var captchaWidgetmpFrm6551a6ad93194f53880cb8325e599e10; var mpCurrentScriptmpFrm6551a6ad93194f53880cb8325e599e10Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm6551a6ad93194f53880cb8325e599e10"; 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); mpFormmpFrm6551a6ad93194f53880cb8325e599e10Find(); } })(); function mpFormmpFrm6551a6ad93194f53880cb8325e599e10Find() { if(!mpCurrentScriptmpFrm6551a6ad93194f53880cb8325e599e10Container) return; if (mpCurrentScriptmpFrm6551a6ad93194f53880cb8325e599e10Container && mpCurrentScriptmpFrm6551a6ad93194f53880cb8325e599e10Container.nodeName && mpCurrentScriptmpFrm6551a6ad93194f53880cb8325e599e10Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm6551a6ad93194f53880cb8325e599e10" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm6551a6ad93194f53880cb8325e599e10Container.children).forEach(c => { if (c.id === "mpFrm6551a6ad93194f53880cb8325e599e10") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript7db23d91b5ad4f638457039066bcbc1eContainer.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm6551a6ad93194f53880cb8325e599e10"; } } } } function mpForm7db23d91b5ad4f638457039066bcbc1eCheck() { let checkBoxes = document.getElementById("mpform-7db23d91b5ad4f638457039066bcbc1e").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 mpForm7db23d91b5ad4f638457039066bcbc1eSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-7db23d91b5ad4f638457039066bcbc1e").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-7db23d91b5ad4f638457039066bcbc1e").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-7db23d91b5ad4f638457039066bcbc1e").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-7db23d91b5ad4f638457039066bcbc1e')), 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: getTrackingId7db23d91b5ad4f638457039066bcbc1e() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-7db23d91b5ad4f638457039066bcbc1e").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-7db23d91b5ad4f638457039066bcbc1e").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) { mpForm7db23d91b5ad4f638457039066bcbc1eCheck(); 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-7db23d91b5ad4f638457039066bcbc1e').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-7db23d91b5ad4f638457039066bcbc1e").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-7db23d91b5ad4f638457039066bcbc1e').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm6551a6ad93194f53880cb8325e599e10); } else { mpForm7db23d91b5ad4f638457039066bcbc1eCheck(); 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 mpmRecaptchaLoaded7db23d91b5ad4f638457039066bcbc1e() { captchaWidgetmpFrm6551a6ad93194f53880cb8325e599e10 = grecaptcha.render('mpmRecaptchampFrm6551a6ad93194f53880cb8325e599e10', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId7db23d91b5ad4f638457039066bcbc1e() { 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 mpmFormInit7db23d91b5ad4f638457039066bcbc1e () { 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 finishedLoading7db23d91b5ad4f638457039066bcbc1e() { window.mpFormLoading = false; let container = document.getElementById('mpFrm6551a6ad93194f53880cb8325e599e10'); if (!container) { mpFormmpFrm6551a6ad93194f53880cb8325e599e10Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm6551a6ad93194f53880cb8325e599e10'); return setTimeout(finishedLoading7db23d91b5ad4f638457039066bcbc1e, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-7db23d91b5ad4f638457039066bcbc1e").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-7db23d91b5ad4f638457039066bcbc1e").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-7db23d91b5ad4f638457039066bcbc1e").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-7db23d91b5ad4f638457039066bcbc1e").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-7db23d91b5ad4f638457039066bcbc1e").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=mpmRecaptchaLoaded7db23d91b5ad4f638457039066bcbc1e&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup7db23d91b5ad4f638457039066bcbc1e() { let popups = document.getElementById("mpform-7db23d91b5ad4f638457039066bcbc1e").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput7db23d91b5ad4f638457039066bcbc1e() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading7db23d91b5ad4f638457039066bcbc1e(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading7db23d91b5ad4f638457039066bcbc1e(); } } 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); mploadTelInput7db23d91b5ad4f638457039066bcbc1e(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit7db23d91b5ad4f638457039066bcbc1e(); } else { function waitForOtherFormsmpFrm6551a6ad93194f53880cb8325e599e10() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit7db23d91b5ad4f638457039066bcbc1e(); } else { setTimeout(waitForOtherFormsmpFrm6551a6ad93194f53880cb8325e599e10,300); } } waitForOtherFormsmpFrm6551a6ad93194f53880cb8325e599e10(); }