var captchaWidgetmpFrm814a0edc68e2411b9fca348512a72e51; var mpCurrentScriptmpFrm814a0edc68e2411b9fca348512a72e51Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm814a0edc68e2411b9fca348512a72e51"; 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); mpFormmpFrm814a0edc68e2411b9fca348512a72e51Find(); } })(); function mpFormmpFrm814a0edc68e2411b9fca348512a72e51Find() { if(!mpCurrentScriptmpFrm814a0edc68e2411b9fca348512a72e51Container) return; if (mpCurrentScriptmpFrm814a0edc68e2411b9fca348512a72e51Container && mpCurrentScriptmpFrm814a0edc68e2411b9fca348512a72e51Container.nodeName && mpCurrentScriptmpFrm814a0edc68e2411b9fca348512a72e51Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm814a0edc68e2411b9fca348512a72e51" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm814a0edc68e2411b9fca348512a72e51Container.children).forEach(c => { if (c.id === "mpFrm814a0edc68e2411b9fca348512a72e51") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript6f70f3169a344ccb9383aa8e91ed0047Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm814a0edc68e2411b9fca348512a72e51"; } } } } function mpForm6f70f3169a344ccb9383aa8e91ed0047Check() { let checkBoxes = document.getElementById("mpform-6f70f3169a344ccb9383aa8e91ed0047").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 mpForm6f70f3169a344ccb9383aa8e91ed0047Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-6f70f3169a344ccb9383aa8e91ed0047").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-6f70f3169a344ccb9383aa8e91ed0047").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-6f70f3169a344ccb9383aa8e91ed0047").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-6f70f3169a344ccb9383aa8e91ed0047')), 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: getTrackingId6f70f3169a344ccb9383aa8e91ed0047() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-6f70f3169a344ccb9383aa8e91ed0047").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-6f70f3169a344ccb9383aa8e91ed0047").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) { mpForm6f70f3169a344ccb9383aa8e91ed0047Check(); 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-6f70f3169a344ccb9383aa8e91ed0047').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-6f70f3169a344ccb9383aa8e91ed0047").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-6f70f3169a344ccb9383aa8e91ed0047').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm814a0edc68e2411b9fca348512a72e51); } else { mpForm6f70f3169a344ccb9383aa8e91ed0047Check(); 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 mpmRecaptchaLoaded6f70f3169a344ccb9383aa8e91ed0047() { captchaWidgetmpFrm814a0edc68e2411b9fca348512a72e51 = grecaptcha.render('mpmRecaptchampFrm814a0edc68e2411b9fca348512a72e51', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId6f70f3169a344ccb9383aa8e91ed0047() { 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 mpmFormInit6f70f3169a344ccb9383aa8e91ed0047 () { 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 finishedLoading6f70f3169a344ccb9383aa8e91ed0047() { window.mpFormLoading = false; let container = document.getElementById('mpFrm814a0edc68e2411b9fca348512a72e51'); if (!container) { mpFormmpFrm814a0edc68e2411b9fca348512a72e51Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm814a0edc68e2411b9fca348512a72e51'); return setTimeout(finishedLoading6f70f3169a344ccb9383aa8e91ed0047, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-6f70f3169a344ccb9383aa8e91ed0047").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-6f70f3169a344ccb9383aa8e91ed0047").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-6f70f3169a344ccb9383aa8e91ed0047").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-6f70f3169a344ccb9383aa8e91ed0047").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-6f70f3169a344ccb9383aa8e91ed0047").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=mpmRecaptchaLoaded6f70f3169a344ccb9383aa8e91ed0047&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup6f70f3169a344ccb9383aa8e91ed0047() { let popups = document.getElementById("mpform-6f70f3169a344ccb9383aa8e91ed0047").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput6f70f3169a344ccb9383aa8e91ed0047() { 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 () { finishedLoading6f70f3169a344ccb9383aa8e91ed0047(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading6f70f3169a344ccb9383aa8e91ed0047(); } } 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); mploadTelInput6f70f3169a344ccb9383aa8e91ed0047(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit6f70f3169a344ccb9383aa8e91ed0047(); } else { function waitForOtherFormsmpFrm814a0edc68e2411b9fca348512a72e51() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit6f70f3169a344ccb9383aa8e91ed0047(); } else { setTimeout(waitForOtherFormsmpFrm814a0edc68e2411b9fca348512a72e51,300); } } waitForOtherFormsmpFrm814a0edc68e2411b9fca348512a72e51(); }