var captchaWidgetmpFrm2cf5e15b7b8049ce9422ebaf1487d445; var mpCurrentScriptmpFrm2cf5e15b7b8049ce9422ebaf1487d445Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm2cf5e15b7b8049ce9422ebaf1487d445"; 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); }); } mpFormmpFrm2cf5e15b7b8049ce9422ebaf1487d445Find(); } 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); mpFormmpFrm2cf5e15b7b8049ce9422ebaf1487d445Find(); } })(); function mpFormmpFrm2cf5e15b7b8049ce9422ebaf1487d445Find() { if(!mpCurrentScriptmpFrm2cf5e15b7b8049ce9422ebaf1487d445Container) return; if (mpCurrentScriptmpFrm2cf5e15b7b8049ce9422ebaf1487d445Container && mpCurrentScriptmpFrm2cf5e15b7b8049ce9422ebaf1487d445Container.nodeName && mpCurrentScriptmpFrm2cf5e15b7b8049ce9422ebaf1487d445Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm2cf5e15b7b8049ce9422ebaf1487d445" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm2cf5e15b7b8049ce9422ebaf1487d445Container.children).forEach(c => { if (c.id === "mpFrm2cf5e15b7b8049ce9422ebaf1487d445") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptb63f016572e54b4abfca4e362070176aContainer.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm2cf5e15b7b8049ce9422ebaf1487d445"; } } } } function mpFormb63f016572e54b4abfca4e362070176aCheck() { let checkBoxes = document.getElementById("mpform-b63f016572e54b4abfca4e362070176a").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 mpFormb63f016572e54b4abfca4e362070176aSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-b63f016572e54b4abfca4e362070176a").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-b63f016572e54b4abfca4e362070176a").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-b63f016572e54b4abfca4e362070176a").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-b63f016572e54b4abfca4e362070176a')), 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: getTrackingIdb63f016572e54b4abfca4e362070176a() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-b63f016572e54b4abfca4e362070176a").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-b63f016572e54b4abfca4e362070176a").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) { mpFormb63f016572e54b4abfca4e362070176aCheck(); 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-b63f016572e54b4abfca4e362070176a').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-b63f016572e54b4abfca4e362070176a").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-b63f016572e54b4abfca4e362070176a').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm2cf5e15b7b8049ce9422ebaf1487d445); } else { mpFormb63f016572e54b4abfca4e362070176aCheck(); 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 mpmRecaptchaLoadedb63f016572e54b4abfca4e362070176a() { captchaWidgetmpFrm2cf5e15b7b8049ce9422ebaf1487d445 = grecaptcha.render('mpmRecaptchampFrm2cf5e15b7b8049ce9422ebaf1487d445', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdb63f016572e54b4abfca4e362070176a() { 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 mpmFormInitb63f016572e54b4abfca4e362070176a () { 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 finishedLoadingb63f016572e54b4abfca4e362070176a() { window.mpFormLoading = false; let container = document.getElementById('mpFrm2cf5e15b7b8049ce9422ebaf1487d445'); if (!container) { mpFormmpFrm2cf5e15b7b8049ce9422ebaf1487d445Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm2cf5e15b7b8049ce9422ebaf1487d445'); return setTimeout(finishedLoadingb63f016572e54b4abfca4e362070176a, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-b63f016572e54b4abfca4e362070176a").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-b63f016572e54b4abfca4e362070176a").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-b63f016572e54b4abfca4e362070176a").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-b63f016572e54b4abfca4e362070176a").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-b63f016572e54b4abfca4e362070176a").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=mpmRecaptchaLoadedb63f016572e54b4abfca4e362070176a&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupb63f016572e54b4abfca4e362070176a() { let popups = document.getElementById("mpform-b63f016572e54b4abfca4e362070176a").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputb63f016572e54b4abfca4e362070176a() { 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 () { finishedLoadingb63f016572e54b4abfca4e362070176a(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingb63f016572e54b4abfca4e362070176a(); } } 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); mploadTelInputb63f016572e54b4abfca4e362070176a(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitb63f016572e54b4abfca4e362070176a(); } else { function waitForOtherFormsmpFrm2cf5e15b7b8049ce9422ebaf1487d445() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitb63f016572e54b4abfca4e362070176a(); } else { setTimeout(waitForOtherFormsmpFrm2cf5e15b7b8049ce9422ebaf1487d445,300); } } waitForOtherFormsmpFrm2cf5e15b7b8049ce9422ebaf1487d445(); }