var captchaWidgetmpFrm295423d0eb9a4bde838ec413768efc02; var mpCurrentScriptmpFrm295423d0eb9a4bde838ec413768efc02Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm295423d0eb9a4bde838ec413768efc02"; 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); }); } mpFormmpFrm295423d0eb9a4bde838ec413768efc02Find(); } 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); mpFormmpFrm295423d0eb9a4bde838ec413768efc02Find(); } })(); function mpFormmpFrm295423d0eb9a4bde838ec413768efc02Find() { if(!mpCurrentScriptmpFrm295423d0eb9a4bde838ec413768efc02Container) return; if (mpCurrentScriptmpFrm295423d0eb9a4bde838ec413768efc02Container && mpCurrentScriptmpFrm295423d0eb9a4bde838ec413768efc02Container.nodeName && mpCurrentScriptmpFrm295423d0eb9a4bde838ec413768efc02Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm295423d0eb9a4bde838ec413768efc02" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm295423d0eb9a4bde838ec413768efc02Container.children).forEach(c => { if (c.id === "mpFrm295423d0eb9a4bde838ec413768efc02") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptfe3b3469da7e434e885ecafa8fa65bccContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm295423d0eb9a4bde838ec413768efc02"; } } } } function mpFormfe3b3469da7e434e885ecafa8fa65bccCheck() { let checkBoxes = document.getElementById("mpform-fe3b3469da7e434e885ecafa8fa65bcc").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 mpFormfe3b3469da7e434e885ecafa8fa65bccSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-fe3b3469da7e434e885ecafa8fa65bcc").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-fe3b3469da7e434e885ecafa8fa65bcc").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-fe3b3469da7e434e885ecafa8fa65bcc").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-fe3b3469da7e434e885ecafa8fa65bcc')), 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: getTrackingIdfe3b3469da7e434e885ecafa8fa65bcc() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-fe3b3469da7e434e885ecafa8fa65bcc").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-fe3b3469da7e434e885ecafa8fa65bcc").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) { mpFormfe3b3469da7e434e885ecafa8fa65bccCheck(); 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-fe3b3469da7e434e885ecafa8fa65bcc').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-fe3b3469da7e434e885ecafa8fa65bcc").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-fe3b3469da7e434e885ecafa8fa65bcc').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm295423d0eb9a4bde838ec413768efc02); } else { mpFormfe3b3469da7e434e885ecafa8fa65bccCheck(); 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 mpmRecaptchaLoadedfe3b3469da7e434e885ecafa8fa65bcc() { captchaWidgetmpFrm295423d0eb9a4bde838ec413768efc02 = grecaptcha.render('mpmRecaptchampFrm295423d0eb9a4bde838ec413768efc02', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdfe3b3469da7e434e885ecafa8fa65bcc() { 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 mpmFormInitfe3b3469da7e434e885ecafa8fa65bcc () { 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 finishedLoadingfe3b3469da7e434e885ecafa8fa65bcc() { window.mpFormLoading = false; let container = document.getElementById('mpFrm295423d0eb9a4bde838ec413768efc02'); if (!container) { mpFormmpFrm295423d0eb9a4bde838ec413768efc02Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm295423d0eb9a4bde838ec413768efc02'); return setTimeout(finishedLoadingfe3b3469da7e434e885ecafa8fa65bcc, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-fe3b3469da7e434e885ecafa8fa65bcc").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-fe3b3469da7e434e885ecafa8fa65bcc").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-fe3b3469da7e434e885ecafa8fa65bcc").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-fe3b3469da7e434e885ecafa8fa65bcc").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-fe3b3469da7e434e885ecafa8fa65bcc").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=mpmRecaptchaLoadedfe3b3469da7e434e885ecafa8fa65bcc&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupfe3b3469da7e434e885ecafa8fa65bcc() { let popups = document.getElementById("mpform-fe3b3469da7e434e885ecafa8fa65bcc").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputfe3b3469da7e434e885ecafa8fa65bcc() { 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 () { finishedLoadingfe3b3469da7e434e885ecafa8fa65bcc(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingfe3b3469da7e434e885ecafa8fa65bcc(); } } 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); mploadTelInputfe3b3469da7e434e885ecafa8fa65bcc(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitfe3b3469da7e434e885ecafa8fa65bcc(); } else { function waitForOtherFormsmpFrm295423d0eb9a4bde838ec413768efc02() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitfe3b3469da7e434e885ecafa8fa65bcc(); } else { setTimeout(waitForOtherFormsmpFrm295423d0eb9a4bde838ec413768efc02,300); } } waitForOtherFormsmpFrm295423d0eb9a4bde838ec413768efc02(); }