var captchaWidgetmpFrm18bd398a613f42c0ad4c9d87e6ba9233; var mpCurrentScriptmpFrm18bd398a613f42c0ad4c9d87e6ba9233Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm18bd398a613f42c0ad4c9d87e6ba9233"; 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); mpFormmpFrm18bd398a613f42c0ad4c9d87e6ba9233Find(); } })(); function mpFormmpFrm18bd398a613f42c0ad4c9d87e6ba9233Find() { if(!mpCurrentScriptmpFrm18bd398a613f42c0ad4c9d87e6ba9233Container) return; if (mpCurrentScriptmpFrm18bd398a613f42c0ad4c9d87e6ba9233Container && mpCurrentScriptmpFrm18bd398a613f42c0ad4c9d87e6ba9233Container.nodeName && mpCurrentScriptmpFrm18bd398a613f42c0ad4c9d87e6ba9233Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm18bd398a613f42c0ad4c9d87e6ba9233" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm18bd398a613f42c0ad4c9d87e6ba9233Container.children).forEach(c => { if (c.id === "mpFrm18bd398a613f42c0ad4c9d87e6ba9233") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptbd200a4d1d194f22b7d276e5fc9bdc20Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm18bd398a613f42c0ad4c9d87e6ba9233"; } } } } function mpFormbd200a4d1d194f22b7d276e5fc9bdc20Check() { let checkBoxes = document.getElementById("mpform-bd200a4d1d194f22b7d276e5fc9bdc20").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 mpFormbd200a4d1d194f22b7d276e5fc9bdc20Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-bd200a4d1d194f22b7d276e5fc9bdc20").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-bd200a4d1d194f22b7d276e5fc9bdc20").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-bd200a4d1d194f22b7d276e5fc9bdc20").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-bd200a4d1d194f22b7d276e5fc9bdc20')), 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: getTrackingIdbd200a4d1d194f22b7d276e5fc9bdc20() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-bd200a4d1d194f22b7d276e5fc9bdc20").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-bd200a4d1d194f22b7d276e5fc9bdc20").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) { mpFormbd200a4d1d194f22b7d276e5fc9bdc20Check(); 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-bd200a4d1d194f22b7d276e5fc9bdc20').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-bd200a4d1d194f22b7d276e5fc9bdc20").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-bd200a4d1d194f22b7d276e5fc9bdc20').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm18bd398a613f42c0ad4c9d87e6ba9233); } else { mpFormbd200a4d1d194f22b7d276e5fc9bdc20Check(); 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 mpmRecaptchaLoadedbd200a4d1d194f22b7d276e5fc9bdc20() { captchaWidgetmpFrm18bd398a613f42c0ad4c9d87e6ba9233 = grecaptcha.render('mpmRecaptchampFrm18bd398a613f42c0ad4c9d87e6ba9233', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdbd200a4d1d194f22b7d276e5fc9bdc20() { 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 mpmFormInitbd200a4d1d194f22b7d276e5fc9bdc20 () { 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 finishedLoadingbd200a4d1d194f22b7d276e5fc9bdc20() { window.mpFormLoading = false; let container = document.getElementById('mpFrm18bd398a613f42c0ad4c9d87e6ba9233'); if (!container) { mpFormmpFrm18bd398a613f42c0ad4c9d87e6ba9233Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm18bd398a613f42c0ad4c9d87e6ba9233'); return setTimeout(finishedLoadingbd200a4d1d194f22b7d276e5fc9bdc20, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-bd200a4d1d194f22b7d276e5fc9bdc20").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-bd200a4d1d194f22b7d276e5fc9bdc20").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-bd200a4d1d194f22b7d276e5fc9bdc20").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-bd200a4d1d194f22b7d276e5fc9bdc20").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-bd200a4d1d194f22b7d276e5fc9bdc20").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=mpmRecaptchaLoadedbd200a4d1d194f22b7d276e5fc9bdc20&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupbd200a4d1d194f22b7d276e5fc9bdc20() { let popups = document.getElementById("mpform-bd200a4d1d194f22b7d276e5fc9bdc20").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputbd200a4d1d194f22b7d276e5fc9bdc20() { 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 () { finishedLoadingbd200a4d1d194f22b7d276e5fc9bdc20(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingbd200a4d1d194f22b7d276e5fc9bdc20(); } } 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); mploadTelInputbd200a4d1d194f22b7d276e5fc9bdc20(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitbd200a4d1d194f22b7d276e5fc9bdc20(); } else { function waitForOtherFormsmpFrm18bd398a613f42c0ad4c9d87e6ba9233() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitbd200a4d1d194f22b7d276e5fc9bdc20(); } else { setTimeout(waitForOtherFormsmpFrm18bd398a613f42c0ad4c9d87e6ba9233,300); } } waitForOtherFormsmpFrm18bd398a613f42c0ad4c9d87e6ba9233(); }