var captchaWidgetmpFrm72b41936ed714e96afb6317f89a6c85b; var mpCurrentScriptmpFrm72b41936ed714e96afb6317f89a6c85bContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm72b41936ed714e96afb6317f89a6c85b"; 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); }); } mpFormmpFrm72b41936ed714e96afb6317f89a6c85bFind(); } 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); mpFormmpFrm72b41936ed714e96afb6317f89a6c85bFind(); } })(); function mpFormmpFrm72b41936ed714e96afb6317f89a6c85bFind() { if(!mpCurrentScriptmpFrm72b41936ed714e96afb6317f89a6c85bContainer) return; if (mpCurrentScriptmpFrm72b41936ed714e96afb6317f89a6c85bContainer && mpCurrentScriptmpFrm72b41936ed714e96afb6317f89a6c85bContainer.nodeName && mpCurrentScriptmpFrm72b41936ed714e96afb6317f89a6c85bContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm72b41936ed714e96afb6317f89a6c85b" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm72b41936ed714e96afb6317f89a6c85bContainer.children).forEach(c => { if (c.id === "mpFrm72b41936ed714e96afb6317f89a6c85b") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript45a9dbb0224d4bd2bbd01c1991f3626dContainer.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm72b41936ed714e96afb6317f89a6c85b"; } } } } function mpForm45a9dbb0224d4bd2bbd01c1991f3626dCheck() { let checkBoxes = document.getElementById("mpform-45a9dbb0224d4bd2bbd01c1991f3626d").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 mpForm45a9dbb0224d4bd2bbd01c1991f3626dSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-45a9dbb0224d4bd2bbd01c1991f3626d").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-45a9dbb0224d4bd2bbd01c1991f3626d").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-45a9dbb0224d4bd2bbd01c1991f3626d").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-45a9dbb0224d4bd2bbd01c1991f3626d')), 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: getTrackingId45a9dbb0224d4bd2bbd01c1991f3626d() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-45a9dbb0224d4bd2bbd01c1991f3626d").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-45a9dbb0224d4bd2bbd01c1991f3626d").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) { mpForm45a9dbb0224d4bd2bbd01c1991f3626dCheck(); 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-45a9dbb0224d4bd2bbd01c1991f3626d').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-45a9dbb0224d4bd2bbd01c1991f3626d").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-45a9dbb0224d4bd2bbd01c1991f3626d').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm72b41936ed714e96afb6317f89a6c85b); } else { mpForm45a9dbb0224d4bd2bbd01c1991f3626dCheck(); 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 mpmRecaptchaLoaded45a9dbb0224d4bd2bbd01c1991f3626d() { captchaWidgetmpFrm72b41936ed714e96afb6317f89a6c85b = grecaptcha.render('mpmRecaptchampFrm72b41936ed714e96afb6317f89a6c85b', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId45a9dbb0224d4bd2bbd01c1991f3626d() { 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 mpmFormInit45a9dbb0224d4bd2bbd01c1991f3626d () { 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 finishedLoading45a9dbb0224d4bd2bbd01c1991f3626d() { window.mpFormLoading = false; let container = document.getElementById('mpFrm72b41936ed714e96afb6317f89a6c85b'); if (!container) { mpFormmpFrm72b41936ed714e96afb6317f89a6c85bFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm72b41936ed714e96afb6317f89a6c85b'); return setTimeout(finishedLoading45a9dbb0224d4bd2bbd01c1991f3626d, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-45a9dbb0224d4bd2bbd01c1991f3626d").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-45a9dbb0224d4bd2bbd01c1991f3626d").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-45a9dbb0224d4bd2bbd01c1991f3626d").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-45a9dbb0224d4bd2bbd01c1991f3626d").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-45a9dbb0224d4bd2bbd01c1991f3626d").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=mpmRecaptchaLoaded45a9dbb0224d4bd2bbd01c1991f3626d&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup45a9dbb0224d4bd2bbd01c1991f3626d() { let popups = document.getElementById("mpform-45a9dbb0224d4bd2bbd01c1991f3626d").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput45a9dbb0224d4bd2bbd01c1991f3626d() { 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 () { finishedLoading45a9dbb0224d4bd2bbd01c1991f3626d(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading45a9dbb0224d4bd2bbd01c1991f3626d(); } } 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); mploadTelInput45a9dbb0224d4bd2bbd01c1991f3626d(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit45a9dbb0224d4bd2bbd01c1991f3626d(); } else { function waitForOtherFormsmpFrm72b41936ed714e96afb6317f89a6c85b() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit45a9dbb0224d4bd2bbd01c1991f3626d(); } else { setTimeout(waitForOtherFormsmpFrm72b41936ed714e96afb6317f89a6c85b,300); } } waitForOtherFormsmpFrm72b41936ed714e96afb6317f89a6c85b(); }