var captchaWidgetmpFrmda22d08369024114801d1c5eaa82572b; var mpCurrentScriptmpFrmda22d08369024114801d1c5eaa82572bContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmda22d08369024114801d1c5eaa82572b"; 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); }); } mpFormmpFrmda22d08369024114801d1c5eaa82572bFind(); } 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); mpFormmpFrmda22d08369024114801d1c5eaa82572bFind(); } })(); function mpFormmpFrmda22d08369024114801d1c5eaa82572bFind() { if(!mpCurrentScriptmpFrmda22d08369024114801d1c5eaa82572bContainer) return; if (mpCurrentScriptmpFrmda22d08369024114801d1c5eaa82572bContainer && mpCurrentScriptmpFrmda22d08369024114801d1c5eaa82572bContainer.nodeName && mpCurrentScriptmpFrmda22d08369024114801d1c5eaa82572bContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmda22d08369024114801d1c5eaa82572b" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmda22d08369024114801d1c5eaa82572bContainer.children).forEach(c => { if (c.id === "mpFrmda22d08369024114801d1c5eaa82572b") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptba40d3bd83a04e4cba6aa488c3acd2c2Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmda22d08369024114801d1c5eaa82572b"; } } } } function mpFormba40d3bd83a04e4cba6aa488c3acd2c2Check() { let checkBoxes = document.getElementById("mpform-ba40d3bd83a04e4cba6aa488c3acd2c2").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 mpFormba40d3bd83a04e4cba6aa488c3acd2c2Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-ba40d3bd83a04e4cba6aa488c3acd2c2").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-ba40d3bd83a04e4cba6aa488c3acd2c2").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-ba40d3bd83a04e4cba6aa488c3acd2c2").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-ba40d3bd83a04e4cba6aa488c3acd2c2')), 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: getTrackingIdba40d3bd83a04e4cba6aa488c3acd2c2() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-ba40d3bd83a04e4cba6aa488c3acd2c2").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-ba40d3bd83a04e4cba6aa488c3acd2c2").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) { mpFormba40d3bd83a04e4cba6aa488c3acd2c2Check(); 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-ba40d3bd83a04e4cba6aa488c3acd2c2').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-ba40d3bd83a04e4cba6aa488c3acd2c2").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-ba40d3bd83a04e4cba6aa488c3acd2c2').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmda22d08369024114801d1c5eaa82572b); } else { mpFormba40d3bd83a04e4cba6aa488c3acd2c2Check(); 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 mpmRecaptchaLoadedba40d3bd83a04e4cba6aa488c3acd2c2() { captchaWidgetmpFrmda22d08369024114801d1c5eaa82572b = grecaptcha.render('mpmRecaptchampFrmda22d08369024114801d1c5eaa82572b', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdba40d3bd83a04e4cba6aa488c3acd2c2() { 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 mpmFormInitba40d3bd83a04e4cba6aa488c3acd2c2 () { 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 finishedLoadingba40d3bd83a04e4cba6aa488c3acd2c2() { window.mpFormLoading = false; let container = document.getElementById('mpFrmda22d08369024114801d1c5eaa82572b'); if (!container) { mpFormmpFrmda22d08369024114801d1c5eaa82572bFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmda22d08369024114801d1c5eaa82572b'); return setTimeout(finishedLoadingba40d3bd83a04e4cba6aa488c3acd2c2, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-ba40d3bd83a04e4cba6aa488c3acd2c2").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-ba40d3bd83a04e4cba6aa488c3acd2c2").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-ba40d3bd83a04e4cba6aa488c3acd2c2-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-ba40d3bd83a04e4cba6aa488c3acd2c2-" + 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-ba40d3bd83a04e4cba6aa488c3acd2c2").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-ba40d3bd83a04e4cba6aa488c3acd2c2").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-ba40d3bd83a04e4cba6aa488c3acd2c2").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=mpmRecaptchaLoadedba40d3bd83a04e4cba6aa488c3acd2c2&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupba40d3bd83a04e4cba6aa488c3acd2c2() { let popups = document.getElementById("mpform-ba40d3bd83a04e4cba6aa488c3acd2c2").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputba40d3bd83a04e4cba6aa488c3acd2c2() { 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 () { finishedLoadingba40d3bd83a04e4cba6aa488c3acd2c2(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingba40d3bd83a04e4cba6aa488c3acd2c2(); } } 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); mploadTelInputba40d3bd83a04e4cba6aa488c3acd2c2(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitba40d3bd83a04e4cba6aa488c3acd2c2(); } else { function waitForOtherFormsmpFrmda22d08369024114801d1c5eaa82572b() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitba40d3bd83a04e4cba6aa488c3acd2c2(); } else { setTimeout(waitForOtherFormsmpFrmda22d08369024114801d1c5eaa82572b,300); } } waitForOtherFormsmpFrmda22d08369024114801d1c5eaa82572b(); }