var captchaWidgetmpFrmbb87f817b1274aadabba3f99239dacd8; var mpCurrentScriptmpFrmbb87f817b1274aadabba3f99239dacd8Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmbb87f817b1274aadabba3f99239dacd8"; 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); }); } mpFormmpFrmbb87f817b1274aadabba3f99239dacd8Find(); } 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); mpFormmpFrmbb87f817b1274aadabba3f99239dacd8Find(); } })(); function mpFormmpFrmbb87f817b1274aadabba3f99239dacd8Find() { if(!mpCurrentScriptmpFrmbb87f817b1274aadabba3f99239dacd8Container) return; if (mpCurrentScriptmpFrmbb87f817b1274aadabba3f99239dacd8Container && mpCurrentScriptmpFrmbb87f817b1274aadabba3f99239dacd8Container.nodeName && mpCurrentScriptmpFrmbb87f817b1274aadabba3f99239dacd8Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmbb87f817b1274aadabba3f99239dacd8" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmbb87f817b1274aadabba3f99239dacd8Container.children).forEach(c => { if (c.id === "mpFrmbb87f817b1274aadabba3f99239dacd8") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript7250eca44e314c0b829d333555324c5cContainer.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmbb87f817b1274aadabba3f99239dacd8"; } } } } function mpForm7250eca44e314c0b829d333555324c5cCheck() { let checkBoxes = document.getElementById("mpform-7250eca44e314c0b829d333555324c5c").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 mpForm7250eca44e314c0b829d333555324c5cSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-7250eca44e314c0b829d333555324c5c").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-7250eca44e314c0b829d333555324c5c").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-7250eca44e314c0b829d333555324c5c").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-7250eca44e314c0b829d333555324c5c')), 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: getTrackingId7250eca44e314c0b829d333555324c5c() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-7250eca44e314c0b829d333555324c5c").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-7250eca44e314c0b829d333555324c5c").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) { mpForm7250eca44e314c0b829d333555324c5cCheck(); 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-7250eca44e314c0b829d333555324c5c').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-7250eca44e314c0b829d333555324c5c").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-7250eca44e314c0b829d333555324c5c').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmbb87f817b1274aadabba3f99239dacd8); } else { mpForm7250eca44e314c0b829d333555324c5cCheck(); 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 mpmRecaptchaLoaded7250eca44e314c0b829d333555324c5c() { captchaWidgetmpFrmbb87f817b1274aadabba3f99239dacd8 = grecaptcha.render('mpmRecaptchampFrmbb87f817b1274aadabba3f99239dacd8', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId7250eca44e314c0b829d333555324c5c() { 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 mpmFormInit7250eca44e314c0b829d333555324c5c () { 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 finishedLoading7250eca44e314c0b829d333555324c5c() { window.mpFormLoading = false; let container = document.getElementById('mpFrmbb87f817b1274aadabba3f99239dacd8'); if (!container) { mpFormmpFrmbb87f817b1274aadabba3f99239dacd8Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmbb87f817b1274aadabba3f99239dacd8'); return setTimeout(finishedLoading7250eca44e314c0b829d333555324c5c, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-7250eca44e314c0b829d333555324c5c").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-7250eca44e314c0b829d333555324c5c").querySelectorAll('input[type=TELNO]'); if(telInputs) { let telInputCSSOver = ""; 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", customContainer: "mpm-tel-input-container-7250eca44e314c0b829d333555324c5c-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-7250eca44e314c0b829d333555324c5c-" + i + " { margin: " + tmpMargin + " } " } } if(telInputCSSOver) { let style = document.createElement("style"); style.innerHTML = telInputCSSOver; document.getElementsByTagName("head")[0].appendChild(style); } } if(subscriberData) { let customFields = document.getElementById("mpform-7250eca44e314c0b829d333555324c5c").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-7250eca44e314c0b829d333555324c5c").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-7250eca44e314c0b829d333555324c5c").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=mpmRecaptchaLoaded7250eca44e314c0b829d333555324c5c&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup7250eca44e314c0b829d333555324c5c() { let popups = document.getElementById("mpform-7250eca44e314c0b829d333555324c5c").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput7250eca44e314c0b829d333555324c5c() { 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 () { finishedLoading7250eca44e314c0b829d333555324c5c(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading7250eca44e314c0b829d333555324c5c(); } } 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); mploadTelInput7250eca44e314c0b829d333555324c5c(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit7250eca44e314c0b829d333555324c5c(); } else { function waitForOtherFormsmpFrmbb87f817b1274aadabba3f99239dacd8() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit7250eca44e314c0b829d333555324c5c(); } else { setTimeout(waitForOtherFormsmpFrmbb87f817b1274aadabba3f99239dacd8,300); } } waitForOtherFormsmpFrmbb87f817b1274aadabba3f99239dacd8(); }