var captchaWidgetmpFrme6d191e5a3a44069856a0e83d9f12d1e; var mpCurrentScriptmpFrme6d191e5a3a44069856a0e83d9f12d1eContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrme6d191e5a3a44069856a0e83d9f12d1e"; 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); mpFormmpFrme6d191e5a3a44069856a0e83d9f12d1eFind(); } })(); function mpFormmpFrme6d191e5a3a44069856a0e83d9f12d1eFind() { if(!mpCurrentScriptmpFrme6d191e5a3a44069856a0e83d9f12d1eContainer) return; if (mpCurrentScriptmpFrme6d191e5a3a44069856a0e83d9f12d1eContainer && mpCurrentScriptmpFrme6d191e5a3a44069856a0e83d9f12d1eContainer.nodeName && mpCurrentScriptmpFrme6d191e5a3a44069856a0e83d9f12d1eContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrme6d191e5a3a44069856a0e83d9f12d1e" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrme6d191e5a3a44069856a0e83d9f12d1eContainer.children).forEach(c => { if (c.id === "mpFrme6d191e5a3a44069856a0e83d9f12d1e") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptd802f9215f5e4e9b812f0b8465a4a176Container.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrme6d191e5a3a44069856a0e83d9f12d1e"; } } } } function mpFormd802f9215f5e4e9b812f0b8465a4a176Check() { let checkBoxes = document.getElementById("mpform-d802f9215f5e4e9b812f0b8465a4a176").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 mpFormd802f9215f5e4e9b812f0b8465a4a176Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-d802f9215f5e4e9b812f0b8465a4a176").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-d802f9215f5e4e9b812f0b8465a4a176").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-d802f9215f5e4e9b812f0b8465a4a176").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-d802f9215f5e4e9b812f0b8465a4a176')), 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: getTrackingIdd802f9215f5e4e9b812f0b8465a4a176() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-d802f9215f5e4e9b812f0b8465a4a176").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-d802f9215f5e4e9b812f0b8465a4a176").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) { mpFormd802f9215f5e4e9b812f0b8465a4a176Check(); 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-d802f9215f5e4e9b812f0b8465a4a176').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-d802f9215f5e4e9b812f0b8465a4a176").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-d802f9215f5e4e9b812f0b8465a4a176').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrme6d191e5a3a44069856a0e83d9f12d1e); } else { mpFormd802f9215f5e4e9b812f0b8465a4a176Check(); 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 mpmRecaptchaLoadedd802f9215f5e4e9b812f0b8465a4a176() { captchaWidgetmpFrme6d191e5a3a44069856a0e83d9f12d1e = grecaptcha.render('mpmRecaptchampFrme6d191e5a3a44069856a0e83d9f12d1e', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdd802f9215f5e4e9b812f0b8465a4a176() { 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 mpmFormInitd802f9215f5e4e9b812f0b8465a4a176 () { 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 finishedLoadingd802f9215f5e4e9b812f0b8465a4a176() { window.mpFormLoading = false; let container = document.getElementById('mpFrme6d191e5a3a44069856a0e83d9f12d1e'); if (!container) { mpFormmpFrme6d191e5a3a44069856a0e83d9f12d1eFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrme6d191e5a3a44069856a0e83d9f12d1e'); return setTimeout(finishedLoadingd802f9215f5e4e9b812f0b8465a4a176, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-d802f9215f5e4e9b812f0b8465a4a176").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-d802f9215f5e4e9b812f0b8465a4a176").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-d802f9215f5e4e9b812f0b8465a4a176").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-d802f9215f5e4e9b812f0b8465a4a176").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-d802f9215f5e4e9b812f0b8465a4a176").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=mpmRecaptchaLoadedd802f9215f5e4e9b812f0b8465a4a176&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupd802f9215f5e4e9b812f0b8465a4a176() { let popups = document.getElementById("mpform-d802f9215f5e4e9b812f0b8465a4a176").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputd802f9215f5e4e9b812f0b8465a4a176() { 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 () { finishedLoadingd802f9215f5e4e9b812f0b8465a4a176(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingd802f9215f5e4e9b812f0b8465a4a176(); } } 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); mploadTelInputd802f9215f5e4e9b812f0b8465a4a176(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitd802f9215f5e4e9b812f0b8465a4a176(); } else { function waitForOtherFormsmpFrme6d191e5a3a44069856a0e83d9f12d1e() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitd802f9215f5e4e9b812f0b8465a4a176(); } else { setTimeout(waitForOtherFormsmpFrme6d191e5a3a44069856a0e83d9f12d1e,300); } } waitForOtherFormsmpFrme6d191e5a3a44069856a0e83d9f12d1e(); }