var captchaWidgetmpFrm9eb8d70673d246438693f1916aa4f7a8; var mpCurrentScriptmpFrm9eb8d70673d246438693f1916aa4f7a8Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm9eb8d70673d246438693f1916aa4f7a8"; 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); }); } mpFormmpFrm9eb8d70673d246438693f1916aa4f7a8Find(); } 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); mpFormmpFrm9eb8d70673d246438693f1916aa4f7a8Find(); } })(); function mpFormmpFrm9eb8d70673d246438693f1916aa4f7a8Find() { if(!mpCurrentScriptmpFrm9eb8d70673d246438693f1916aa4f7a8Container) return; if (mpCurrentScriptmpFrm9eb8d70673d246438693f1916aa4f7a8Container && mpCurrentScriptmpFrm9eb8d70673d246438693f1916aa4f7a8Container.nodeName && mpCurrentScriptmpFrm9eb8d70673d246438693f1916aa4f7a8Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm9eb8d70673d246438693f1916aa4f7a8" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm9eb8d70673d246438693f1916aa4f7a8Container.children).forEach(c => { if (c.id === "mpFrm9eb8d70673d246438693f1916aa4f7a8") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptf74a3f97c53c4538987587db491ce4ecContainer.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm9eb8d70673d246438693f1916aa4f7a8"; } } } } function mpFormf74a3f97c53c4538987587db491ce4ecCheck() { let checkBoxes = document.getElementById("mpform-f74a3f97c53c4538987587db491ce4ec").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 mpFormf74a3f97c53c4538987587db491ce4ecSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-f74a3f97c53c4538987587db491ce4ec").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-f74a3f97c53c4538987587db491ce4ec").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-f74a3f97c53c4538987587db491ce4ec").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-f74a3f97c53c4538987587db491ce4ec')), 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: getTrackingIdf74a3f97c53c4538987587db491ce4ec() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-f74a3f97c53c4538987587db491ce4ec").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-f74a3f97c53c4538987587db491ce4ec").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) { mpFormf74a3f97c53c4538987587db491ce4ecCheck(); 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-f74a3f97c53c4538987587db491ce4ec').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-f74a3f97c53c4538987587db491ce4ec").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-f74a3f97c53c4538987587db491ce4ec').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm9eb8d70673d246438693f1916aa4f7a8); } else { mpFormf74a3f97c53c4538987587db491ce4ecCheck(); 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 mpmRecaptchaLoadedf74a3f97c53c4538987587db491ce4ec() { captchaWidgetmpFrm9eb8d70673d246438693f1916aa4f7a8 = grecaptcha.render('mpmRecaptchampFrm9eb8d70673d246438693f1916aa4f7a8', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdf74a3f97c53c4538987587db491ce4ec() { 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 mpmFormInitf74a3f97c53c4538987587db491ce4ec () { 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 finishedLoadingf74a3f97c53c4538987587db491ce4ec() { window.mpFormLoading = false; let container = document.getElementById('mpFrm9eb8d70673d246438693f1916aa4f7a8'); if (!container) { mpFormmpFrm9eb8d70673d246438693f1916aa4f7a8Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm9eb8d70673d246438693f1916aa4f7a8'); return setTimeout(finishedLoadingf74a3f97c53c4538987587db491ce4ec, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-f74a3f97c53c4538987587db491ce4ec").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-f74a3f97c53c4538987587db491ce4ec").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-f74a3f97c53c4538987587db491ce4ec").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-f74a3f97c53c4538987587db491ce4ec").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-f74a3f97c53c4538987587db491ce4ec").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=mpmRecaptchaLoadedf74a3f97c53c4538987587db491ce4ec&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupf74a3f97c53c4538987587db491ce4ec() { let popups = document.getElementById("mpform-f74a3f97c53c4538987587db491ce4ec").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputf74a3f97c53c4538987587db491ce4ec() { 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 () { finishedLoadingf74a3f97c53c4538987587db491ce4ec(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingf74a3f97c53c4538987587db491ce4ec(); } } 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); mploadTelInputf74a3f97c53c4538987587db491ce4ec(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitf74a3f97c53c4538987587db491ce4ec(); } else { function waitForOtherFormsmpFrm9eb8d70673d246438693f1916aa4f7a8() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitf74a3f97c53c4538987587db491ce4ec(); } else { setTimeout(waitForOtherFormsmpFrm9eb8d70673d246438693f1916aa4f7a8,300); } } waitForOtherFormsmpFrm9eb8d70673d246438693f1916aa4f7a8(); }