var captchaWidgetmpFrmbbbbefe8006a4b828136b806fe5efdc9; var mpCurrentScriptmpFrmbbbbefe8006a4b828136b806fe5efdc9Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmbbbbefe8006a4b828136b806fe5efdc9"; 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); mpFormmpFrmbbbbefe8006a4b828136b806fe5efdc9Find(); } })(); function mpFormmpFrmbbbbefe8006a4b828136b806fe5efdc9Find() { if(!mpCurrentScriptmpFrmbbbbefe8006a4b828136b806fe5efdc9Container) return; if (mpCurrentScriptmpFrmbbbbefe8006a4b828136b806fe5efdc9Container && mpCurrentScriptmpFrmbbbbefe8006a4b828136b806fe5efdc9Container.nodeName && mpCurrentScriptmpFrmbbbbefe8006a4b828136b806fe5efdc9Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmbbbbefe8006a4b828136b806fe5efdc9" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmbbbbefe8006a4b828136b806fe5efdc9Container.children).forEach(c => { if (c.id === "mpFrmbbbbefe8006a4b828136b806fe5efdc9") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptfa8a813089594506a1015fee6d9ac90dContainer.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmbbbbefe8006a4b828136b806fe5efdc9"; } } } } function mpFormfa8a813089594506a1015fee6d9ac90dCheck() { let checkBoxes = document.getElementById("mpform-fa8a813089594506a1015fee6d9ac90d").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 mpFormfa8a813089594506a1015fee6d9ac90dSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-fa8a813089594506a1015fee6d9ac90d").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-fa8a813089594506a1015fee6d9ac90d").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-fa8a813089594506a1015fee6d9ac90d").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-fa8a813089594506a1015fee6d9ac90d')), 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: getTrackingIdfa8a813089594506a1015fee6d9ac90d() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-fa8a813089594506a1015fee6d9ac90d").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-fa8a813089594506a1015fee6d9ac90d").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) { mpFormfa8a813089594506a1015fee6d9ac90dCheck(); 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-fa8a813089594506a1015fee6d9ac90d').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-fa8a813089594506a1015fee6d9ac90d").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-fa8a813089594506a1015fee6d9ac90d').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmbbbbefe8006a4b828136b806fe5efdc9); } else { mpFormfa8a813089594506a1015fee6d9ac90dCheck(); 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 mpmRecaptchaLoadedfa8a813089594506a1015fee6d9ac90d() { captchaWidgetmpFrmbbbbefe8006a4b828136b806fe5efdc9 = grecaptcha.render('mpmRecaptchampFrmbbbbefe8006a4b828136b806fe5efdc9', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdfa8a813089594506a1015fee6d9ac90d() { 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 mpmFormInitfa8a813089594506a1015fee6d9ac90d () { 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 finishedLoadingfa8a813089594506a1015fee6d9ac90d() { window.mpFormLoading = false; let container = document.getElementById('mpFrmbbbbefe8006a4b828136b806fe5efdc9'); if (!container) { mpFormmpFrmbbbbefe8006a4b828136b806fe5efdc9Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmbbbbefe8006a4b828136b806fe5efdc9'); return setTimeout(finishedLoadingfa8a813089594506a1015fee6d9ac90d, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-fa8a813089594506a1015fee6d9ac90d").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-fa8a813089594506a1015fee6d9ac90d").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-fa8a813089594506a1015fee6d9ac90d").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-fa8a813089594506a1015fee6d9ac90d").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-fa8a813089594506a1015fee6d9ac90d").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=mpmRecaptchaLoadedfa8a813089594506a1015fee6d9ac90d&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupfa8a813089594506a1015fee6d9ac90d() { let popups = document.getElementById("mpform-fa8a813089594506a1015fee6d9ac90d").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputfa8a813089594506a1015fee6d9ac90d() { 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 () { finishedLoadingfa8a813089594506a1015fee6d9ac90d(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingfa8a813089594506a1015fee6d9ac90d(); } } 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); mploadTelInputfa8a813089594506a1015fee6d9ac90d(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitfa8a813089594506a1015fee6d9ac90d(); } else { function waitForOtherFormsmpFrmbbbbefe8006a4b828136b806fe5efdc9() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitfa8a813089594506a1015fee6d9ac90d(); } else { setTimeout(waitForOtherFormsmpFrmbbbbefe8006a4b828136b806fe5efdc9,300); } } waitForOtherFormsmpFrmbbbbefe8006a4b828136b806fe5efdc9(); }