var captchaWidgetmpFrm5214c4ed270f4985a7ffd4662eb3a3a0; var mpCurrentScriptmpFrm5214c4ed270f4985a7ffd4662eb3a3a0Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm5214c4ed270f4985a7ffd4662eb3a3a0"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41939"); 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); mpFormmpFrm5214c4ed270f4985a7ffd4662eb3a3a0Find(); } })(); function mpFormmpFrm5214c4ed270f4985a7ffd4662eb3a3a0Find() { if(!mpCurrentScriptmpFrm5214c4ed270f4985a7ffd4662eb3a3a0Container) return; if (mpCurrentScriptmpFrm5214c4ed270f4985a7ffd4662eb3a3a0Container && mpCurrentScriptmpFrm5214c4ed270f4985a7ffd4662eb3a3a0Container.nodeName && mpCurrentScriptmpFrm5214c4ed270f4985a7ffd4662eb3a3a0Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm5214c4ed270f4985a7ffd4662eb3a3a0" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm5214c4ed270f4985a7ffd4662eb3a3a0Container.children).forEach(c => { if (c.id === "mpFrm5214c4ed270f4985a7ffd4662eb3a3a0") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript6d96a6a0b1074aab9e9e5d8ff91f4002Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm5214c4ed270f4985a7ffd4662eb3a3a0"; } } } } function mpForm6d96a6a0b1074aab9e9e5d8ff91f4002Check() { let checkBoxes = document.getElementById("mpform-6d96a6a0b1074aab9e9e5d8ff91f4002").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 mpForm6d96a6a0b1074aab9e9e5d8ff91f4002Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-6d96a6a0b1074aab9e9e5d8ff91f4002").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-6d96a6a0b1074aab9e9e5d8ff91f4002").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-6d96a6a0b1074aab9e9e5d8ff91f4002").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-6d96a6a0b1074aab9e9e5d8ff91f4002')), 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: getTrackingId6d96a6a0b1074aab9e9e5d8ff91f4002() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-6d96a6a0b1074aab9e9e5d8ff91f4002").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-6d96a6a0b1074aab9e9e5d8ff91f4002").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) { mpForm6d96a6a0b1074aab9e9e5d8ff91f4002Check(); 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-6d96a6a0b1074aab9e9e5d8ff91f4002').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-6d96a6a0b1074aab9e9e5d8ff91f4002").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-6d96a6a0b1074aab9e9e5d8ff91f4002').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm5214c4ed270f4985a7ffd4662eb3a3a0); } else { mpForm6d96a6a0b1074aab9e9e5d8ff91f4002Check(); 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 mpmRecaptchaLoaded6d96a6a0b1074aab9e9e5d8ff91f4002() { captchaWidgetmpFrm5214c4ed270f4985a7ffd4662eb3a3a0 = grecaptcha.render('mpmRecaptchampFrm5214c4ed270f4985a7ffd4662eb3a3a0', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId6d96a6a0b1074aab9e9e5d8ff91f4002() { 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 mpmFormInit6d96a6a0b1074aab9e9e5d8ff91f4002 () { 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 finishedLoading6d96a6a0b1074aab9e9e5d8ff91f4002() { window.mpFormLoading = false; let container = document.getElementById('mpFrm5214c4ed270f4985a7ffd4662eb3a3a0'); if (!container) { mpFormmpFrm5214c4ed270f4985a7ffd4662eb3a3a0Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm5214c4ed270f4985a7ffd4662eb3a3a0'); return setTimeout(finishedLoading6d96a6a0b1074aab9e9e5d8ff91f4002, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-6d96a6a0b1074aab9e9e5d8ff91f4002").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-6d96a6a0b1074aab9e9e5d8ff91f4002").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-6d96a6a0b1074aab9e9e5d8ff91f4002").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-6d96a6a0b1074aab9e9e5d8ff91f4002").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-6d96a6a0b1074aab9e9e5d8ff91f4002").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=mpmRecaptchaLoaded6d96a6a0b1074aab9e9e5d8ff91f4002&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup6d96a6a0b1074aab9e9e5d8ff91f4002() { let popups = document.getElementById("mpform-6d96a6a0b1074aab9e9e5d8ff91f4002").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput6d96a6a0b1074aab9e9e5d8ff91f4002() { 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 () { finishedLoading6d96a6a0b1074aab9e9e5d8ff91f4002(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading6d96a6a0b1074aab9e9e5d8ff91f4002(); } } 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); mploadTelInput6d96a6a0b1074aab9e9e5d8ff91f4002(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit6d96a6a0b1074aab9e9e5d8ff91f4002(); } else { function waitForOtherFormsmpFrm5214c4ed270f4985a7ffd4662eb3a3a0() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit6d96a6a0b1074aab9e9e5d8ff91f4002(); } else { setTimeout(waitForOtherFormsmpFrm5214c4ed270f4985a7ffd4662eb3a3a0,300); } } waitForOtherFormsmpFrm5214c4ed270f4985a7ffd4662eb3a3a0(); }