var captchaWidgetmpFrm6c71d880c7f643ee85c66da5cfae0185; var mpCurrentScriptmpFrm6c71d880c7f643ee85c66da5cfae0185Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm6c71d880c7f643ee85c66da5cfae0185"; 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); mpFormmpFrm6c71d880c7f643ee85c66da5cfae0185Find(); } })(); function mpFormmpFrm6c71d880c7f643ee85c66da5cfae0185Find() { if(!mpCurrentScriptmpFrm6c71d880c7f643ee85c66da5cfae0185Container) return; if (mpCurrentScriptmpFrm6c71d880c7f643ee85c66da5cfae0185Container && mpCurrentScriptmpFrm6c71d880c7f643ee85c66da5cfae0185Container.nodeName && mpCurrentScriptmpFrm6c71d880c7f643ee85c66da5cfae0185Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm6c71d880c7f643ee85c66da5cfae0185" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm6c71d880c7f643ee85c66da5cfae0185Container.children).forEach(c => { if (c.id === "mpFrm6c71d880c7f643ee85c66da5cfae0185") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript1cc08ca4051e4d9d88b5854af5fa4234Container.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm6c71d880c7f643ee85c66da5cfae0185"; } } } } function mpForm1cc08ca4051e4d9d88b5854af5fa4234Check() { let checkBoxes = document.getElementById("mpform-1cc08ca4051e4d9d88b5854af5fa4234").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 mpForm1cc08ca4051e4d9d88b5854af5fa4234Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-1cc08ca4051e4d9d88b5854af5fa4234").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-1cc08ca4051e4d9d88b5854af5fa4234").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-1cc08ca4051e4d9d88b5854af5fa4234").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-1cc08ca4051e4d9d88b5854af5fa4234')), 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: getTrackingId1cc08ca4051e4d9d88b5854af5fa4234() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-1cc08ca4051e4d9d88b5854af5fa4234").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-1cc08ca4051e4d9d88b5854af5fa4234").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) { mpForm1cc08ca4051e4d9d88b5854af5fa4234Check(); 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-1cc08ca4051e4d9d88b5854af5fa4234').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-1cc08ca4051e4d9d88b5854af5fa4234").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-1cc08ca4051e4d9d88b5854af5fa4234').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm6c71d880c7f643ee85c66da5cfae0185); } else { mpForm1cc08ca4051e4d9d88b5854af5fa4234Check(); 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 mpmRecaptchaLoaded1cc08ca4051e4d9d88b5854af5fa4234() { captchaWidgetmpFrm6c71d880c7f643ee85c66da5cfae0185 = grecaptcha.render('mpmRecaptchampFrm6c71d880c7f643ee85c66da5cfae0185', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId1cc08ca4051e4d9d88b5854af5fa4234() { 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 mpmFormInit1cc08ca4051e4d9d88b5854af5fa4234 () { 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 finishedLoading1cc08ca4051e4d9d88b5854af5fa4234() { window.mpFormLoading = false; let container = document.getElementById('mpFrm6c71d880c7f643ee85c66da5cfae0185'); if (!container) { mpFormmpFrm6c71d880c7f643ee85c66da5cfae0185Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm6c71d880c7f643ee85c66da5cfae0185'); return setTimeout(finishedLoading1cc08ca4051e4d9d88b5854af5fa4234, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-1cc08ca4051e4d9d88b5854af5fa4234").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-1cc08ca4051e4d9d88b5854af5fa4234").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-1cc08ca4051e4d9d88b5854af5fa4234").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-1cc08ca4051e4d9d88b5854af5fa4234").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-1cc08ca4051e4d9d88b5854af5fa4234").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=mpmRecaptchaLoaded1cc08ca4051e4d9d88b5854af5fa4234&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup1cc08ca4051e4d9d88b5854af5fa4234() { let popups = document.getElementById("mpform-1cc08ca4051e4d9d88b5854af5fa4234").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput1cc08ca4051e4d9d88b5854af5fa4234() { 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 () { finishedLoading1cc08ca4051e4d9d88b5854af5fa4234(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading1cc08ca4051e4d9d88b5854af5fa4234(); } } 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); mploadTelInput1cc08ca4051e4d9d88b5854af5fa4234(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit1cc08ca4051e4d9d88b5854af5fa4234(); } else { function waitForOtherFormsmpFrm6c71d880c7f643ee85c66da5cfae0185() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit1cc08ca4051e4d9d88b5854af5fa4234(); } else { setTimeout(waitForOtherFormsmpFrm6c71d880c7f643ee85c66da5cfae0185,300); } } waitForOtherFormsmpFrm6c71d880c7f643ee85c66da5cfae0185(); }