var captchaWidgetmpFrmf58d6541b7114c0f83250988d646eeea; var mpCurrentScriptmpFrmf58d6541b7114c0f83250988d646eeeaContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmf58d6541b7114c0f83250988d646eeea"; 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); }); } mpFormmpFrmf58d6541b7114c0f83250988d646eeeaFind(); } 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); mpFormmpFrmf58d6541b7114c0f83250988d646eeeaFind(); } })(); function mpFormmpFrmf58d6541b7114c0f83250988d646eeeaFind() { if(!mpCurrentScriptmpFrmf58d6541b7114c0f83250988d646eeeaContainer) return; if (mpCurrentScriptmpFrmf58d6541b7114c0f83250988d646eeeaContainer && mpCurrentScriptmpFrmf58d6541b7114c0f83250988d646eeeaContainer.nodeName && mpCurrentScriptmpFrmf58d6541b7114c0f83250988d646eeeaContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmf58d6541b7114c0f83250988d646eeea" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmf58d6541b7114c0f83250988d646eeeaContainer.children).forEach(c => { if (c.id === "mpFrmf58d6541b7114c0f83250988d646eeea") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript59ab2790be044379873ecad0a8216afbContainer.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmf58d6541b7114c0f83250988d646eeea"; } } } } function mpForm59ab2790be044379873ecad0a8216afbCheck() { let checkBoxes = document.getElementById("mpform-59ab2790be044379873ecad0a8216afb").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 mpForm59ab2790be044379873ecad0a8216afbSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-59ab2790be044379873ecad0a8216afb").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-59ab2790be044379873ecad0a8216afb").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-59ab2790be044379873ecad0a8216afb").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-59ab2790be044379873ecad0a8216afb')), 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: getTrackingId59ab2790be044379873ecad0a8216afb() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-59ab2790be044379873ecad0a8216afb").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-59ab2790be044379873ecad0a8216afb").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) { mpForm59ab2790be044379873ecad0a8216afbCheck(); 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-59ab2790be044379873ecad0a8216afb').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-59ab2790be044379873ecad0a8216afb").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-59ab2790be044379873ecad0a8216afb').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmf58d6541b7114c0f83250988d646eeea); } else { mpForm59ab2790be044379873ecad0a8216afbCheck(); 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 mpmRecaptchaLoaded59ab2790be044379873ecad0a8216afb() { captchaWidgetmpFrmf58d6541b7114c0f83250988d646eeea = grecaptcha.render('mpmRecaptchampFrmf58d6541b7114c0f83250988d646eeea', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId59ab2790be044379873ecad0a8216afb() { 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 mpmFormInit59ab2790be044379873ecad0a8216afb () { 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 finishedLoading59ab2790be044379873ecad0a8216afb() { window.mpFormLoading = false; let container = document.getElementById('mpFrmf58d6541b7114c0f83250988d646eeea'); if (!container) { mpFormmpFrmf58d6541b7114c0f83250988d646eeeaFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmf58d6541b7114c0f83250988d646eeea'); return setTimeout(finishedLoading59ab2790be044379873ecad0a8216afb, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-59ab2790be044379873ecad0a8216afb").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-59ab2790be044379873ecad0a8216afb").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-59ab2790be044379873ecad0a8216afb").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-59ab2790be044379873ecad0a8216afb").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-59ab2790be044379873ecad0a8216afb").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=mpmRecaptchaLoaded59ab2790be044379873ecad0a8216afb&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup59ab2790be044379873ecad0a8216afb() { let popups = document.getElementById("mpform-59ab2790be044379873ecad0a8216afb").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput59ab2790be044379873ecad0a8216afb() { 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 () { finishedLoading59ab2790be044379873ecad0a8216afb(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading59ab2790be044379873ecad0a8216afb(); } } 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); mploadTelInput59ab2790be044379873ecad0a8216afb(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit59ab2790be044379873ecad0a8216afb(); } else { function waitForOtherFormsmpFrmf58d6541b7114c0f83250988d646eeea() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit59ab2790be044379873ecad0a8216afb(); } else { setTimeout(waitForOtherFormsmpFrmf58d6541b7114c0f83250988d646eeea,300); } } waitForOtherFormsmpFrmf58d6541b7114c0f83250988d646eeea(); }