var captchaWidgetmpFrm75767ab877074aa590b467ae6aa3efbe; var mpCurrentScriptmpFrm75767ab877074aa590b467ae6aa3efbeContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm75767ab877074aa590b467ae6aa3efbe"; 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); mpFormmpFrm75767ab877074aa590b467ae6aa3efbeFind(); } })(); function mpFormmpFrm75767ab877074aa590b467ae6aa3efbeFind() { if(!mpCurrentScriptmpFrm75767ab877074aa590b467ae6aa3efbeContainer) return; if (mpCurrentScriptmpFrm75767ab877074aa590b467ae6aa3efbeContainer && mpCurrentScriptmpFrm75767ab877074aa590b467ae6aa3efbeContainer.nodeName && mpCurrentScriptmpFrm75767ab877074aa590b467ae6aa3efbeContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm75767ab877074aa590b467ae6aa3efbe" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm75767ab877074aa590b467ae6aa3efbeContainer.children).forEach(c => { if (c.id === "mpFrm75767ab877074aa590b467ae6aa3efbe") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptb858a2a419e043e88e6dd7d9016a271bContainer.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm75767ab877074aa590b467ae6aa3efbe"; } } } } function mpFormb858a2a419e043e88e6dd7d9016a271bCheck() { let checkBoxes = document.getElementById("mpform-b858a2a419e043e88e6dd7d9016a271b").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 mpFormb858a2a419e043e88e6dd7d9016a271bSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-b858a2a419e043e88e6dd7d9016a271b").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-b858a2a419e043e88e6dd7d9016a271b").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-b858a2a419e043e88e6dd7d9016a271b").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-b858a2a419e043e88e6dd7d9016a271b')), 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: getTrackingIdb858a2a419e043e88e6dd7d9016a271b() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-b858a2a419e043e88e6dd7d9016a271b").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-b858a2a419e043e88e6dd7d9016a271b").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) { mpFormb858a2a419e043e88e6dd7d9016a271bCheck(); 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-b858a2a419e043e88e6dd7d9016a271b').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-b858a2a419e043e88e6dd7d9016a271b").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-b858a2a419e043e88e6dd7d9016a271b').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm75767ab877074aa590b467ae6aa3efbe); } else { mpFormb858a2a419e043e88e6dd7d9016a271bCheck(); 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 mpmRecaptchaLoadedb858a2a419e043e88e6dd7d9016a271b() { captchaWidgetmpFrm75767ab877074aa590b467ae6aa3efbe = grecaptcha.render('mpmRecaptchampFrm75767ab877074aa590b467ae6aa3efbe', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdb858a2a419e043e88e6dd7d9016a271b() { 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 mpmFormInitb858a2a419e043e88e6dd7d9016a271b () { 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 finishedLoadingb858a2a419e043e88e6dd7d9016a271b() { window.mpFormLoading = false; let container = document.getElementById('mpFrm75767ab877074aa590b467ae6aa3efbe'); if (!container) { mpFormmpFrm75767ab877074aa590b467ae6aa3efbeFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm75767ab877074aa590b467ae6aa3efbe'); return setTimeout(finishedLoadingb858a2a419e043e88e6dd7d9016a271b, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-b858a2a419e043e88e6dd7d9016a271b").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-b858a2a419e043e88e6dd7d9016a271b").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-b858a2a419e043e88e6dd7d9016a271b").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-b858a2a419e043e88e6dd7d9016a271b").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-b858a2a419e043e88e6dd7d9016a271b").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=mpmRecaptchaLoadedb858a2a419e043e88e6dd7d9016a271b&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupb858a2a419e043e88e6dd7d9016a271b() { let popups = document.getElementById("mpform-b858a2a419e043e88e6dd7d9016a271b").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputb858a2a419e043e88e6dd7d9016a271b() { 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 () { finishedLoadingb858a2a419e043e88e6dd7d9016a271b(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingb858a2a419e043e88e6dd7d9016a271b(); } } 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); mploadTelInputb858a2a419e043e88e6dd7d9016a271b(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitb858a2a419e043e88e6dd7d9016a271b(); } else { function waitForOtherFormsmpFrm75767ab877074aa590b467ae6aa3efbe() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitb858a2a419e043e88e6dd7d9016a271b(); } else { setTimeout(waitForOtherFormsmpFrm75767ab877074aa590b467ae6aa3efbe,300); } } waitForOtherFormsmpFrm75767ab877074aa590b467ae6aa3efbe(); }