var captchaWidgetmpFrmd6b8d8c78ed747ac9c6a38de1aac443d; var mpCurrentScriptmpFrmd6b8d8c78ed747ac9c6a38de1aac443dContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmd6b8d8c78ed747ac9c6a38de1aac443d"; 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); mpFormmpFrmd6b8d8c78ed747ac9c6a38de1aac443dFind(); } })(); function mpFormmpFrmd6b8d8c78ed747ac9c6a38de1aac443dFind() { if(!mpCurrentScriptmpFrmd6b8d8c78ed747ac9c6a38de1aac443dContainer) return; if (mpCurrentScriptmpFrmd6b8d8c78ed747ac9c6a38de1aac443dContainer && mpCurrentScriptmpFrmd6b8d8c78ed747ac9c6a38de1aac443dContainer.nodeName && mpCurrentScriptmpFrmd6b8d8c78ed747ac9c6a38de1aac443dContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmd6b8d8c78ed747ac9c6a38de1aac443d" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmd6b8d8c78ed747ac9c6a38de1aac443dContainer.children).forEach(c => { if (c.id === "mpFrmd6b8d8c78ed747ac9c6a38de1aac443d") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript7bce725ccc16408eb25c7e4f6db3c1b1Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmd6b8d8c78ed747ac9c6a38de1aac443d"; } } } } function mpForm7bce725ccc16408eb25c7e4f6db3c1b1Check() { let checkBoxes = document.getElementById("mpform-7bce725ccc16408eb25c7e4f6db3c1b1").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 mpForm7bce725ccc16408eb25c7e4f6db3c1b1Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-7bce725ccc16408eb25c7e4f6db3c1b1").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-7bce725ccc16408eb25c7e4f6db3c1b1").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-7bce725ccc16408eb25c7e4f6db3c1b1").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-7bce725ccc16408eb25c7e4f6db3c1b1')), 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: getTrackingId7bce725ccc16408eb25c7e4f6db3c1b1() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-7bce725ccc16408eb25c7e4f6db3c1b1").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-7bce725ccc16408eb25c7e4f6db3c1b1").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) { mpForm7bce725ccc16408eb25c7e4f6db3c1b1Check(); 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-7bce725ccc16408eb25c7e4f6db3c1b1').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-7bce725ccc16408eb25c7e4f6db3c1b1").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-7bce725ccc16408eb25c7e4f6db3c1b1').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmd6b8d8c78ed747ac9c6a38de1aac443d); } else { mpForm7bce725ccc16408eb25c7e4f6db3c1b1Check(); 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 mpmRecaptchaLoaded7bce725ccc16408eb25c7e4f6db3c1b1() { captchaWidgetmpFrmd6b8d8c78ed747ac9c6a38de1aac443d = grecaptcha.render('mpmRecaptchampFrmd6b8d8c78ed747ac9c6a38de1aac443d', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId7bce725ccc16408eb25c7e4f6db3c1b1() { 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 mpmFormInit7bce725ccc16408eb25c7e4f6db3c1b1 () { 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 finishedLoading7bce725ccc16408eb25c7e4f6db3c1b1() { window.mpFormLoading = false; let container = document.getElementById('mpFrmd6b8d8c78ed747ac9c6a38de1aac443d'); if (!container) { mpFormmpFrmd6b8d8c78ed747ac9c6a38de1aac443dFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmd6b8d8c78ed747ac9c6a38de1aac443d'); return setTimeout(finishedLoading7bce725ccc16408eb25c7e4f6db3c1b1, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-7bce725ccc16408eb25c7e4f6db3c1b1").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-7bce725ccc16408eb25c7e4f6db3c1b1").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-7bce725ccc16408eb25c7e4f6db3c1b1").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-7bce725ccc16408eb25c7e4f6db3c1b1").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-7bce725ccc16408eb25c7e4f6db3c1b1").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=mpmRecaptchaLoaded7bce725ccc16408eb25c7e4f6db3c1b1&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup7bce725ccc16408eb25c7e4f6db3c1b1() { let popups = document.getElementById("mpform-7bce725ccc16408eb25c7e4f6db3c1b1").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput7bce725ccc16408eb25c7e4f6db3c1b1() { 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 () { finishedLoading7bce725ccc16408eb25c7e4f6db3c1b1(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading7bce725ccc16408eb25c7e4f6db3c1b1(); } } 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); mploadTelInput7bce725ccc16408eb25c7e4f6db3c1b1(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit7bce725ccc16408eb25c7e4f6db3c1b1(); } else { function waitForOtherFormsmpFrmd6b8d8c78ed747ac9c6a38de1aac443d() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit7bce725ccc16408eb25c7e4f6db3c1b1(); } else { setTimeout(waitForOtherFormsmpFrmd6b8d8c78ed747ac9c6a38de1aac443d,300); } } waitForOtherFormsmpFrmd6b8d8c78ed747ac9c6a38de1aac443d(); }