var captchaWidgetmpFrmaa87dcff524f498cb8dce0b85a182521; var mpCurrentScriptmpFrmaa87dcff524f498cb8dce0b85a182521Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmaa87dcff524f498cb8dce0b85a182521"; 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); }); } mpFormmpFrmaa87dcff524f498cb8dce0b85a182521Find(); } 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); mpFormmpFrmaa87dcff524f498cb8dce0b85a182521Find(); } })(); function mpFormmpFrmaa87dcff524f498cb8dce0b85a182521Find() { if(!mpCurrentScriptmpFrmaa87dcff524f498cb8dce0b85a182521Container) return; if (mpCurrentScriptmpFrmaa87dcff524f498cb8dce0b85a182521Container && mpCurrentScriptmpFrmaa87dcff524f498cb8dce0b85a182521Container.nodeName && mpCurrentScriptmpFrmaa87dcff524f498cb8dce0b85a182521Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmaa87dcff524f498cb8dce0b85a182521" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmaa87dcff524f498cb8dce0b85a182521Container.children).forEach(c => { if (c.id === "mpFrmaa87dcff524f498cb8dce0b85a182521") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScripte6e962c63d9344e4aed0e4c1bbad0478Container.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmaa87dcff524f498cb8dce0b85a182521"; } } } } function mpForme6e962c63d9344e4aed0e4c1bbad0478Check() { let checkBoxes = document.getElementById("mpform-e6e962c63d9344e4aed0e4c1bbad0478").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 mpForme6e962c63d9344e4aed0e4c1bbad0478Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-e6e962c63d9344e4aed0e4c1bbad0478").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-e6e962c63d9344e4aed0e4c1bbad0478").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-e6e962c63d9344e4aed0e4c1bbad0478").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-e6e962c63d9344e4aed0e4c1bbad0478')), 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: getTrackingIde6e962c63d9344e4aed0e4c1bbad0478() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-e6e962c63d9344e4aed0e4c1bbad0478").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-e6e962c63d9344e4aed0e4c1bbad0478").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) { mpForme6e962c63d9344e4aed0e4c1bbad0478Check(); 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-e6e962c63d9344e4aed0e4c1bbad0478').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-e6e962c63d9344e4aed0e4c1bbad0478").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-e6e962c63d9344e4aed0e4c1bbad0478').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmaa87dcff524f498cb8dce0b85a182521); } else { mpForme6e962c63d9344e4aed0e4c1bbad0478Check(); 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 mpmRecaptchaLoadede6e962c63d9344e4aed0e4c1bbad0478() { captchaWidgetmpFrmaa87dcff524f498cb8dce0b85a182521 = grecaptcha.render('mpmRecaptchampFrmaa87dcff524f498cb8dce0b85a182521', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIde6e962c63d9344e4aed0e4c1bbad0478() { 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 mpmFormInite6e962c63d9344e4aed0e4c1bbad0478 () { 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 finishedLoadinge6e962c63d9344e4aed0e4c1bbad0478() { window.mpFormLoading = false; let container = document.getElementById('mpFrmaa87dcff524f498cb8dce0b85a182521'); if (!container) { mpFormmpFrmaa87dcff524f498cb8dce0b85a182521Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmaa87dcff524f498cb8dce0b85a182521'); return setTimeout(finishedLoadinge6e962c63d9344e4aed0e4c1bbad0478, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-e6e962c63d9344e4aed0e4c1bbad0478").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-e6e962c63d9344e4aed0e4c1bbad0478").querySelectorAll('input[type=TELNO]'); if(telInputs) { let telInputCSSOver = ""; 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", customContainer: "mpm-tel-input-container-e6e962c63d9344e4aed0e4c1bbad0478-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-e6e962c63d9344e4aed0e4c1bbad0478-" + i + " { margin: " + tmpMargin + " } " } } if(telInputCSSOver) { let style = document.createElement("style"); style.innerHTML = telInputCSSOver; document.getElementsByTagName("head")[0].appendChild(style); } } if(subscriberData) { let customFields = document.getElementById("mpform-e6e962c63d9344e4aed0e4c1bbad0478").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-e6e962c63d9344e4aed0e4c1bbad0478").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-e6e962c63d9344e4aed0e4c1bbad0478").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=mpmRecaptchaLoadede6e962c63d9344e4aed0e4c1bbad0478&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupe6e962c63d9344e4aed0e4c1bbad0478() { let popups = document.getElementById("mpform-e6e962c63d9344e4aed0e4c1bbad0478").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInpute6e962c63d9344e4aed0e4c1bbad0478() { 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 () { finishedLoadinge6e962c63d9344e4aed0e4c1bbad0478(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinge6e962c63d9344e4aed0e4c1bbad0478(); } } 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); mploadTelInpute6e962c63d9344e4aed0e4c1bbad0478(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInite6e962c63d9344e4aed0e4c1bbad0478(); } else { function waitForOtherFormsmpFrmaa87dcff524f498cb8dce0b85a182521() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInite6e962c63d9344e4aed0e4c1bbad0478(); } else { setTimeout(waitForOtherFormsmpFrmaa87dcff524f498cb8dce0b85a182521,300); } } waitForOtherFormsmpFrmaa87dcff524f498cb8dce0b85a182521(); }