var captchaWidgetmpFrma4673a1c829c4287ae2b8d50fffd0f44; var mpCurrentScriptmpFrma4673a1c829c4287ae2b8d50fffd0f44Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrma4673a1c829c4287ae2b8d50fffd0f44"; 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); mpFormmpFrma4673a1c829c4287ae2b8d50fffd0f44Find(); } })(); function mpFormmpFrma4673a1c829c4287ae2b8d50fffd0f44Find() { if(!mpCurrentScriptmpFrma4673a1c829c4287ae2b8d50fffd0f44Container) return; if (mpCurrentScriptmpFrma4673a1c829c4287ae2b8d50fffd0f44Container && mpCurrentScriptmpFrma4673a1c829c4287ae2b8d50fffd0f44Container.nodeName && mpCurrentScriptmpFrma4673a1c829c4287ae2b8d50fffd0f44Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrma4673a1c829c4287ae2b8d50fffd0f44" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrma4673a1c829c4287ae2b8d50fffd0f44Container.children).forEach(c => { if (c.id === "mpFrma4673a1c829c4287ae2b8d50fffd0f44") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript112ac236e8a6444d9f24c21cb66b5886Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrma4673a1c829c4287ae2b8d50fffd0f44"; } } } } function mpForm112ac236e8a6444d9f24c21cb66b5886Check() { let checkBoxes = document.getElementById("mpform-112ac236e8a6444d9f24c21cb66b5886").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 mpForm112ac236e8a6444d9f24c21cb66b5886Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-112ac236e8a6444d9f24c21cb66b5886").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-112ac236e8a6444d9f24c21cb66b5886").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-112ac236e8a6444d9f24c21cb66b5886").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-112ac236e8a6444d9f24c21cb66b5886')), 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: getTrackingId112ac236e8a6444d9f24c21cb66b5886() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-112ac236e8a6444d9f24c21cb66b5886").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-112ac236e8a6444d9f24c21cb66b5886").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) { mpForm112ac236e8a6444d9f24c21cb66b5886Check(); 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-112ac236e8a6444d9f24c21cb66b5886').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-112ac236e8a6444d9f24c21cb66b5886").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-112ac236e8a6444d9f24c21cb66b5886').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrma4673a1c829c4287ae2b8d50fffd0f44); } else { mpForm112ac236e8a6444d9f24c21cb66b5886Check(); 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 mpmRecaptchaLoaded112ac236e8a6444d9f24c21cb66b5886() { captchaWidgetmpFrma4673a1c829c4287ae2b8d50fffd0f44 = grecaptcha.render('mpmRecaptchampFrma4673a1c829c4287ae2b8d50fffd0f44', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId112ac236e8a6444d9f24c21cb66b5886() { 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 mpmFormInit112ac236e8a6444d9f24c21cb66b5886 () { 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 finishedLoading112ac236e8a6444d9f24c21cb66b5886() { window.mpFormLoading = false; let container = document.getElementById('mpFrma4673a1c829c4287ae2b8d50fffd0f44'); if (!container) { mpFormmpFrma4673a1c829c4287ae2b8d50fffd0f44Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrma4673a1c829c4287ae2b8d50fffd0f44'); return setTimeout(finishedLoading112ac236e8a6444d9f24c21cb66b5886, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-112ac236e8a6444d9f24c21cb66b5886").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-112ac236e8a6444d9f24c21cb66b5886").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-112ac236e8a6444d9f24c21cb66b5886").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-112ac236e8a6444d9f24c21cb66b5886").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-112ac236e8a6444d9f24c21cb66b5886").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=mpmRecaptchaLoaded112ac236e8a6444d9f24c21cb66b5886&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup112ac236e8a6444d9f24c21cb66b5886() { let popups = document.getElementById("mpform-112ac236e8a6444d9f24c21cb66b5886").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput112ac236e8a6444d9f24c21cb66b5886() { 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 () { finishedLoading112ac236e8a6444d9f24c21cb66b5886(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading112ac236e8a6444d9f24c21cb66b5886(); } } 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); mploadTelInput112ac236e8a6444d9f24c21cb66b5886(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit112ac236e8a6444d9f24c21cb66b5886(); } else { function waitForOtherFormsmpFrma4673a1c829c4287ae2b8d50fffd0f44() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit112ac236e8a6444d9f24c21cb66b5886(); } else { setTimeout(waitForOtherFormsmpFrma4673a1c829c4287ae2b8d50fffd0f44,300); } } waitForOtherFormsmpFrma4673a1c829c4287ae2b8d50fffd0f44(); }