var captchaWidgetmpFrm2c580fa76cde472394d309b5d01ebc03; var mpCurrentScriptmpFrm2c580fa76cde472394d309b5d01ebc03Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm2c580fa76cde472394d309b5d01ebc03"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41907"); 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); mpFormmpFrm2c580fa76cde472394d309b5d01ebc03Find(); } })(); function mpFormmpFrm2c580fa76cde472394d309b5d01ebc03Find() { if(!mpCurrentScriptmpFrm2c580fa76cde472394d309b5d01ebc03Container) return; if (mpCurrentScriptmpFrm2c580fa76cde472394d309b5d01ebc03Container && mpCurrentScriptmpFrm2c580fa76cde472394d309b5d01ebc03Container.nodeName && mpCurrentScriptmpFrm2c580fa76cde472394d309b5d01ebc03Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41907']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm2c580fa76cde472394d309b5d01ebc03" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm2c580fa76cde472394d309b5d01ebc03Container.children).forEach(c => { if (c.id === "mpFrm2c580fa76cde472394d309b5d01ebc03") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript26e6dafc4ab541fb865e7bfda2ae9de7Container.children).filter(e => e.dataset && e.dataset.mpid === "41907"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm2c580fa76cde472394d309b5d01ebc03"; } } } } function mpForm26e6dafc4ab541fb865e7bfda2ae9de7Check() { let checkBoxes = document.getElementById("mpform-26e6dafc4ab541fb865e7bfda2ae9de7").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 mpForm26e6dafc4ab541fb865e7bfda2ae9de7Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-26e6dafc4ab541fb865e7bfda2ae9de7").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-26e6dafc4ab541fb865e7bfda2ae9de7").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-26e6dafc4ab541fb865e7bfda2ae9de7").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-26e6dafc4ab541fb865e7bfda2ae9de7')), 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: getTrackingId26e6dafc4ab541fb865e7bfda2ae9de7() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-26e6dafc4ab541fb865e7bfda2ae9de7").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-26e6dafc4ab541fb865e7bfda2ae9de7").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=41907", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm26e6dafc4ab541fb865e7bfda2ae9de7Check(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; let response = JSON.parse(xhr.responseText); try { document.getElementById('mpform-26e6dafc4ab541fb865e7bfda2ae9de7').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-26e6dafc4ab541fb865e7bfda2ae9de7").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-26e6dafc4ab541fb865e7bfda2ae9de7').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm2c580fa76cde472394d309b5d01ebc03); } else { mpForm26e6dafc4ab541fb865e7bfda2ae9de7Check(); 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 mpmRecaptchaLoaded26e6dafc4ab541fb865e7bfda2ae9de7() { captchaWidgetmpFrm2c580fa76cde472394d309b5d01ebc03 = grecaptcha.render('mpmRecaptchampFrm2c580fa76cde472394d309b5d01ebc03', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId26e6dafc4ab541fb865e7bfda2ae9de7() { 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 mpmFormInit26e6dafc4ab541fb865e7bfda2ae9de7 () { 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 finishedLoading26e6dafc4ab541fb865e7bfda2ae9de7() { window.mpFormLoading = false; let container = document.getElementById('mpFrm2c580fa76cde472394d309b5d01ebc03'); if (!container) { mpFormmpFrm2c580fa76cde472394d309b5d01ebc03Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm2c580fa76cde472394d309b5d01ebc03'); return setTimeout(finishedLoading26e6dafc4ab541fb865e7bfda2ae9de7, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-26e6dafc4ab541fb865e7bfda2ae9de7").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-26e6dafc4ab541fb865e7bfda2ae9de7").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-26e6dafc4ab541fb865e7bfda2ae9de7").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-26e6dafc4ab541fb865e7bfda2ae9de7").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-26e6dafc4ab541fb865e7bfda2ae9de7").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=mpmRecaptchaLoaded26e6dafc4ab541fb865e7bfda2ae9de7&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup26e6dafc4ab541fb865e7bfda2ae9de7() { let popups = document.getElementById("mpform-26e6dafc4ab541fb865e7bfda2ae9de7").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput26e6dafc4ab541fb865e7bfda2ae9de7() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading26e6dafc4ab541fb865e7bfda2ae9de7(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading26e6dafc4ab541fb865e7bfda2ae9de7(); } } 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); mploadTelInput26e6dafc4ab541fb865e7bfda2ae9de7(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit26e6dafc4ab541fb865e7bfda2ae9de7(); } else { function waitForOtherFormsmpFrm2c580fa76cde472394d309b5d01ebc03() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit26e6dafc4ab541fb865e7bfda2ae9de7(); } else { setTimeout(waitForOtherFormsmpFrm2c580fa76cde472394d309b5d01ebc03,300); } } waitForOtherFormsmpFrm2c580fa76cde472394d309b5d01ebc03(); }