var captchaWidgetmpFrm177cd30b6061479cb396adb86da4ace7; var mpCurrentScriptmpFrm177cd30b6061479cb396adb86da4ace7Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm177cd30b6061479cb396adb86da4ace7"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41943"); if (window.self !== window.top) { if (document.body) { document.body.appendChild(containerDiv); } else { document.addEventListener("DOMContentLoaded", function() { document.body.appendChild(containerDiv); }); } mpFormmpFrm177cd30b6061479cb396adb86da4ace7Find(); } 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); mpFormmpFrm177cd30b6061479cb396adb86da4ace7Find(); } })(); function mpFormmpFrm177cd30b6061479cb396adb86da4ace7Find() { if(!mpCurrentScriptmpFrm177cd30b6061479cb396adb86da4ace7Container) return; if (mpCurrentScriptmpFrm177cd30b6061479cb396adb86da4ace7Container && mpCurrentScriptmpFrm177cd30b6061479cb396adb86da4ace7Container.nodeName && mpCurrentScriptmpFrm177cd30b6061479cb396adb86da4ace7Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm177cd30b6061479cb396adb86da4ace7" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm177cd30b6061479cb396adb86da4ace7Container.children).forEach(c => { if (c.id === "mpFrm177cd30b6061479cb396adb86da4ace7") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript6cdffd75d25049f2a9fed735b0122865Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm177cd30b6061479cb396adb86da4ace7"; } } } } function mpForm6cdffd75d25049f2a9fed735b0122865Check() { let checkBoxes = document.getElementById("mpform-6cdffd75d25049f2a9fed735b0122865").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 mpForm6cdffd75d25049f2a9fed735b0122865Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-6cdffd75d25049f2a9fed735b0122865").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-6cdffd75d25049f2a9fed735b0122865").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-6cdffd75d25049f2a9fed735b0122865").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-6cdffd75d25049f2a9fed735b0122865')), 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: getTrackingId6cdffd75d25049f2a9fed735b0122865() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-6cdffd75d25049f2a9fed735b0122865").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-6cdffd75d25049f2a9fed735b0122865").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=41943", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm6cdffd75d25049f2a9fed735b0122865Check(); 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-6cdffd75d25049f2a9fed735b0122865').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-6cdffd75d25049f2a9fed735b0122865").querySelector("a[href='" + link.replace + "']"); if (hiddenButton) { hiddenButton.href = link.link; hiddenButton.closest('[data-type="FORMFILE"]').style.display = 'flex'; } }); parent.style.display = "none"; } mpMsg.innerHTML = response.message; } else if (response.replace) { document.getElementById('mpform-6cdffd75d25049f2a9fed735b0122865').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm177cd30b6061479cb396adb86da4ace7); } else { mpForm6cdffd75d25049f2a9fed735b0122865Check(); 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 mpmRecaptchaLoaded6cdffd75d25049f2a9fed735b0122865() { captchaWidgetmpFrm177cd30b6061479cb396adb86da4ace7 = grecaptcha.render('mpmRecaptchampFrm177cd30b6061479cb396adb86da4ace7', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId6cdffd75d25049f2a9fed735b0122865() { 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 mpmFormInit6cdffd75d25049f2a9fed735b0122865 () { 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 finishedLoading6cdffd75d25049f2a9fed735b0122865() { window.mpFormLoading = false; let container = document.getElementById('mpFrm177cd30b6061479cb396adb86da4ace7'); if (!container) { mpFormmpFrm177cd30b6061479cb396adb86da4ace7Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm177cd30b6061479cb396adb86da4ace7'); return setTimeout(finishedLoading6cdffd75d25049f2a9fed735b0122865, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-6cdffd75d25049f2a9fed735b0122865").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-6cdffd75d25049f2a9fed735b0122865").querySelectorAll('input[type=TELNO]'); if(telInputs) { let telInputCSSOver = ""; 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", customContainer: "mpm-tel-input-container-6cdffd75d25049f2a9fed735b0122865-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-6cdffd75d25049f2a9fed735b0122865-" + i + " { margin: " + tmpMargin + " } " } } if(telInputCSSOver) { let style = document.createElement("style"); style.innerHTML = telInputCSSOver; document.getElementsByTagName("head")[0].appendChild(style); } } if(subscriberData) { let customFields = document.getElementById("mpform-6cdffd75d25049f2a9fed735b0122865").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-6cdffd75d25049f2a9fed735b0122865").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-6cdffd75d25049f2a9fed735b0122865").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=mpmRecaptchaLoaded6cdffd75d25049f2a9fed735b0122865&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup6cdffd75d25049f2a9fed735b0122865() { let popups = document.getElementById("mpform-6cdffd75d25049f2a9fed735b0122865").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput6cdffd75d25049f2a9fed735b0122865() { 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 () { finishedLoading6cdffd75d25049f2a9fed735b0122865(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading6cdffd75d25049f2a9fed735b0122865(); } } 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); mploadTelInput6cdffd75d25049f2a9fed735b0122865(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit6cdffd75d25049f2a9fed735b0122865(); } else { function waitForOtherFormsmpFrm177cd30b6061479cb396adb86da4ace7() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit6cdffd75d25049f2a9fed735b0122865(); } else { setTimeout(waitForOtherFormsmpFrm177cd30b6061479cb396adb86da4ace7,300); } } waitForOtherFormsmpFrm177cd30b6061479cb396adb86da4ace7(); }