var captchaWidgetmpFrm24af5bb564bd4df2ba95667da4fda4ee; var mpCurrentScriptmpFrm24af5bb564bd4df2ba95667da4fda4eeContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm24af5bb564bd4df2ba95667da4fda4ee"; 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); }); } mpFormmpFrm24af5bb564bd4df2ba95667da4fda4eeFind(); } 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); mpFormmpFrm24af5bb564bd4df2ba95667da4fda4eeFind(); } })(); function mpFormmpFrm24af5bb564bd4df2ba95667da4fda4eeFind() { if(!mpCurrentScriptmpFrm24af5bb564bd4df2ba95667da4fda4eeContainer) return; if (mpCurrentScriptmpFrm24af5bb564bd4df2ba95667da4fda4eeContainer && mpCurrentScriptmpFrm24af5bb564bd4df2ba95667da4fda4eeContainer.nodeName && mpCurrentScriptmpFrm24af5bb564bd4df2ba95667da4fda4eeContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm24af5bb564bd4df2ba95667da4fda4ee" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm24af5bb564bd4df2ba95667da4fda4eeContainer.children).forEach(c => { if (c.id === "mpFrm24af5bb564bd4df2ba95667da4fda4ee") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript9168f081069246e1a2d72faeea30399cContainer.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm24af5bb564bd4df2ba95667da4fda4ee"; } } } } function mpForm9168f081069246e1a2d72faeea30399cCheck() { let checkBoxes = document.getElementById("mpform-9168f081069246e1a2d72faeea30399c").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 mpForm9168f081069246e1a2d72faeea30399cSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-9168f081069246e1a2d72faeea30399c").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-9168f081069246e1a2d72faeea30399c").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-9168f081069246e1a2d72faeea30399c").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-9168f081069246e1a2d72faeea30399c')), 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: getTrackingId9168f081069246e1a2d72faeea30399c() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-9168f081069246e1a2d72faeea30399c").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-9168f081069246e1a2d72faeea30399c").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) { mpForm9168f081069246e1a2d72faeea30399cCheck(); 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-9168f081069246e1a2d72faeea30399c').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-9168f081069246e1a2d72faeea30399c").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-9168f081069246e1a2d72faeea30399c').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm24af5bb564bd4df2ba95667da4fda4ee); } else { mpForm9168f081069246e1a2d72faeea30399cCheck(); 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 mpmRecaptchaLoaded9168f081069246e1a2d72faeea30399c() { captchaWidgetmpFrm24af5bb564bd4df2ba95667da4fda4ee = grecaptcha.render('mpmRecaptchampFrm24af5bb564bd4df2ba95667da4fda4ee', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId9168f081069246e1a2d72faeea30399c() { 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 mpmFormInit9168f081069246e1a2d72faeea30399c () { 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 finishedLoading9168f081069246e1a2d72faeea30399c() { window.mpFormLoading = false; let container = document.getElementById('mpFrm24af5bb564bd4df2ba95667da4fda4ee'); if (!container) { mpFormmpFrm24af5bb564bd4df2ba95667da4fda4eeFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm24af5bb564bd4df2ba95667da4fda4ee'); return setTimeout(finishedLoading9168f081069246e1a2d72faeea30399c, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-9168f081069246e1a2d72faeea30399c").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-9168f081069246e1a2d72faeea30399c").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-9168f081069246e1a2d72faeea30399c-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-9168f081069246e1a2d72faeea30399c-" + 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-9168f081069246e1a2d72faeea30399c").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-9168f081069246e1a2d72faeea30399c").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-9168f081069246e1a2d72faeea30399c").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=mpmRecaptchaLoaded9168f081069246e1a2d72faeea30399c&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup9168f081069246e1a2d72faeea30399c() { let popups = document.getElementById("mpform-9168f081069246e1a2d72faeea30399c").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput9168f081069246e1a2d72faeea30399c() { 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 () { finishedLoading9168f081069246e1a2d72faeea30399c(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading9168f081069246e1a2d72faeea30399c(); } } 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); mploadTelInput9168f081069246e1a2d72faeea30399c(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit9168f081069246e1a2d72faeea30399c(); } else { function waitForOtherFormsmpFrm24af5bb564bd4df2ba95667da4fda4ee() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit9168f081069246e1a2d72faeea30399c(); } else { setTimeout(waitForOtherFormsmpFrm24af5bb564bd4df2ba95667da4fda4ee,300); } } waitForOtherFormsmpFrm24af5bb564bd4df2ba95667da4fda4ee(); }