var captchaWidgetmpFrm58406248350045beb5dbb1b6fedc07e2; var mpCurrentScriptmpFrm58406248350045beb5dbb1b6fedc07e2Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm58406248350045beb5dbb1b6fedc07e2"; 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); mpFormmpFrm58406248350045beb5dbb1b6fedc07e2Find(); } })(); function mpFormmpFrm58406248350045beb5dbb1b6fedc07e2Find() { if(!mpCurrentScriptmpFrm58406248350045beb5dbb1b6fedc07e2Container) return; if (mpCurrentScriptmpFrm58406248350045beb5dbb1b6fedc07e2Container && mpCurrentScriptmpFrm58406248350045beb5dbb1b6fedc07e2Container.nodeName && mpCurrentScriptmpFrm58406248350045beb5dbb1b6fedc07e2Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm58406248350045beb5dbb1b6fedc07e2" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm58406248350045beb5dbb1b6fedc07e2Container.children).forEach(c => { if (c.id === "mpFrm58406248350045beb5dbb1b6fedc07e2") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptc7dc0525c6cc43cfb67b0a2cebea394cContainer.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm58406248350045beb5dbb1b6fedc07e2"; } } } } function mpFormc7dc0525c6cc43cfb67b0a2cebea394cCheck() { let checkBoxes = document.getElementById("mpform-c7dc0525c6cc43cfb67b0a2cebea394c").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 mpFormc7dc0525c6cc43cfb67b0a2cebea394cSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-c7dc0525c6cc43cfb67b0a2cebea394c").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-c7dc0525c6cc43cfb67b0a2cebea394c").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-c7dc0525c6cc43cfb67b0a2cebea394c").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-c7dc0525c6cc43cfb67b0a2cebea394c')), 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: getTrackingIdc7dc0525c6cc43cfb67b0a2cebea394c() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-c7dc0525c6cc43cfb67b0a2cebea394c").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-c7dc0525c6cc43cfb67b0a2cebea394c").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) { mpFormc7dc0525c6cc43cfb67b0a2cebea394cCheck(); 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-c7dc0525c6cc43cfb67b0a2cebea394c').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-c7dc0525c6cc43cfb67b0a2cebea394c").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-c7dc0525c6cc43cfb67b0a2cebea394c').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm58406248350045beb5dbb1b6fedc07e2); } else { mpFormc7dc0525c6cc43cfb67b0a2cebea394cCheck(); 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 mpmRecaptchaLoadedc7dc0525c6cc43cfb67b0a2cebea394c() { captchaWidgetmpFrm58406248350045beb5dbb1b6fedc07e2 = grecaptcha.render('mpmRecaptchampFrm58406248350045beb5dbb1b6fedc07e2', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdc7dc0525c6cc43cfb67b0a2cebea394c() { 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 mpmFormInitc7dc0525c6cc43cfb67b0a2cebea394c () { 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 finishedLoadingc7dc0525c6cc43cfb67b0a2cebea394c() { window.mpFormLoading = false; let container = document.getElementById('mpFrm58406248350045beb5dbb1b6fedc07e2'); if (!container) { mpFormmpFrm58406248350045beb5dbb1b6fedc07e2Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm58406248350045beb5dbb1b6fedc07e2'); return setTimeout(finishedLoadingc7dc0525c6cc43cfb67b0a2cebea394c, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-c7dc0525c6cc43cfb67b0a2cebea394c").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-c7dc0525c6cc43cfb67b0a2cebea394c").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-c7dc0525c6cc43cfb67b0a2cebea394c").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-c7dc0525c6cc43cfb67b0a2cebea394c").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-c7dc0525c6cc43cfb67b0a2cebea394c").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=mpmRecaptchaLoadedc7dc0525c6cc43cfb67b0a2cebea394c&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupc7dc0525c6cc43cfb67b0a2cebea394c() { let popups = document.getElementById("mpform-c7dc0525c6cc43cfb67b0a2cebea394c").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputc7dc0525c6cc43cfb67b0a2cebea394c() { 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 () { finishedLoadingc7dc0525c6cc43cfb67b0a2cebea394c(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingc7dc0525c6cc43cfb67b0a2cebea394c(); } } 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); mploadTelInputc7dc0525c6cc43cfb67b0a2cebea394c(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitc7dc0525c6cc43cfb67b0a2cebea394c(); } else { function waitForOtherFormsmpFrm58406248350045beb5dbb1b6fedc07e2() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitc7dc0525c6cc43cfb67b0a2cebea394c(); } else { setTimeout(waitForOtherFormsmpFrm58406248350045beb5dbb1b6fedc07e2,300); } } waitForOtherFormsmpFrm58406248350045beb5dbb1b6fedc07e2(); }