var captchaWidgetmpFrmab69260270ba4cd4a7da4e16204275f8; var mpCurrentScriptmpFrmab69260270ba4cd4a7da4e16204275f8Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmab69260270ba4cd4a7da4e16204275f8"; 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); mpFormmpFrmab69260270ba4cd4a7da4e16204275f8Find(); } })(); function mpFormmpFrmab69260270ba4cd4a7da4e16204275f8Find() { if(!mpCurrentScriptmpFrmab69260270ba4cd4a7da4e16204275f8Container) return; if (mpCurrentScriptmpFrmab69260270ba4cd4a7da4e16204275f8Container && mpCurrentScriptmpFrmab69260270ba4cd4a7da4e16204275f8Container.nodeName && mpCurrentScriptmpFrmab69260270ba4cd4a7da4e16204275f8Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmab69260270ba4cd4a7da4e16204275f8" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmab69260270ba4cd4a7da4e16204275f8Container.children).forEach(c => { if (c.id === "mpFrmab69260270ba4cd4a7da4e16204275f8") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptcfe457016c104739bb436a8b1887fb71Container.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmab69260270ba4cd4a7da4e16204275f8"; } } } } function mpFormcfe457016c104739bb436a8b1887fb71Check() { let checkBoxes = document.getElementById("mpform-cfe457016c104739bb436a8b1887fb71").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 mpFormcfe457016c104739bb436a8b1887fb71Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-cfe457016c104739bb436a8b1887fb71").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-cfe457016c104739bb436a8b1887fb71").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-cfe457016c104739bb436a8b1887fb71").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-cfe457016c104739bb436a8b1887fb71')), 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: getTrackingIdcfe457016c104739bb436a8b1887fb71() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-cfe457016c104739bb436a8b1887fb71").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-cfe457016c104739bb436a8b1887fb71").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) { mpFormcfe457016c104739bb436a8b1887fb71Check(); 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-cfe457016c104739bb436a8b1887fb71').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-cfe457016c104739bb436a8b1887fb71").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-cfe457016c104739bb436a8b1887fb71').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmab69260270ba4cd4a7da4e16204275f8); } else { mpFormcfe457016c104739bb436a8b1887fb71Check(); 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 mpmRecaptchaLoadedcfe457016c104739bb436a8b1887fb71() { captchaWidgetmpFrmab69260270ba4cd4a7da4e16204275f8 = grecaptcha.render('mpmRecaptchampFrmab69260270ba4cd4a7da4e16204275f8', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdcfe457016c104739bb436a8b1887fb71() { 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 mpmFormInitcfe457016c104739bb436a8b1887fb71 () { 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 finishedLoadingcfe457016c104739bb436a8b1887fb71() { window.mpFormLoading = false; let container = document.getElementById('mpFrmab69260270ba4cd4a7da4e16204275f8'); if (!container) { mpFormmpFrmab69260270ba4cd4a7da4e16204275f8Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmab69260270ba4cd4a7da4e16204275f8'); return setTimeout(finishedLoadingcfe457016c104739bb436a8b1887fb71, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-cfe457016c104739bb436a8b1887fb71").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-cfe457016c104739bb436a8b1887fb71").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-cfe457016c104739bb436a8b1887fb71").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-cfe457016c104739bb436a8b1887fb71").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-cfe457016c104739bb436a8b1887fb71").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=mpmRecaptchaLoadedcfe457016c104739bb436a8b1887fb71&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupcfe457016c104739bb436a8b1887fb71() { let popups = document.getElementById("mpform-cfe457016c104739bb436a8b1887fb71").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputcfe457016c104739bb436a8b1887fb71() { 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 () { finishedLoadingcfe457016c104739bb436a8b1887fb71(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingcfe457016c104739bb436a8b1887fb71(); } } 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); mploadTelInputcfe457016c104739bb436a8b1887fb71(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitcfe457016c104739bb436a8b1887fb71(); } else { function waitForOtherFormsmpFrmab69260270ba4cd4a7da4e16204275f8() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitcfe457016c104739bb436a8b1887fb71(); } else { setTimeout(waitForOtherFormsmpFrmab69260270ba4cd4a7da4e16204275f8,300); } } waitForOtherFormsmpFrmab69260270ba4cd4a7da4e16204275f8(); }