var captchaWidgetmpFrm7df7505e750a4be9996e72dbc92a9340; var mpCurrentScriptmpFrm7df7505e750a4be9996e72dbc92a9340Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm7df7505e750a4be9996e72dbc92a9340"; 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); }); } mpFormmpFrm7df7505e750a4be9996e72dbc92a9340Find(); } 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); mpFormmpFrm7df7505e750a4be9996e72dbc92a9340Find(); } })(); function mpFormmpFrm7df7505e750a4be9996e72dbc92a9340Find() { if(!mpCurrentScriptmpFrm7df7505e750a4be9996e72dbc92a9340Container) return; if (mpCurrentScriptmpFrm7df7505e750a4be9996e72dbc92a9340Container && mpCurrentScriptmpFrm7df7505e750a4be9996e72dbc92a9340Container.nodeName && mpCurrentScriptmpFrm7df7505e750a4be9996e72dbc92a9340Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm7df7505e750a4be9996e72dbc92a9340" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm7df7505e750a4be9996e72dbc92a9340Container.children).forEach(c => { if (c.id === "mpFrm7df7505e750a4be9996e72dbc92a9340") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptf4de0634888c4c63887c3dff73c5023bContainer.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm7df7505e750a4be9996e72dbc92a9340"; } } } } function mpFormf4de0634888c4c63887c3dff73c5023bCheck() { let checkBoxes = document.getElementById("mpform-f4de0634888c4c63887c3dff73c5023b").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 mpFormf4de0634888c4c63887c3dff73c5023bSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-f4de0634888c4c63887c3dff73c5023b").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-f4de0634888c4c63887c3dff73c5023b").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-f4de0634888c4c63887c3dff73c5023b").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-f4de0634888c4c63887c3dff73c5023b')), 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: getTrackingIdf4de0634888c4c63887c3dff73c5023b() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-f4de0634888c4c63887c3dff73c5023b").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-f4de0634888c4c63887c3dff73c5023b").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) { mpFormf4de0634888c4c63887c3dff73c5023bCheck(); 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-f4de0634888c4c63887c3dff73c5023b').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-f4de0634888c4c63887c3dff73c5023b").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-f4de0634888c4c63887c3dff73c5023b').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm7df7505e750a4be9996e72dbc92a9340); } else { mpFormf4de0634888c4c63887c3dff73c5023bCheck(); 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 mpmRecaptchaLoadedf4de0634888c4c63887c3dff73c5023b() { captchaWidgetmpFrm7df7505e750a4be9996e72dbc92a9340 = grecaptcha.render('mpmRecaptchampFrm7df7505e750a4be9996e72dbc92a9340', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdf4de0634888c4c63887c3dff73c5023b() { 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 mpmFormInitf4de0634888c4c63887c3dff73c5023b () { 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 finishedLoadingf4de0634888c4c63887c3dff73c5023b() { window.mpFormLoading = false; let container = document.getElementById('mpFrm7df7505e750a4be9996e72dbc92a9340'); if (!container) { mpFormmpFrm7df7505e750a4be9996e72dbc92a9340Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm7df7505e750a4be9996e72dbc92a9340'); return setTimeout(finishedLoadingf4de0634888c4c63887c3dff73c5023b, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-f4de0634888c4c63887c3dff73c5023b").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-f4de0634888c4c63887c3dff73c5023b").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-f4de0634888c4c63887c3dff73c5023b").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-f4de0634888c4c63887c3dff73c5023b").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-f4de0634888c4c63887c3dff73c5023b").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=mpmRecaptchaLoadedf4de0634888c4c63887c3dff73c5023b&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupf4de0634888c4c63887c3dff73c5023b() { let popups = document.getElementById("mpform-f4de0634888c4c63887c3dff73c5023b").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputf4de0634888c4c63887c3dff73c5023b() { 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 () { finishedLoadingf4de0634888c4c63887c3dff73c5023b(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingf4de0634888c4c63887c3dff73c5023b(); } } 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); mploadTelInputf4de0634888c4c63887c3dff73c5023b(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitf4de0634888c4c63887c3dff73c5023b(); } else { function waitForOtherFormsmpFrm7df7505e750a4be9996e72dbc92a9340() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitf4de0634888c4c63887c3dff73c5023b(); } else { setTimeout(waitForOtherFormsmpFrm7df7505e750a4be9996e72dbc92a9340,300); } } waitForOtherFormsmpFrm7df7505e750a4be9996e72dbc92a9340(); }