var captchaWidgetmpFrmda0eb87cd6cb41b183ac8431187a50dd; var mpCurrentScriptmpFrmda0eb87cd6cb41b183ac8431187a50ddContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmda0eb87cd6cb41b183ac8431187a50dd"; 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); mpFormmpFrmda0eb87cd6cb41b183ac8431187a50ddFind(); } })(); function mpFormmpFrmda0eb87cd6cb41b183ac8431187a50ddFind() { if(!mpCurrentScriptmpFrmda0eb87cd6cb41b183ac8431187a50ddContainer) return; if (mpCurrentScriptmpFrmda0eb87cd6cb41b183ac8431187a50ddContainer && mpCurrentScriptmpFrmda0eb87cd6cb41b183ac8431187a50ddContainer.nodeName && mpCurrentScriptmpFrmda0eb87cd6cb41b183ac8431187a50ddContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmda0eb87cd6cb41b183ac8431187a50dd" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmda0eb87cd6cb41b183ac8431187a50ddContainer.children).forEach(c => { if (c.id === "mpFrmda0eb87cd6cb41b183ac8431187a50dd") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript67f7a7cb16da4f4e9a0eb2451b2da3e3Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmda0eb87cd6cb41b183ac8431187a50dd"; } } } } function mpForm67f7a7cb16da4f4e9a0eb2451b2da3e3Check() { let checkBoxes = document.getElementById("mpform-67f7a7cb16da4f4e9a0eb2451b2da3e3").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 mpForm67f7a7cb16da4f4e9a0eb2451b2da3e3Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-67f7a7cb16da4f4e9a0eb2451b2da3e3").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-67f7a7cb16da4f4e9a0eb2451b2da3e3").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-67f7a7cb16da4f4e9a0eb2451b2da3e3").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-67f7a7cb16da4f4e9a0eb2451b2da3e3')), 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: getTrackingId67f7a7cb16da4f4e9a0eb2451b2da3e3() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-67f7a7cb16da4f4e9a0eb2451b2da3e3").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-67f7a7cb16da4f4e9a0eb2451b2da3e3").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) { mpForm67f7a7cb16da4f4e9a0eb2451b2da3e3Check(); 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-67f7a7cb16da4f4e9a0eb2451b2da3e3').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-67f7a7cb16da4f4e9a0eb2451b2da3e3").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-67f7a7cb16da4f4e9a0eb2451b2da3e3').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmda0eb87cd6cb41b183ac8431187a50dd); } else { mpForm67f7a7cb16da4f4e9a0eb2451b2da3e3Check(); 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 mpmRecaptchaLoaded67f7a7cb16da4f4e9a0eb2451b2da3e3() { captchaWidgetmpFrmda0eb87cd6cb41b183ac8431187a50dd = grecaptcha.render('mpmRecaptchampFrmda0eb87cd6cb41b183ac8431187a50dd', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId67f7a7cb16da4f4e9a0eb2451b2da3e3() { 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 mpmFormInit67f7a7cb16da4f4e9a0eb2451b2da3e3 () { 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 finishedLoading67f7a7cb16da4f4e9a0eb2451b2da3e3() { window.mpFormLoading = false; let container = document.getElementById('mpFrmda0eb87cd6cb41b183ac8431187a50dd'); if (!container) { mpFormmpFrmda0eb87cd6cb41b183ac8431187a50ddFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmda0eb87cd6cb41b183ac8431187a50dd'); return setTimeout(finishedLoading67f7a7cb16da4f4e9a0eb2451b2da3e3, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-67f7a7cb16da4f4e9a0eb2451b2da3e3").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-67f7a7cb16da4f4e9a0eb2451b2da3e3").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-67f7a7cb16da4f4e9a0eb2451b2da3e3").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-67f7a7cb16da4f4e9a0eb2451b2da3e3").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-67f7a7cb16da4f4e9a0eb2451b2da3e3").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=mpmRecaptchaLoaded67f7a7cb16da4f4e9a0eb2451b2da3e3&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup67f7a7cb16da4f4e9a0eb2451b2da3e3() { let popups = document.getElementById("mpform-67f7a7cb16da4f4e9a0eb2451b2da3e3").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput67f7a7cb16da4f4e9a0eb2451b2da3e3() { 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 () { finishedLoading67f7a7cb16da4f4e9a0eb2451b2da3e3(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading67f7a7cb16da4f4e9a0eb2451b2da3e3(); } } 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); mploadTelInput67f7a7cb16da4f4e9a0eb2451b2da3e3(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit67f7a7cb16da4f4e9a0eb2451b2da3e3(); } else { function waitForOtherFormsmpFrmda0eb87cd6cb41b183ac8431187a50dd() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit67f7a7cb16da4f4e9a0eb2451b2da3e3(); } else { setTimeout(waitForOtherFormsmpFrmda0eb87cd6cb41b183ac8431187a50dd,300); } } waitForOtherFormsmpFrmda0eb87cd6cb41b183ac8431187a50dd(); }