var captchaWidgetmpFrmb7f6873f8ee845ff874adcf1b4281eb2; var mpCurrentScriptmpFrmb7f6873f8ee845ff874adcf1b4281eb2Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmb7f6873f8ee845ff874adcf1b4281eb2"; 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); }); } mpFormmpFrmb7f6873f8ee845ff874adcf1b4281eb2Find(); } 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); mpFormmpFrmb7f6873f8ee845ff874adcf1b4281eb2Find(); } })(); function mpFormmpFrmb7f6873f8ee845ff874adcf1b4281eb2Find() { if(!mpCurrentScriptmpFrmb7f6873f8ee845ff874adcf1b4281eb2Container) return; if (mpCurrentScriptmpFrmb7f6873f8ee845ff874adcf1b4281eb2Container && mpCurrentScriptmpFrmb7f6873f8ee845ff874adcf1b4281eb2Container.nodeName && mpCurrentScriptmpFrmb7f6873f8ee845ff874adcf1b4281eb2Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmb7f6873f8ee845ff874adcf1b4281eb2" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmb7f6873f8ee845ff874adcf1b4281eb2Container.children).forEach(c => { if (c.id === "mpFrmb7f6873f8ee845ff874adcf1b4281eb2") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript1ed035f394b345868de636f7c80c499cContainer.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmb7f6873f8ee845ff874adcf1b4281eb2"; } } } } function mpForm1ed035f394b345868de636f7c80c499cCheck() { let checkBoxes = document.getElementById("mpform-1ed035f394b345868de636f7c80c499c").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 mpForm1ed035f394b345868de636f7c80c499cSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-1ed035f394b345868de636f7c80c499c").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-1ed035f394b345868de636f7c80c499c").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-1ed035f394b345868de636f7c80c499c").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-1ed035f394b345868de636f7c80c499c')), 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: getTrackingId1ed035f394b345868de636f7c80c499c() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-1ed035f394b345868de636f7c80c499c").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-1ed035f394b345868de636f7c80c499c").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) { mpForm1ed035f394b345868de636f7c80c499cCheck(); 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-1ed035f394b345868de636f7c80c499c').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-1ed035f394b345868de636f7c80c499c").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-1ed035f394b345868de636f7c80c499c').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmb7f6873f8ee845ff874adcf1b4281eb2); } else { mpForm1ed035f394b345868de636f7c80c499cCheck(); 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 mpmRecaptchaLoaded1ed035f394b345868de636f7c80c499c() { captchaWidgetmpFrmb7f6873f8ee845ff874adcf1b4281eb2 = grecaptcha.render('mpmRecaptchampFrmb7f6873f8ee845ff874adcf1b4281eb2', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId1ed035f394b345868de636f7c80c499c() { 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 mpmFormInit1ed035f394b345868de636f7c80c499c () { 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 finishedLoading1ed035f394b345868de636f7c80c499c() { window.mpFormLoading = false; let container = document.getElementById('mpFrmb7f6873f8ee845ff874adcf1b4281eb2'); if (!container) { mpFormmpFrmb7f6873f8ee845ff874adcf1b4281eb2Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmb7f6873f8ee845ff874adcf1b4281eb2'); return setTimeout(finishedLoading1ed035f394b345868de636f7c80c499c, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-1ed035f394b345868de636f7c80c499c").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-1ed035f394b345868de636f7c80c499c").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-1ed035f394b345868de636f7c80c499c-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-1ed035f394b345868de636f7c80c499c-" + 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-1ed035f394b345868de636f7c80c499c").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-1ed035f394b345868de636f7c80c499c").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-1ed035f394b345868de636f7c80c499c").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=mpmRecaptchaLoaded1ed035f394b345868de636f7c80c499c&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup1ed035f394b345868de636f7c80c499c() { let popups = document.getElementById("mpform-1ed035f394b345868de636f7c80c499c").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput1ed035f394b345868de636f7c80c499c() { 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 () { finishedLoading1ed035f394b345868de636f7c80c499c(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading1ed035f394b345868de636f7c80c499c(); } } 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); mploadTelInput1ed035f394b345868de636f7c80c499c(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit1ed035f394b345868de636f7c80c499c(); } else { function waitForOtherFormsmpFrmb7f6873f8ee845ff874adcf1b4281eb2() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit1ed035f394b345868de636f7c80c499c(); } else { setTimeout(waitForOtherFormsmpFrmb7f6873f8ee845ff874adcf1b4281eb2,300); } } waitForOtherFormsmpFrmb7f6873f8ee845ff874adcf1b4281eb2(); }