var captchaWidgetmpFrm1658eb96ad544613a8c0949a42bfe58c; var mpCurrentScriptmpFrm1658eb96ad544613a8c0949a42bfe58cContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm1658eb96ad544613a8c0949a42bfe58c"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41939"); 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); mpFormmpFrm1658eb96ad544613a8c0949a42bfe58cFind(); } })(); function mpFormmpFrm1658eb96ad544613a8c0949a42bfe58cFind() { if(!mpCurrentScriptmpFrm1658eb96ad544613a8c0949a42bfe58cContainer) return; if (mpCurrentScriptmpFrm1658eb96ad544613a8c0949a42bfe58cContainer && mpCurrentScriptmpFrm1658eb96ad544613a8c0949a42bfe58cContainer.nodeName && mpCurrentScriptmpFrm1658eb96ad544613a8c0949a42bfe58cContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm1658eb96ad544613a8c0949a42bfe58c" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm1658eb96ad544613a8c0949a42bfe58cContainer.children).forEach(c => { if (c.id === "mpFrm1658eb96ad544613a8c0949a42bfe58c") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript4011c7b8df604f498810f8b47c54bbefContainer.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm1658eb96ad544613a8c0949a42bfe58c"; } } } } function mpForm4011c7b8df604f498810f8b47c54bbefCheck() { let checkBoxes = document.getElementById("mpform-4011c7b8df604f498810f8b47c54bbef").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 mpForm4011c7b8df604f498810f8b47c54bbefSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-4011c7b8df604f498810f8b47c54bbef").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-4011c7b8df604f498810f8b47c54bbef").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-4011c7b8df604f498810f8b47c54bbef").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-4011c7b8df604f498810f8b47c54bbef')), 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: getTrackingId4011c7b8df604f498810f8b47c54bbef() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-4011c7b8df604f498810f8b47c54bbef").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-4011c7b8df604f498810f8b47c54bbef").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=41939", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm4011c7b8df604f498810f8b47c54bbefCheck(); 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-4011c7b8df604f498810f8b47c54bbef').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-4011c7b8df604f498810f8b47c54bbef").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-4011c7b8df604f498810f8b47c54bbef').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm1658eb96ad544613a8c0949a42bfe58c); } else { mpForm4011c7b8df604f498810f8b47c54bbefCheck(); 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 mpmRecaptchaLoaded4011c7b8df604f498810f8b47c54bbef() { captchaWidgetmpFrm1658eb96ad544613a8c0949a42bfe58c = grecaptcha.render('mpmRecaptchampFrm1658eb96ad544613a8c0949a42bfe58c', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId4011c7b8df604f498810f8b47c54bbef() { 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 mpmFormInit4011c7b8df604f498810f8b47c54bbef () { 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 finishedLoading4011c7b8df604f498810f8b47c54bbef() { window.mpFormLoading = false; let container = document.getElementById('mpFrm1658eb96ad544613a8c0949a42bfe58c'); if (!container) { mpFormmpFrm1658eb96ad544613a8c0949a42bfe58cFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm1658eb96ad544613a8c0949a42bfe58c'); return setTimeout(finishedLoading4011c7b8df604f498810f8b47c54bbef, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-4011c7b8df604f498810f8b47c54bbef").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-4011c7b8df604f498810f8b47c54bbef").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-4011c7b8df604f498810f8b47c54bbef").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-4011c7b8df604f498810f8b47c54bbef").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-4011c7b8df604f498810f8b47c54bbef").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=mpmRecaptchaLoaded4011c7b8df604f498810f8b47c54bbef&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup4011c7b8df604f498810f8b47c54bbef() { let popups = document.getElementById("mpform-4011c7b8df604f498810f8b47c54bbef").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput4011c7b8df604f498810f8b47c54bbef() { 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 () { finishedLoading4011c7b8df604f498810f8b47c54bbef(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading4011c7b8df604f498810f8b47c54bbef(); } } 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); mploadTelInput4011c7b8df604f498810f8b47c54bbef(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit4011c7b8df604f498810f8b47c54bbef(); } else { function waitForOtherFormsmpFrm1658eb96ad544613a8c0949a42bfe58c() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit4011c7b8df604f498810f8b47c54bbef(); } else { setTimeout(waitForOtherFormsmpFrm1658eb96ad544613a8c0949a42bfe58c,300); } } waitForOtherFormsmpFrm1658eb96ad544613a8c0949a42bfe58c(); }