var captchaWidgetmpFrm5e82a4fb0f31491f811473d225ced310; var mpCurrentScriptmpFrm5e82a4fb0f31491f811473d225ced310Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm5e82a4fb0f31491f811473d225ced310"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41911"); 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); mpFormmpFrm5e82a4fb0f31491f811473d225ced310Find(); } })(); function mpFormmpFrm5e82a4fb0f31491f811473d225ced310Find() { if(!mpCurrentScriptmpFrm5e82a4fb0f31491f811473d225ced310Container) return; if (mpCurrentScriptmpFrm5e82a4fb0f31491f811473d225ced310Container && mpCurrentScriptmpFrm5e82a4fb0f31491f811473d225ced310Container.nodeName && mpCurrentScriptmpFrm5e82a4fb0f31491f811473d225ced310Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm5e82a4fb0f31491f811473d225ced310" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm5e82a4fb0f31491f811473d225ced310Container.children).forEach(c => { if (c.id === "mpFrm5e82a4fb0f31491f811473d225ced310") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptca8af84f0c4a48059c4b3f770eeefc40Container.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm5e82a4fb0f31491f811473d225ced310"; } } } } function mpFormca8af84f0c4a48059c4b3f770eeefc40Check() { let checkBoxes = document.getElementById("mpform-ca8af84f0c4a48059c4b3f770eeefc40").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 mpFormca8af84f0c4a48059c4b3f770eeefc40Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-ca8af84f0c4a48059c4b3f770eeefc40").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-ca8af84f0c4a48059c4b3f770eeefc40").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-ca8af84f0c4a48059c4b3f770eeefc40").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-ca8af84f0c4a48059c4b3f770eeefc40')), 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: getTrackingIdca8af84f0c4a48059c4b3f770eeefc40() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-ca8af84f0c4a48059c4b3f770eeefc40").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-ca8af84f0c4a48059c4b3f770eeefc40").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=41911", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpFormca8af84f0c4a48059c4b3f770eeefc40Check(); 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-ca8af84f0c4a48059c4b3f770eeefc40').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-ca8af84f0c4a48059c4b3f770eeefc40").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-ca8af84f0c4a48059c4b3f770eeefc40').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm5e82a4fb0f31491f811473d225ced310); } else { mpFormca8af84f0c4a48059c4b3f770eeefc40Check(); 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 mpmRecaptchaLoadedca8af84f0c4a48059c4b3f770eeefc40() { captchaWidgetmpFrm5e82a4fb0f31491f811473d225ced310 = grecaptcha.render('mpmRecaptchampFrm5e82a4fb0f31491f811473d225ced310', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdca8af84f0c4a48059c4b3f770eeefc40() { 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 mpmFormInitca8af84f0c4a48059c4b3f770eeefc40 () { 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 finishedLoadingca8af84f0c4a48059c4b3f770eeefc40() { window.mpFormLoading = false; let container = document.getElementById('mpFrm5e82a4fb0f31491f811473d225ced310'); if (!container) { mpFormmpFrm5e82a4fb0f31491f811473d225ced310Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm5e82a4fb0f31491f811473d225ced310'); return setTimeout(finishedLoadingca8af84f0c4a48059c4b3f770eeefc40, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-ca8af84f0c4a48059c4b3f770eeefc40").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-ca8af84f0c4a48059c4b3f770eeefc40").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-ca8af84f0c4a48059c4b3f770eeefc40").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-ca8af84f0c4a48059c4b3f770eeefc40").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-ca8af84f0c4a48059c4b3f770eeefc40").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=mpmRecaptchaLoadedca8af84f0c4a48059c4b3f770eeefc40&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupca8af84f0c4a48059c4b3f770eeefc40() { let popups = document.getElementById("mpform-ca8af84f0c4a48059c4b3f770eeefc40").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputca8af84f0c4a48059c4b3f770eeefc40() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingca8af84f0c4a48059c4b3f770eeefc40(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingca8af84f0c4a48059c4b3f770eeefc40(); } } 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); mploadTelInputca8af84f0c4a48059c4b3f770eeefc40(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitca8af84f0c4a48059c4b3f770eeefc40(); } else { function waitForOtherFormsmpFrm5e82a4fb0f31491f811473d225ced310() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitca8af84f0c4a48059c4b3f770eeefc40(); } else { setTimeout(waitForOtherFormsmpFrm5e82a4fb0f31491f811473d225ced310,300); } } waitForOtherFormsmpFrm5e82a4fb0f31491f811473d225ced310(); }