var captchaWidgetmpFrm6c854a971bdf4e049d72f192e9c3dbab; var mpCurrentScriptmpFrm6c854a971bdf4e049d72f192e9c3dbabContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm6c854a971bdf4e049d72f192e9c3dbab"; 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); }); } mpFormmpFrm6c854a971bdf4e049d72f192e9c3dbabFind(); } 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); mpFormmpFrm6c854a971bdf4e049d72f192e9c3dbabFind(); } })(); function mpFormmpFrm6c854a971bdf4e049d72f192e9c3dbabFind() { if(!mpCurrentScriptmpFrm6c854a971bdf4e049d72f192e9c3dbabContainer) return; if (mpCurrentScriptmpFrm6c854a971bdf4e049d72f192e9c3dbabContainer && mpCurrentScriptmpFrm6c854a971bdf4e049d72f192e9c3dbabContainer.nodeName && mpCurrentScriptmpFrm6c854a971bdf4e049d72f192e9c3dbabContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm6c854a971bdf4e049d72f192e9c3dbab" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm6c854a971bdf4e049d72f192e9c3dbabContainer.children).forEach(c => { if (c.id === "mpFrm6c854a971bdf4e049d72f192e9c3dbab") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript022c3351d85a48f6b8c6aaa678cd5adeContainer.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm6c854a971bdf4e049d72f192e9c3dbab"; } } } } function mpForm022c3351d85a48f6b8c6aaa678cd5adeCheck() { let checkBoxes = document.getElementById("mpform-022c3351d85a48f6b8c6aaa678cd5ade").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 mpForm022c3351d85a48f6b8c6aaa678cd5adeSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-022c3351d85a48f6b8c6aaa678cd5ade").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-022c3351d85a48f6b8c6aaa678cd5ade").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-022c3351d85a48f6b8c6aaa678cd5ade").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-022c3351d85a48f6b8c6aaa678cd5ade')), 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: getTrackingId022c3351d85a48f6b8c6aaa678cd5ade() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-022c3351d85a48f6b8c6aaa678cd5ade").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-022c3351d85a48f6b8c6aaa678cd5ade").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) { mpForm022c3351d85a48f6b8c6aaa678cd5adeCheck(); 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-022c3351d85a48f6b8c6aaa678cd5ade').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-022c3351d85a48f6b8c6aaa678cd5ade").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-022c3351d85a48f6b8c6aaa678cd5ade').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm6c854a971bdf4e049d72f192e9c3dbab); } else { mpForm022c3351d85a48f6b8c6aaa678cd5adeCheck(); 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 mpmRecaptchaLoaded022c3351d85a48f6b8c6aaa678cd5ade() { captchaWidgetmpFrm6c854a971bdf4e049d72f192e9c3dbab = grecaptcha.render('mpmRecaptchampFrm6c854a971bdf4e049d72f192e9c3dbab', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId022c3351d85a48f6b8c6aaa678cd5ade() { 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 mpmFormInit022c3351d85a48f6b8c6aaa678cd5ade () { 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 finishedLoading022c3351d85a48f6b8c6aaa678cd5ade() { window.mpFormLoading = false; let container = document.getElementById('mpFrm6c854a971bdf4e049d72f192e9c3dbab'); if (!container) { mpFormmpFrm6c854a971bdf4e049d72f192e9c3dbabFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm6c854a971bdf4e049d72f192e9c3dbab'); return setTimeout(finishedLoading022c3351d85a48f6b8c6aaa678cd5ade, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-022c3351d85a48f6b8c6aaa678cd5ade").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-022c3351d85a48f6b8c6aaa678cd5ade").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-022c3351d85a48f6b8c6aaa678cd5ade").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-022c3351d85a48f6b8c6aaa678cd5ade").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-022c3351d85a48f6b8c6aaa678cd5ade").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=mpmRecaptchaLoaded022c3351d85a48f6b8c6aaa678cd5ade&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup022c3351d85a48f6b8c6aaa678cd5ade() { let popups = document.getElementById("mpform-022c3351d85a48f6b8c6aaa678cd5ade").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput022c3351d85a48f6b8c6aaa678cd5ade() { 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 () { finishedLoading022c3351d85a48f6b8c6aaa678cd5ade(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading022c3351d85a48f6b8c6aaa678cd5ade(); } } 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); mploadTelInput022c3351d85a48f6b8c6aaa678cd5ade(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit022c3351d85a48f6b8c6aaa678cd5ade(); } else { function waitForOtherFormsmpFrm6c854a971bdf4e049d72f192e9c3dbab() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit022c3351d85a48f6b8c6aaa678cd5ade(); } else { setTimeout(waitForOtherFormsmpFrm6c854a971bdf4e049d72f192e9c3dbab,300); } } waitForOtherFormsmpFrm6c854a971bdf4e049d72f192e9c3dbab(); }