var captchaWidgetmpFrm3d25dda53b134836b1ef80f0b5cfcd1f; var mpCurrentScriptmpFrm3d25dda53b134836b1ef80f0b5cfcd1fContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm3d25dda53b134836b1ef80f0b5cfcd1f"; 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); }); } mpFormmpFrm3d25dda53b134836b1ef80f0b5cfcd1fFind(); } 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); mpFormmpFrm3d25dda53b134836b1ef80f0b5cfcd1fFind(); } })(); function mpFormmpFrm3d25dda53b134836b1ef80f0b5cfcd1fFind() { if(!mpCurrentScriptmpFrm3d25dda53b134836b1ef80f0b5cfcd1fContainer) return; if (mpCurrentScriptmpFrm3d25dda53b134836b1ef80f0b5cfcd1fContainer && mpCurrentScriptmpFrm3d25dda53b134836b1ef80f0b5cfcd1fContainer.nodeName && mpCurrentScriptmpFrm3d25dda53b134836b1ef80f0b5cfcd1fContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm3d25dda53b134836b1ef80f0b5cfcd1f" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm3d25dda53b134836b1ef80f0b5cfcd1fContainer.children).forEach(c => { if (c.id === "mpFrm3d25dda53b134836b1ef80f0b5cfcd1f") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript3c962b0b78674b6d8d8d2a4539a077c9Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm3d25dda53b134836b1ef80f0b5cfcd1f"; } } } } function mpForm3c962b0b78674b6d8d8d2a4539a077c9Check() { let checkBoxes = document.getElementById("mpform-3c962b0b78674b6d8d8d2a4539a077c9").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 mpForm3c962b0b78674b6d8d8d2a4539a077c9Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-3c962b0b78674b6d8d8d2a4539a077c9").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-3c962b0b78674b6d8d8d2a4539a077c9").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-3c962b0b78674b6d8d8d2a4539a077c9").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-3c962b0b78674b6d8d8d2a4539a077c9')), 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: getTrackingId3c962b0b78674b6d8d8d2a4539a077c9() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-3c962b0b78674b6d8d8d2a4539a077c9").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-3c962b0b78674b6d8d8d2a4539a077c9").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) { mpForm3c962b0b78674b6d8d8d2a4539a077c9Check(); 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-3c962b0b78674b6d8d8d2a4539a077c9').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-3c962b0b78674b6d8d8d2a4539a077c9").querySelector("a[href='" + link.replace + "']"); if (hiddenButton) { hiddenButton.href = link.link; hiddenButton.closest('[data-type="FORMFILE"]').style.display = 'flex'; } }); parent.style.display = "none"; } mpMsg.innerHTML = response.message; } else if (response.replace) { document.getElementById('mpform-3c962b0b78674b6d8d8d2a4539a077c9').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm3d25dda53b134836b1ef80f0b5cfcd1f); } else { mpForm3c962b0b78674b6d8d8d2a4539a077c9Check(); 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 mpmRecaptchaLoaded3c962b0b78674b6d8d8d2a4539a077c9() { captchaWidgetmpFrm3d25dda53b134836b1ef80f0b5cfcd1f = grecaptcha.render('mpmRecaptchampFrm3d25dda53b134836b1ef80f0b5cfcd1f', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId3c962b0b78674b6d8d8d2a4539a077c9() { 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 mpmFormInit3c962b0b78674b6d8d8d2a4539a077c9 () { 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 finishedLoading3c962b0b78674b6d8d8d2a4539a077c9() { window.mpFormLoading = false; let container = document.getElementById('mpFrm3d25dda53b134836b1ef80f0b5cfcd1f'); if (!container) { mpFormmpFrm3d25dda53b134836b1ef80f0b5cfcd1fFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm3d25dda53b134836b1ef80f0b5cfcd1f'); return setTimeout(finishedLoading3c962b0b78674b6d8d8d2a4539a077c9, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-3c962b0b78674b6d8d8d2a4539a077c9").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-3c962b0b78674b6d8d8d2a4539a077c9").querySelectorAll('input[type=TELNO]'); if(telInputs) { let telInputCSSOver = ""; 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", customContainer: "mpm-tel-input-container-3c962b0b78674b6d8d8d2a4539a077c9-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-3c962b0b78674b6d8d8d2a4539a077c9-" + i + " { margin: " + tmpMargin + " } " } } if(telInputCSSOver) { let style = document.createElement("style"); style.innerHTML = telInputCSSOver; document.getElementsByTagName("head")[0].appendChild(style); } } if(subscriberData) { let customFields = document.getElementById("mpform-3c962b0b78674b6d8d8d2a4539a077c9").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-3c962b0b78674b6d8d8d2a4539a077c9").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-3c962b0b78674b6d8d8d2a4539a077c9").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=mpmRecaptchaLoaded3c962b0b78674b6d8d8d2a4539a077c9&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup3c962b0b78674b6d8d8d2a4539a077c9() { let popups = document.getElementById("mpform-3c962b0b78674b6d8d8d2a4539a077c9").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput3c962b0b78674b6d8d8d2a4539a077c9() { 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 () { finishedLoading3c962b0b78674b6d8d8d2a4539a077c9(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading3c962b0b78674b6d8d8d2a4539a077c9(); } } 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); mploadTelInput3c962b0b78674b6d8d8d2a4539a077c9(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit3c962b0b78674b6d8d8d2a4539a077c9(); } else { function waitForOtherFormsmpFrm3d25dda53b134836b1ef80f0b5cfcd1f() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit3c962b0b78674b6d8d8d2a4539a077c9(); } else { setTimeout(waitForOtherFormsmpFrm3d25dda53b134836b1ef80f0b5cfcd1f,300); } } waitForOtherFormsmpFrm3d25dda53b134836b1ef80f0b5cfcd1f(); }