var captchaWidgetmpFrmb702830174074e289f1ae0fa2c28e63e; var mpCurrentScriptmpFrmb702830174074e289f1ae0fa2c28e63eContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmb702830174074e289f1ae0fa2c28e63e"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41883"); 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); mpFormmpFrmb702830174074e289f1ae0fa2c28e63eFind(); } })(); function mpFormmpFrmb702830174074e289f1ae0fa2c28e63eFind() { if(!mpCurrentScriptmpFrmb702830174074e289f1ae0fa2c28e63eContainer) return; if (mpCurrentScriptmpFrmb702830174074e289f1ae0fa2c28e63eContainer && mpCurrentScriptmpFrmb702830174074e289f1ae0fa2c28e63eContainer.nodeName && mpCurrentScriptmpFrmb702830174074e289f1ae0fa2c28e63eContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41883']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmb702830174074e289f1ae0fa2c28e63e" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmb702830174074e289f1ae0fa2c28e63eContainer.children).forEach(c => { if (c.id === "mpFrmb702830174074e289f1ae0fa2c28e63e") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript2d6ac23eac4c4abab9d64bdc5a27cf0fContainer.children).filter(e => e.dataset && e.dataset.mpid === "41883"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmb702830174074e289f1ae0fa2c28e63e"; } } } } function mpForm2d6ac23eac4c4abab9d64bdc5a27cf0fCheck() { let checkBoxes = document.getElementById("mpform-2d6ac23eac4c4abab9d64bdc5a27cf0f").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 mpForm2d6ac23eac4c4abab9d64bdc5a27cf0fSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-2d6ac23eac4c4abab9d64bdc5a27cf0f").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-2d6ac23eac4c4abab9d64bdc5a27cf0f").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-2d6ac23eac4c4abab9d64bdc5a27cf0f").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-2d6ac23eac4c4abab9d64bdc5a27cf0f')), 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: getTrackingId2d6ac23eac4c4abab9d64bdc5a27cf0f() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-2d6ac23eac4c4abab9d64bdc5a27cf0f").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-2d6ac23eac4c4abab9d64bdc5a27cf0f").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=41883", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm2d6ac23eac4c4abab9d64bdc5a27cf0fCheck(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; let response = JSON.parse(xhr.responseText); try { document.getElementById('mpform-2d6ac23eac4c4abab9d64bdc5a27cf0f').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-2d6ac23eac4c4abab9d64bdc5a27cf0f").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-2d6ac23eac4c4abab9d64bdc5a27cf0f').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmb702830174074e289f1ae0fa2c28e63e); } else { mpForm2d6ac23eac4c4abab9d64bdc5a27cf0fCheck(); 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 mpmRecaptchaLoaded2d6ac23eac4c4abab9d64bdc5a27cf0f() { captchaWidgetmpFrmb702830174074e289f1ae0fa2c28e63e = grecaptcha.render('mpmRecaptchampFrmb702830174074e289f1ae0fa2c28e63e', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId2d6ac23eac4c4abab9d64bdc5a27cf0f() { 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 mpmFormInit2d6ac23eac4c4abab9d64bdc5a27cf0f () { 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 finishedLoading2d6ac23eac4c4abab9d64bdc5a27cf0f() { window.mpFormLoading = false; let container = document.getElementById('mpFrmb702830174074e289f1ae0fa2c28e63e'); if (!container) { mpFormmpFrmb702830174074e289f1ae0fa2c28e63eFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmb702830174074e289f1ae0fa2c28e63e'); return setTimeout(finishedLoading2d6ac23eac4c4abab9d64bdc5a27cf0f, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-2d6ac23eac4c4abab9d64bdc5a27cf0f").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-2d6ac23eac4c4abab9d64bdc5a27cf0f").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-2d6ac23eac4c4abab9d64bdc5a27cf0f").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-2d6ac23eac4c4abab9d64bdc5a27cf0f").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-2d6ac23eac4c4abab9d64bdc5a27cf0f").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=mpmRecaptchaLoaded2d6ac23eac4c4abab9d64bdc5a27cf0f&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup2d6ac23eac4c4abab9d64bdc5a27cf0f() { let popups = document.getElementById("mpform-2d6ac23eac4c4abab9d64bdc5a27cf0f").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput2d6ac23eac4c4abab9d64bdc5a27cf0f() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading2d6ac23eac4c4abab9d64bdc5a27cf0f(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading2d6ac23eac4c4abab9d64bdc5a27cf0f(); } } 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); mploadTelInput2d6ac23eac4c4abab9d64bdc5a27cf0f(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit2d6ac23eac4c4abab9d64bdc5a27cf0f(); } else { function waitForOtherFormsmpFrmb702830174074e289f1ae0fa2c28e63e() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit2d6ac23eac4c4abab9d64bdc5a27cf0f(); } else { setTimeout(waitForOtherFormsmpFrmb702830174074e289f1ae0fa2c28e63e,300); } } waitForOtherFormsmpFrmb702830174074e289f1ae0fa2c28e63e(); }