var captchaWidgetmpFrm99f932c1e14f4d80b28808bb6925102b; var mpCurrentScriptmpFrm99f932c1e14f4d80b28808bb6925102bContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm99f932c1e14f4d80b28808bb6925102b"; 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); mpFormmpFrm99f932c1e14f4d80b28808bb6925102bFind(); } })(); function mpFormmpFrm99f932c1e14f4d80b28808bb6925102bFind() { if(!mpCurrentScriptmpFrm99f932c1e14f4d80b28808bb6925102bContainer) return; if (mpCurrentScriptmpFrm99f932c1e14f4d80b28808bb6925102bContainer && mpCurrentScriptmpFrm99f932c1e14f4d80b28808bb6925102bContainer.nodeName && mpCurrentScriptmpFrm99f932c1e14f4d80b28808bb6925102bContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm99f932c1e14f4d80b28808bb6925102b" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm99f932c1e14f4d80b28808bb6925102bContainer.children).forEach(c => { if (c.id === "mpFrm99f932c1e14f4d80b28808bb6925102b") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript6a4bb4aa34cb4c768f3a5f3736f27d8bContainer.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm99f932c1e14f4d80b28808bb6925102b"; } } } } function mpForm6a4bb4aa34cb4c768f3a5f3736f27d8bCheck() { let checkBoxes = document.getElementById("mpform-6a4bb4aa34cb4c768f3a5f3736f27d8b").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 mpForm6a4bb4aa34cb4c768f3a5f3736f27d8bSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-6a4bb4aa34cb4c768f3a5f3736f27d8b").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-6a4bb4aa34cb4c768f3a5f3736f27d8b").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-6a4bb4aa34cb4c768f3a5f3736f27d8b").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-6a4bb4aa34cb4c768f3a5f3736f27d8b')), 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: getTrackingId6a4bb4aa34cb4c768f3a5f3736f27d8b() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-6a4bb4aa34cb4c768f3a5f3736f27d8b").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-6a4bb4aa34cb4c768f3a5f3736f27d8b").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) { mpForm6a4bb4aa34cb4c768f3a5f3736f27d8bCheck(); 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-6a4bb4aa34cb4c768f3a5f3736f27d8b').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-6a4bb4aa34cb4c768f3a5f3736f27d8b").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-6a4bb4aa34cb4c768f3a5f3736f27d8b').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm99f932c1e14f4d80b28808bb6925102b); } else { mpForm6a4bb4aa34cb4c768f3a5f3736f27d8bCheck(); 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 mpmRecaptchaLoaded6a4bb4aa34cb4c768f3a5f3736f27d8b() { captchaWidgetmpFrm99f932c1e14f4d80b28808bb6925102b = grecaptcha.render('mpmRecaptchampFrm99f932c1e14f4d80b28808bb6925102b', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId6a4bb4aa34cb4c768f3a5f3736f27d8b() { 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 mpmFormInit6a4bb4aa34cb4c768f3a5f3736f27d8b () { 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 finishedLoading6a4bb4aa34cb4c768f3a5f3736f27d8b() { window.mpFormLoading = false; let container = document.getElementById('mpFrm99f932c1e14f4d80b28808bb6925102b'); if (!container) { mpFormmpFrm99f932c1e14f4d80b28808bb6925102bFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm99f932c1e14f4d80b28808bb6925102b'); return setTimeout(finishedLoading6a4bb4aa34cb4c768f3a5f3736f27d8b, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-6a4bb4aa34cb4c768f3a5f3736f27d8b").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-6a4bb4aa34cb4c768f3a5f3736f27d8b").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-6a4bb4aa34cb4c768f3a5f3736f27d8b").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-6a4bb4aa34cb4c768f3a5f3736f27d8b").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-6a4bb4aa34cb4c768f3a5f3736f27d8b").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=mpmRecaptchaLoaded6a4bb4aa34cb4c768f3a5f3736f27d8b&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup6a4bb4aa34cb4c768f3a5f3736f27d8b() { let popups = document.getElementById("mpform-6a4bb4aa34cb4c768f3a5f3736f27d8b").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput6a4bb4aa34cb4c768f3a5f3736f27d8b() { 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 () { finishedLoading6a4bb4aa34cb4c768f3a5f3736f27d8b(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading6a4bb4aa34cb4c768f3a5f3736f27d8b(); } } 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); mploadTelInput6a4bb4aa34cb4c768f3a5f3736f27d8b(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit6a4bb4aa34cb4c768f3a5f3736f27d8b(); } else { function waitForOtherFormsmpFrm99f932c1e14f4d80b28808bb6925102b() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit6a4bb4aa34cb4c768f3a5f3736f27d8b(); } else { setTimeout(waitForOtherFormsmpFrm99f932c1e14f4d80b28808bb6925102b,300); } } waitForOtherFormsmpFrm99f932c1e14f4d80b28808bb6925102b(); }