var captchaWidgetmpFrm312a779d7c9d4d5ba43040bc3b75019d; var mpCurrentScriptmpFrm312a779d7c9d4d5ba43040bc3b75019dContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm312a779d7c9d4d5ba43040bc3b75019d"; 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); mpFormmpFrm312a779d7c9d4d5ba43040bc3b75019dFind(); } })(); function mpFormmpFrm312a779d7c9d4d5ba43040bc3b75019dFind() { if(!mpCurrentScriptmpFrm312a779d7c9d4d5ba43040bc3b75019dContainer) return; if (mpCurrentScriptmpFrm312a779d7c9d4d5ba43040bc3b75019dContainer && mpCurrentScriptmpFrm312a779d7c9d4d5ba43040bc3b75019dContainer.nodeName && mpCurrentScriptmpFrm312a779d7c9d4d5ba43040bc3b75019dContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm312a779d7c9d4d5ba43040bc3b75019d" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm312a779d7c9d4d5ba43040bc3b75019dContainer.children).forEach(c => { if (c.id === "mpFrm312a779d7c9d4d5ba43040bc3b75019d") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript181342f606044acaa7d704b005c803ccContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm312a779d7c9d4d5ba43040bc3b75019d"; } } } } function mpForm181342f606044acaa7d704b005c803ccCheck() { let checkBoxes = document.getElementById("mpform-181342f606044acaa7d704b005c803cc").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 mpForm181342f606044acaa7d704b005c803ccSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-181342f606044acaa7d704b005c803cc").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-181342f606044acaa7d704b005c803cc").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-181342f606044acaa7d704b005c803cc").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-181342f606044acaa7d704b005c803cc')), 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: getTrackingId181342f606044acaa7d704b005c803cc() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-181342f606044acaa7d704b005c803cc").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-181342f606044acaa7d704b005c803cc").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) { mpForm181342f606044acaa7d704b005c803ccCheck(); 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-181342f606044acaa7d704b005c803cc').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-181342f606044acaa7d704b005c803cc").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-181342f606044acaa7d704b005c803cc').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm312a779d7c9d4d5ba43040bc3b75019d); } else { mpForm181342f606044acaa7d704b005c803ccCheck(); 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 mpmRecaptchaLoaded181342f606044acaa7d704b005c803cc() { captchaWidgetmpFrm312a779d7c9d4d5ba43040bc3b75019d = grecaptcha.render('mpmRecaptchampFrm312a779d7c9d4d5ba43040bc3b75019d', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId181342f606044acaa7d704b005c803cc() { 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 mpmFormInit181342f606044acaa7d704b005c803cc () { 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 finishedLoading181342f606044acaa7d704b005c803cc() { window.mpFormLoading = false; let container = document.getElementById('mpFrm312a779d7c9d4d5ba43040bc3b75019d'); if (!container) { mpFormmpFrm312a779d7c9d4d5ba43040bc3b75019dFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm312a779d7c9d4d5ba43040bc3b75019d'); return setTimeout(finishedLoading181342f606044acaa7d704b005c803cc, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-181342f606044acaa7d704b005c803cc").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-181342f606044acaa7d704b005c803cc").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-181342f606044acaa7d704b005c803cc").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-181342f606044acaa7d704b005c803cc").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-181342f606044acaa7d704b005c803cc").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=mpmRecaptchaLoaded181342f606044acaa7d704b005c803cc&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup181342f606044acaa7d704b005c803cc() { let popups = document.getElementById("mpform-181342f606044acaa7d704b005c803cc").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput181342f606044acaa7d704b005c803cc() { 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 () { finishedLoading181342f606044acaa7d704b005c803cc(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading181342f606044acaa7d704b005c803cc(); } } 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); mploadTelInput181342f606044acaa7d704b005c803cc(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit181342f606044acaa7d704b005c803cc(); } else { function waitForOtherFormsmpFrm312a779d7c9d4d5ba43040bc3b75019d() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit181342f606044acaa7d704b005c803cc(); } else { setTimeout(waitForOtherFormsmpFrm312a779d7c9d4d5ba43040bc3b75019d,300); } } waitForOtherFormsmpFrm312a779d7c9d4d5ba43040bc3b75019d(); }