var captchaWidgetmpFrmd71937796ac14e3a926bdd1cda8feabc; var mpCurrentScriptmpFrmd71937796ac14e3a926bdd1cda8feabcContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmd71937796ac14e3a926bdd1cda8feabc"; 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); }); } mpFormmpFrmd71937796ac14e3a926bdd1cda8feabcFind(); } 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); mpFormmpFrmd71937796ac14e3a926bdd1cda8feabcFind(); } })(); function mpFormmpFrmd71937796ac14e3a926bdd1cda8feabcFind() { if(!mpCurrentScriptmpFrmd71937796ac14e3a926bdd1cda8feabcContainer) return; if (mpCurrentScriptmpFrmd71937796ac14e3a926bdd1cda8feabcContainer && mpCurrentScriptmpFrmd71937796ac14e3a926bdd1cda8feabcContainer.nodeName && mpCurrentScriptmpFrmd71937796ac14e3a926bdd1cda8feabcContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmd71937796ac14e3a926bdd1cda8feabc" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmd71937796ac14e3a926bdd1cda8feabcContainer.children).forEach(c => { if (c.id === "mpFrmd71937796ac14e3a926bdd1cda8feabc") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript36947266a3ef41bf85eec25b9842d98fContainer.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmd71937796ac14e3a926bdd1cda8feabc"; } } } } function mpForm36947266a3ef41bf85eec25b9842d98fCheck() { let checkBoxes = document.getElementById("mpform-36947266a3ef41bf85eec25b9842d98f").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 mpForm36947266a3ef41bf85eec25b9842d98fSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-36947266a3ef41bf85eec25b9842d98f").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-36947266a3ef41bf85eec25b9842d98f").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-36947266a3ef41bf85eec25b9842d98f").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-36947266a3ef41bf85eec25b9842d98f')), 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: getTrackingId36947266a3ef41bf85eec25b9842d98f() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-36947266a3ef41bf85eec25b9842d98f").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-36947266a3ef41bf85eec25b9842d98f").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) { mpForm36947266a3ef41bf85eec25b9842d98fCheck(); 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-36947266a3ef41bf85eec25b9842d98f').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-36947266a3ef41bf85eec25b9842d98f").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-36947266a3ef41bf85eec25b9842d98f').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmd71937796ac14e3a926bdd1cda8feabc); } else { mpForm36947266a3ef41bf85eec25b9842d98fCheck(); 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 mpmRecaptchaLoaded36947266a3ef41bf85eec25b9842d98f() { captchaWidgetmpFrmd71937796ac14e3a926bdd1cda8feabc = grecaptcha.render('mpmRecaptchampFrmd71937796ac14e3a926bdd1cda8feabc', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId36947266a3ef41bf85eec25b9842d98f() { 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 mpmFormInit36947266a3ef41bf85eec25b9842d98f () { 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 finishedLoading36947266a3ef41bf85eec25b9842d98f() { window.mpFormLoading = false; let container = document.getElementById('mpFrmd71937796ac14e3a926bdd1cda8feabc'); if (!container) { mpFormmpFrmd71937796ac14e3a926bdd1cda8feabcFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmd71937796ac14e3a926bdd1cda8feabc'); return setTimeout(finishedLoading36947266a3ef41bf85eec25b9842d98f, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-36947266a3ef41bf85eec25b9842d98f").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-36947266a3ef41bf85eec25b9842d98f").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-36947266a3ef41bf85eec25b9842d98f").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-36947266a3ef41bf85eec25b9842d98f").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-36947266a3ef41bf85eec25b9842d98f").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=mpmRecaptchaLoaded36947266a3ef41bf85eec25b9842d98f&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup36947266a3ef41bf85eec25b9842d98f() { let popups = document.getElementById("mpform-36947266a3ef41bf85eec25b9842d98f").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput36947266a3ef41bf85eec25b9842d98f() { 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 () { finishedLoading36947266a3ef41bf85eec25b9842d98f(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading36947266a3ef41bf85eec25b9842d98f(); } } 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); mploadTelInput36947266a3ef41bf85eec25b9842d98f(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit36947266a3ef41bf85eec25b9842d98f(); } else { function waitForOtherFormsmpFrmd71937796ac14e3a926bdd1cda8feabc() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit36947266a3ef41bf85eec25b9842d98f(); } else { setTimeout(waitForOtherFormsmpFrmd71937796ac14e3a926bdd1cda8feabc,300); } } waitForOtherFormsmpFrmd71937796ac14e3a926bdd1cda8feabc(); }