var captchaWidgetmpFrmbcd2c0d84e084fd59736f2659a794d6b; var mpCurrentScriptmpFrmbcd2c0d84e084fd59736f2659a794d6bContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmbcd2c0d84e084fd59736f2659a794d6b"; 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); mpFormmpFrmbcd2c0d84e084fd59736f2659a794d6bFind(); } })(); function mpFormmpFrmbcd2c0d84e084fd59736f2659a794d6bFind() { if(!mpCurrentScriptmpFrmbcd2c0d84e084fd59736f2659a794d6bContainer) return; if (mpCurrentScriptmpFrmbcd2c0d84e084fd59736f2659a794d6bContainer && mpCurrentScriptmpFrmbcd2c0d84e084fd59736f2659a794d6bContainer.nodeName && mpCurrentScriptmpFrmbcd2c0d84e084fd59736f2659a794d6bContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmbcd2c0d84e084fd59736f2659a794d6b" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmbcd2c0d84e084fd59736f2659a794d6bContainer.children).forEach(c => { if (c.id === "mpFrmbcd2c0d84e084fd59736f2659a794d6b") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript6c771328c9cf4bff9bd3df34a783da9eContainer.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmbcd2c0d84e084fd59736f2659a794d6b"; } } } } function mpForm6c771328c9cf4bff9bd3df34a783da9eCheck() { let checkBoxes = document.getElementById("mpform-6c771328c9cf4bff9bd3df34a783da9e").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 mpForm6c771328c9cf4bff9bd3df34a783da9eSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-6c771328c9cf4bff9bd3df34a783da9e").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-6c771328c9cf4bff9bd3df34a783da9e").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-6c771328c9cf4bff9bd3df34a783da9e").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-6c771328c9cf4bff9bd3df34a783da9e')), 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: getTrackingId6c771328c9cf4bff9bd3df34a783da9e() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-6c771328c9cf4bff9bd3df34a783da9e").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-6c771328c9cf4bff9bd3df34a783da9e").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) { mpForm6c771328c9cf4bff9bd3df34a783da9eCheck(); 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-6c771328c9cf4bff9bd3df34a783da9e').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-6c771328c9cf4bff9bd3df34a783da9e").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-6c771328c9cf4bff9bd3df34a783da9e').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmbcd2c0d84e084fd59736f2659a794d6b); } else { mpForm6c771328c9cf4bff9bd3df34a783da9eCheck(); 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 mpmRecaptchaLoaded6c771328c9cf4bff9bd3df34a783da9e() { captchaWidgetmpFrmbcd2c0d84e084fd59736f2659a794d6b = grecaptcha.render('mpmRecaptchampFrmbcd2c0d84e084fd59736f2659a794d6b', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId6c771328c9cf4bff9bd3df34a783da9e() { 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 mpmFormInit6c771328c9cf4bff9bd3df34a783da9e () { 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 finishedLoading6c771328c9cf4bff9bd3df34a783da9e() { window.mpFormLoading = false; let container = document.getElementById('mpFrmbcd2c0d84e084fd59736f2659a794d6b'); if (!container) { mpFormmpFrmbcd2c0d84e084fd59736f2659a794d6bFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmbcd2c0d84e084fd59736f2659a794d6b'); return setTimeout(finishedLoading6c771328c9cf4bff9bd3df34a783da9e, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-6c771328c9cf4bff9bd3df34a783da9e").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-6c771328c9cf4bff9bd3df34a783da9e").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-6c771328c9cf4bff9bd3df34a783da9e").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-6c771328c9cf4bff9bd3df34a783da9e").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-6c771328c9cf4bff9bd3df34a783da9e").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=mpmRecaptchaLoaded6c771328c9cf4bff9bd3df34a783da9e&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup6c771328c9cf4bff9bd3df34a783da9e() { let popups = document.getElementById("mpform-6c771328c9cf4bff9bd3df34a783da9e").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput6c771328c9cf4bff9bd3df34a783da9e() { 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 () { finishedLoading6c771328c9cf4bff9bd3df34a783da9e(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading6c771328c9cf4bff9bd3df34a783da9e(); } } 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); mploadTelInput6c771328c9cf4bff9bd3df34a783da9e(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit6c771328c9cf4bff9bd3df34a783da9e(); } else { function waitForOtherFormsmpFrmbcd2c0d84e084fd59736f2659a794d6b() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit6c771328c9cf4bff9bd3df34a783da9e(); } else { setTimeout(waitForOtherFormsmpFrmbcd2c0d84e084fd59736f2659a794d6b,300); } } waitForOtherFormsmpFrmbcd2c0d84e084fd59736f2659a794d6b(); }