var captchaWidgetmpFrmd43ceb8ceb0b4f818aaa2b03a7504546; var mpCurrentScriptmpFrmd43ceb8ceb0b4f818aaa2b03a7504546Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmd43ceb8ceb0b4f818aaa2b03a7504546"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41955"); 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); mpFormmpFrmd43ceb8ceb0b4f818aaa2b03a7504546Find(); } })(); function mpFormmpFrmd43ceb8ceb0b4f818aaa2b03a7504546Find() { if(!mpCurrentScriptmpFrmd43ceb8ceb0b4f818aaa2b03a7504546Container) return; if (mpCurrentScriptmpFrmd43ceb8ceb0b4f818aaa2b03a7504546Container && mpCurrentScriptmpFrmd43ceb8ceb0b4f818aaa2b03a7504546Container.nodeName && mpCurrentScriptmpFrmd43ceb8ceb0b4f818aaa2b03a7504546Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmd43ceb8ceb0b4f818aaa2b03a7504546" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmd43ceb8ceb0b4f818aaa2b03a7504546Container.children).forEach(c => { if (c.id === "mpFrmd43ceb8ceb0b4f818aaa2b03a7504546") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript9efd146c3b7444859715b49a56a08ed3Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmd43ceb8ceb0b4f818aaa2b03a7504546"; } } } } function mpForm9efd146c3b7444859715b49a56a08ed3Check() { let checkBoxes = document.getElementById("mpform-9efd146c3b7444859715b49a56a08ed3").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 mpForm9efd146c3b7444859715b49a56a08ed3Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-9efd146c3b7444859715b49a56a08ed3").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-9efd146c3b7444859715b49a56a08ed3").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-9efd146c3b7444859715b49a56a08ed3").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-9efd146c3b7444859715b49a56a08ed3')), 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: getTrackingId9efd146c3b7444859715b49a56a08ed3() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-9efd146c3b7444859715b49a56a08ed3").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-9efd146c3b7444859715b49a56a08ed3").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) { mpForm9efd146c3b7444859715b49a56a08ed3Check(); 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-9efd146c3b7444859715b49a56a08ed3').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-9efd146c3b7444859715b49a56a08ed3").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-9efd146c3b7444859715b49a56a08ed3').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmd43ceb8ceb0b4f818aaa2b03a7504546); } else { mpForm9efd146c3b7444859715b49a56a08ed3Check(); 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 mpmRecaptchaLoaded9efd146c3b7444859715b49a56a08ed3() { captchaWidgetmpFrmd43ceb8ceb0b4f818aaa2b03a7504546 = grecaptcha.render('mpmRecaptchampFrmd43ceb8ceb0b4f818aaa2b03a7504546', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId9efd146c3b7444859715b49a56a08ed3() { 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 mpmFormInit9efd146c3b7444859715b49a56a08ed3 () { 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 finishedLoading9efd146c3b7444859715b49a56a08ed3() { window.mpFormLoading = false; let container = document.getElementById('mpFrmd43ceb8ceb0b4f818aaa2b03a7504546'); if (!container) { mpFormmpFrmd43ceb8ceb0b4f818aaa2b03a7504546Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmd43ceb8ceb0b4f818aaa2b03a7504546'); return setTimeout(finishedLoading9efd146c3b7444859715b49a56a08ed3, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-9efd146c3b7444859715b49a56a08ed3").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-9efd146c3b7444859715b49a56a08ed3").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-9efd146c3b7444859715b49a56a08ed3").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-9efd146c3b7444859715b49a56a08ed3").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-9efd146c3b7444859715b49a56a08ed3").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=mpmRecaptchaLoaded9efd146c3b7444859715b49a56a08ed3&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup9efd146c3b7444859715b49a56a08ed3() { let popups = document.getElementById("mpform-9efd146c3b7444859715b49a56a08ed3").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput9efd146c3b7444859715b49a56a08ed3() { 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 () { finishedLoading9efd146c3b7444859715b49a56a08ed3(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading9efd146c3b7444859715b49a56a08ed3(); } } 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); mploadTelInput9efd146c3b7444859715b49a56a08ed3(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit9efd146c3b7444859715b49a56a08ed3(); } else { function waitForOtherFormsmpFrmd43ceb8ceb0b4f818aaa2b03a7504546() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit9efd146c3b7444859715b49a56a08ed3(); } else { setTimeout(waitForOtherFormsmpFrmd43ceb8ceb0b4f818aaa2b03a7504546,300); } } waitForOtherFormsmpFrmd43ceb8ceb0b4f818aaa2b03a7504546(); }