var captchaWidgetmpFrmbc8ad2b767584b3e90e9ee686388400c; var mpCurrentScriptmpFrmbc8ad2b767584b3e90e9ee686388400cContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmbc8ad2b767584b3e90e9ee686388400c"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41955"); if (window.self !== window.top) { if (document.body) { document.body.appendChild(containerDiv); } else { document.addEventListener("DOMContentLoaded", function() { document.body.appendChild(containerDiv); }); } mpFormmpFrmbc8ad2b767584b3e90e9ee686388400cFind(); } 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); mpFormmpFrmbc8ad2b767584b3e90e9ee686388400cFind(); } })(); function mpFormmpFrmbc8ad2b767584b3e90e9ee686388400cFind() { if(!mpCurrentScriptmpFrmbc8ad2b767584b3e90e9ee686388400cContainer) return; if (mpCurrentScriptmpFrmbc8ad2b767584b3e90e9ee686388400cContainer && mpCurrentScriptmpFrmbc8ad2b767584b3e90e9ee686388400cContainer.nodeName && mpCurrentScriptmpFrmbc8ad2b767584b3e90e9ee686388400cContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmbc8ad2b767584b3e90e9ee686388400c" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmbc8ad2b767584b3e90e9ee686388400cContainer.children).forEach(c => { if (c.id === "mpFrmbc8ad2b767584b3e90e9ee686388400c") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptc4bc19a73d9344d2a38974681e983c2cContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmbc8ad2b767584b3e90e9ee686388400c"; } } } } function mpFormc4bc19a73d9344d2a38974681e983c2cCheck() { let checkBoxes = document.getElementById("mpform-c4bc19a73d9344d2a38974681e983c2c").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 mpFormc4bc19a73d9344d2a38974681e983c2cSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-c4bc19a73d9344d2a38974681e983c2c").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-c4bc19a73d9344d2a38974681e983c2c").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-c4bc19a73d9344d2a38974681e983c2c").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-c4bc19a73d9344d2a38974681e983c2c')), 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: getTrackingIdc4bc19a73d9344d2a38974681e983c2c() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-c4bc19a73d9344d2a38974681e983c2c").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-c4bc19a73d9344d2a38974681e983c2c").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=41955", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpFormc4bc19a73d9344d2a38974681e983c2cCheck(); 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-c4bc19a73d9344d2a38974681e983c2c').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-c4bc19a73d9344d2a38974681e983c2c").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-c4bc19a73d9344d2a38974681e983c2c').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmbc8ad2b767584b3e90e9ee686388400c); } else { mpFormc4bc19a73d9344d2a38974681e983c2cCheck(); 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 mpmRecaptchaLoadedc4bc19a73d9344d2a38974681e983c2c() { captchaWidgetmpFrmbc8ad2b767584b3e90e9ee686388400c = grecaptcha.render('mpmRecaptchampFrmbc8ad2b767584b3e90e9ee686388400c', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdc4bc19a73d9344d2a38974681e983c2c() { 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 mpmFormInitc4bc19a73d9344d2a38974681e983c2c () { 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 finishedLoadingc4bc19a73d9344d2a38974681e983c2c() { window.mpFormLoading = false; let container = document.getElementById('mpFrmbc8ad2b767584b3e90e9ee686388400c'); if (!container) { mpFormmpFrmbc8ad2b767584b3e90e9ee686388400cFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmbc8ad2b767584b3e90e9ee686388400c'); return setTimeout(finishedLoadingc4bc19a73d9344d2a38974681e983c2c, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-c4bc19a73d9344d2a38974681e983c2c").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-c4bc19a73d9344d2a38974681e983c2c").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-c4bc19a73d9344d2a38974681e983c2c").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-c4bc19a73d9344d2a38974681e983c2c").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-c4bc19a73d9344d2a38974681e983c2c").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=mpmRecaptchaLoadedc4bc19a73d9344d2a38974681e983c2c&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupc4bc19a73d9344d2a38974681e983c2c() { let popups = document.getElementById("mpform-c4bc19a73d9344d2a38974681e983c2c").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputc4bc19a73d9344d2a38974681e983c2c() { 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 () { finishedLoadingc4bc19a73d9344d2a38974681e983c2c(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingc4bc19a73d9344d2a38974681e983c2c(); } } 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); mploadTelInputc4bc19a73d9344d2a38974681e983c2c(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitc4bc19a73d9344d2a38974681e983c2c(); } else { function waitForOtherFormsmpFrmbc8ad2b767584b3e90e9ee686388400c() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitc4bc19a73d9344d2a38974681e983c2c(); } else { setTimeout(waitForOtherFormsmpFrmbc8ad2b767584b3e90e9ee686388400c,300); } } waitForOtherFormsmpFrmbc8ad2b767584b3e90e9ee686388400c(); }