var captchaWidgetmpFrmd0b0de0c72cd4568aca02024bd8e1c00; var mpCurrentScriptmpFrmd0b0de0c72cd4568aca02024bd8e1c00Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmd0b0de0c72cd4568aca02024bd8e1c00"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41783"); 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); mpFormmpFrmd0b0de0c72cd4568aca02024bd8e1c00Find(); } })(); function mpFormmpFrmd0b0de0c72cd4568aca02024bd8e1c00Find() { if(!mpCurrentScriptmpFrmd0b0de0c72cd4568aca02024bd8e1c00Container) return; if (mpCurrentScriptmpFrmd0b0de0c72cd4568aca02024bd8e1c00Container && mpCurrentScriptmpFrmd0b0de0c72cd4568aca02024bd8e1c00Container.nodeName && mpCurrentScriptmpFrmd0b0de0c72cd4568aca02024bd8e1c00Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmd0b0de0c72cd4568aca02024bd8e1c00" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmd0b0de0c72cd4568aca02024bd8e1c00Container.children).forEach(c => { if (c.id === "mpFrmd0b0de0c72cd4568aca02024bd8e1c00") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptf86e751c9bb04d1eaa89fb16c3d0a43bContainer.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmd0b0de0c72cd4568aca02024bd8e1c00"; } } } } function mpFormf86e751c9bb04d1eaa89fb16c3d0a43bCheck() { let checkBoxes = document.getElementById("mpform-f86e751c9bb04d1eaa89fb16c3d0a43b").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 mpFormf86e751c9bb04d1eaa89fb16c3d0a43bSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-f86e751c9bb04d1eaa89fb16c3d0a43b").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-f86e751c9bb04d1eaa89fb16c3d0a43b").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-f86e751c9bb04d1eaa89fb16c3d0a43b").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-f86e751c9bb04d1eaa89fb16c3d0a43b')), 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: getTrackingIdf86e751c9bb04d1eaa89fb16c3d0a43b() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-f86e751c9bb04d1eaa89fb16c3d0a43b").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-f86e751c9bb04d1eaa89fb16c3d0a43b").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=41783", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpFormf86e751c9bb04d1eaa89fb16c3d0a43bCheck(); 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-f86e751c9bb04d1eaa89fb16c3d0a43b').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-f86e751c9bb04d1eaa89fb16c3d0a43b").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-f86e751c9bb04d1eaa89fb16c3d0a43b').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmd0b0de0c72cd4568aca02024bd8e1c00); } else { mpFormf86e751c9bb04d1eaa89fb16c3d0a43bCheck(); 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 mpmRecaptchaLoadedf86e751c9bb04d1eaa89fb16c3d0a43b() { captchaWidgetmpFrmd0b0de0c72cd4568aca02024bd8e1c00 = grecaptcha.render('mpmRecaptchampFrmd0b0de0c72cd4568aca02024bd8e1c00', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdf86e751c9bb04d1eaa89fb16c3d0a43b() { 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 mpmFormInitf86e751c9bb04d1eaa89fb16c3d0a43b () { 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 finishedLoadingf86e751c9bb04d1eaa89fb16c3d0a43b() { window.mpFormLoading = false; let container = document.getElementById('mpFrmd0b0de0c72cd4568aca02024bd8e1c00'); if (!container) { mpFormmpFrmd0b0de0c72cd4568aca02024bd8e1c00Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmd0b0de0c72cd4568aca02024bd8e1c00'); return setTimeout(finishedLoadingf86e751c9bb04d1eaa89fb16c3d0a43b, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-f86e751c9bb04d1eaa89fb16c3d0a43b").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-f86e751c9bb04d1eaa89fb16c3d0a43b").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://api.transpond.io/plugins/telNoVerificationUtils.js" } ); } } if(subscriberData) { let customFields = document.getElementById("mpform-f86e751c9bb04d1eaa89fb16c3d0a43b").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-f86e751c9bb04d1eaa89fb16c3d0a43b").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-f86e751c9bb04d1eaa89fb16c3d0a43b").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=mpmRecaptchaLoadedf86e751c9bb04d1eaa89fb16c3d0a43b&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupf86e751c9bb04d1eaa89fb16c3d0a43b() { let popups = document.getElementById("mpform-f86e751c9bb04d1eaa89fb16c3d0a43b").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputf86e751c9bb04d1eaa89fb16c3d0a43b() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingf86e751c9bb04d1eaa89fb16c3d0a43b(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingf86e751c9bb04d1eaa89fb16c3d0a43b(); } } 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://api.transpond.io/plugins/telNoVerification.css"; mTelI.type = "text/css"; mTelI.rel = "stylesheet"; document.getElementsByTagName("head")[0].appendChild(mTelI); mploadTelInputf86e751c9bb04d1eaa89fb16c3d0a43b(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitf86e751c9bb04d1eaa89fb16c3d0a43b(); } else { function waitForOtherFormsmpFrmd0b0de0c72cd4568aca02024bd8e1c00() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitf86e751c9bb04d1eaa89fb16c3d0a43b(); } else { setTimeout(waitForOtherFormsmpFrmd0b0de0c72cd4568aca02024bd8e1c00,300); } } waitForOtherFormsmpFrmd0b0de0c72cd4568aca02024bd8e1c00(); }