var captchaWidgetmpFrmbe9358b349f34053af1d99621cf43a50; var mpCurrentScriptmpFrmbe9358b349f34053af1d99621cf43a50Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmbe9358b349f34053af1d99621cf43a50"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41939"); if (window.self !== window.top) { if (document.body) { document.body.appendChild(containerDiv); } else { document.addEventListener("DOMContentLoaded", function() { document.body.appendChild(containerDiv); }); } mpFormmpFrmbe9358b349f34053af1d99621cf43a50Find(); } 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); mpFormmpFrmbe9358b349f34053af1d99621cf43a50Find(); } })(); function mpFormmpFrmbe9358b349f34053af1d99621cf43a50Find() { if(!mpCurrentScriptmpFrmbe9358b349f34053af1d99621cf43a50Container) return; if (mpCurrentScriptmpFrmbe9358b349f34053af1d99621cf43a50Container && mpCurrentScriptmpFrmbe9358b349f34053af1d99621cf43a50Container.nodeName && mpCurrentScriptmpFrmbe9358b349f34053af1d99621cf43a50Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmbe9358b349f34053af1d99621cf43a50" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmbe9358b349f34053af1d99621cf43a50Container.children).forEach(c => { if (c.id === "mpFrmbe9358b349f34053af1d99621cf43a50") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScripta772215c0f3f43cd86de381f5c7af9c7Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmbe9358b349f34053af1d99621cf43a50"; } } } } function mpForma772215c0f3f43cd86de381f5c7af9c7Check() { let checkBoxes = document.getElementById("mpform-a772215c0f3f43cd86de381f5c7af9c7").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 mpForma772215c0f3f43cd86de381f5c7af9c7Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-a772215c0f3f43cd86de381f5c7af9c7").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-a772215c0f3f43cd86de381f5c7af9c7").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-a772215c0f3f43cd86de381f5c7af9c7").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-a772215c0f3f43cd86de381f5c7af9c7')), 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: getTrackingIda772215c0f3f43cd86de381f5c7af9c7() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-a772215c0f3f43cd86de381f5c7af9c7").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-a772215c0f3f43cd86de381f5c7af9c7").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) { mpForma772215c0f3f43cd86de381f5c7af9c7Check(); 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-a772215c0f3f43cd86de381f5c7af9c7').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-a772215c0f3f43cd86de381f5c7af9c7").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-a772215c0f3f43cd86de381f5c7af9c7').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmbe9358b349f34053af1d99621cf43a50); } else { mpForma772215c0f3f43cd86de381f5c7af9c7Check(); 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 mpmRecaptchaLoadeda772215c0f3f43cd86de381f5c7af9c7() { captchaWidgetmpFrmbe9358b349f34053af1d99621cf43a50 = grecaptcha.render('mpmRecaptchampFrmbe9358b349f34053af1d99621cf43a50', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIda772215c0f3f43cd86de381f5c7af9c7() { 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 mpmFormInita772215c0f3f43cd86de381f5c7af9c7 () { 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 finishedLoadinga772215c0f3f43cd86de381f5c7af9c7() { window.mpFormLoading = false; let container = document.getElementById('mpFrmbe9358b349f34053af1d99621cf43a50'); if (!container) { mpFormmpFrmbe9358b349f34053af1d99621cf43a50Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmbe9358b349f34053af1d99621cf43a50'); return setTimeout(finishedLoadinga772215c0f3f43cd86de381f5c7af9c7, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-a772215c0f3f43cd86de381f5c7af9c7").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-a772215c0f3f43cd86de381f5c7af9c7").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-a772215c0f3f43cd86de381f5c7af9c7-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-a772215c0f3f43cd86de381f5c7af9c7-" + 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-a772215c0f3f43cd86de381f5c7af9c7").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-a772215c0f3f43cd86de381f5c7af9c7").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-a772215c0f3f43cd86de381f5c7af9c7").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=mpmRecaptchaLoadeda772215c0f3f43cd86de381f5c7af9c7&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupa772215c0f3f43cd86de381f5c7af9c7() { let popups = document.getElementById("mpform-a772215c0f3f43cd86de381f5c7af9c7").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputa772215c0f3f43cd86de381f5c7af9c7() { 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 () { finishedLoadinga772215c0f3f43cd86de381f5c7af9c7(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinga772215c0f3f43cd86de381f5c7af9c7(); } } 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); mploadTelInputa772215c0f3f43cd86de381f5c7af9c7(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInita772215c0f3f43cd86de381f5c7af9c7(); } else { function waitForOtherFormsmpFrmbe9358b349f34053af1d99621cf43a50() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInita772215c0f3f43cd86de381f5c7af9c7(); } else { setTimeout(waitForOtherFormsmpFrmbe9358b349f34053af1d99621cf43a50,300); } } waitForOtherFormsmpFrmbe9358b349f34053af1d99621cf43a50(); }