var captchaWidgetmpFrm01291a3e22f446a98da0382c7f8c1f31; var mpCurrentScriptmpFrm01291a3e22f446a98da0382c7f8c1f31Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm01291a3e22f446a98da0382c7f8c1f31"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41943"); 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); mpFormmpFrm01291a3e22f446a98da0382c7f8c1f31Find(); } })(); function mpFormmpFrm01291a3e22f446a98da0382c7f8c1f31Find() { if(!mpCurrentScriptmpFrm01291a3e22f446a98da0382c7f8c1f31Container) return; if (mpCurrentScriptmpFrm01291a3e22f446a98da0382c7f8c1f31Container && mpCurrentScriptmpFrm01291a3e22f446a98da0382c7f8c1f31Container.nodeName && mpCurrentScriptmpFrm01291a3e22f446a98da0382c7f8c1f31Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm01291a3e22f446a98da0382c7f8c1f31" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm01291a3e22f446a98da0382c7f8c1f31Container.children).forEach(c => { if (c.id === "mpFrm01291a3e22f446a98da0382c7f8c1f31") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript1bdb3a40efc443d1b8e7907b69e4e40bContainer.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm01291a3e22f446a98da0382c7f8c1f31"; } } } } function mpForm1bdb3a40efc443d1b8e7907b69e4e40bCheck() { let checkBoxes = document.getElementById("mpform-1bdb3a40efc443d1b8e7907b69e4e40b").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 mpForm1bdb3a40efc443d1b8e7907b69e4e40bSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-1bdb3a40efc443d1b8e7907b69e4e40b").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-1bdb3a40efc443d1b8e7907b69e4e40b").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-1bdb3a40efc443d1b8e7907b69e4e40b").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-1bdb3a40efc443d1b8e7907b69e4e40b')), 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: getTrackingId1bdb3a40efc443d1b8e7907b69e4e40b() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-1bdb3a40efc443d1b8e7907b69e4e40b").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-1bdb3a40efc443d1b8e7907b69e4e40b").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) { mpForm1bdb3a40efc443d1b8e7907b69e4e40bCheck(); 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-1bdb3a40efc443d1b8e7907b69e4e40b').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-1bdb3a40efc443d1b8e7907b69e4e40b").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-1bdb3a40efc443d1b8e7907b69e4e40b').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm01291a3e22f446a98da0382c7f8c1f31); } else { mpForm1bdb3a40efc443d1b8e7907b69e4e40bCheck(); 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 mpmRecaptchaLoaded1bdb3a40efc443d1b8e7907b69e4e40b() { captchaWidgetmpFrm01291a3e22f446a98da0382c7f8c1f31 = grecaptcha.render('mpmRecaptchampFrm01291a3e22f446a98da0382c7f8c1f31', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId1bdb3a40efc443d1b8e7907b69e4e40b() { 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 mpmFormInit1bdb3a40efc443d1b8e7907b69e4e40b () { 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 finishedLoading1bdb3a40efc443d1b8e7907b69e4e40b() { window.mpFormLoading = false; let container = document.getElementById('mpFrm01291a3e22f446a98da0382c7f8c1f31'); if (!container) { mpFormmpFrm01291a3e22f446a98da0382c7f8c1f31Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm01291a3e22f446a98da0382c7f8c1f31'); return setTimeout(finishedLoading1bdb3a40efc443d1b8e7907b69e4e40b, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-1bdb3a40efc443d1b8e7907b69e4e40b").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-1bdb3a40efc443d1b8e7907b69e4e40b").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-1bdb3a40efc443d1b8e7907b69e4e40b").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-1bdb3a40efc443d1b8e7907b69e4e40b").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-1bdb3a40efc443d1b8e7907b69e4e40b").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=mpmRecaptchaLoaded1bdb3a40efc443d1b8e7907b69e4e40b&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup1bdb3a40efc443d1b8e7907b69e4e40b() { let popups = document.getElementById("mpform-1bdb3a40efc443d1b8e7907b69e4e40b").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput1bdb3a40efc443d1b8e7907b69e4e40b() { 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 () { finishedLoading1bdb3a40efc443d1b8e7907b69e4e40b(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading1bdb3a40efc443d1b8e7907b69e4e40b(); } } 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); mploadTelInput1bdb3a40efc443d1b8e7907b69e4e40b(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit1bdb3a40efc443d1b8e7907b69e4e40b(); } else { function waitForOtherFormsmpFrm01291a3e22f446a98da0382c7f8c1f31() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit1bdb3a40efc443d1b8e7907b69e4e40b(); } else { setTimeout(waitForOtherFormsmpFrm01291a3e22f446a98da0382c7f8c1f31,300); } } waitForOtherFormsmpFrm01291a3e22f446a98da0382c7f8c1f31(); }