFrm35eaf187985c49a8bc2f7f506d148094Container) return; if (mpCurrentScriptmpFrm35eaf187985c49a8bc2f7f506d148094Container && mpCurrentScriptmpFrm35eaf187985c49a8bc2f7f506d148094Container.nodeName && mpCurrentScriptmpFrm35eaf187985c49a8bc2f7f506d148094Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm35eaf187985c49a8bc2f7f506d148094" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm35eaf187985c49a8bc2f7f506d148094Container.children).forEach(c => { if (c.id === "mpFrm35eaf187985c49a8bc2f7f506d148094") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript5c665887e9eb49358baa9558674511feContainer.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm35eaf187985c49a8bc2f7f506d148094"; } } } } function mpForm5c665887e9eb49358baa9558674511feCheck() { let checkBoxes = document.getElementById("mpform-5c665887e9eb49358baa9558674511fe").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 mpForm5c665887e9eb49358baa9558674511feSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-5c665887e9eb49358baa9558674511fe").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-5c665887e9eb49358baa9558674511fe").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-5c665887e9eb49358baa9558674511fe").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-5c665887e9eb49358baa9558674511fe')), 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: getTrackingId5c665887e9eb49358baa9558674511fe() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-5c665887e9eb49358baa9558674511fe").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-5c665887e9eb49358baa9558674511fe").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) { mpForm5c665887e9eb49358baa9558674511feCheck(); 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-5c665887e9eb49358baa9558674511fe').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-5c665887e9eb49358baa9558674511fe").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-5c665887e9eb49358baa9558674511fe').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm35eaf187985c49a8bc2f7f506d148094); } else { mpForm5c665887e9eb49358baa9558674511feCheck(); 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 mpmRecaptchaLoaded5c665887e9eb49358baa9558674511fe() { captchaWidgetmpFrm35eaf187985c49a8bc2f7f506d148094 = grecaptcha.render('mpmRecaptchampFrm35eaf187985c49a8bc2f7f506d148094', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId5c665887e9eb49358baa9558674511fe() { 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 mpmFormInit5c665887e9eb49358baa9558674511fe () { 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 finishedLoading5c665887e9eb49358baa9558674511fe() { window.mpFormLoading = false; let container = document.getElementById('mpFrm35eaf187985c49a8bc2f7f506d148094'); if (!container) { mpFormmpFrm35eaf187985c49a8bc2f7f506d148094Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm35eaf187985c49a8bc2f7f506d148094'); return setTimeout(finishedLoading5c665887e9eb49358baa9558674511fe, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-5c665887e9eb49358baa9558674511fe").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-5c665887e9eb49358baa9558674511fe").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-5c665887e9eb49358baa9558674511fe").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-5c665887e9eb49358baa9558674511fe").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-5c665887e9eb49358baa9558674511fe").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=mpmRecaptchaLoaded5c665887e9eb49358baa9558674511fe&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup5c665887e9eb49358baa9558674511fe() { let popups = document.getElementById("mpform-5c665887e9eb49358baa9558674511fe").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput5c665887e9eb49358baa9558674511fe() { 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 () { finishedLoading5c665887e9eb49358baa9558674511fe(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading5c665887e9eb49358baa9558674511fe(); } } 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); mploadTelInput5c665887e9eb49358baa9558674511fe(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit5c665887e9eb49358baa9558674511fe(); } else { function waitForOtherFormsmpFrm35eaf187985c49a8bc2f7f506d148094() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit5c665887e9eb49358baa9558674511fe(); } else { setTimeout(waitForOtherFormsmpFrm35eaf187985c49a8bc2f7f506d148094,300); } } waitForOtherFormsmpFrm35eaf187985c49a8bc2f7f506d148094(); }