var captchaWidgetmpFrmf395cd78189b4915adce21a3ad71ad35; var mpCurrentScriptmpFrmf395cd78189b4915adce21a3ad71ad35Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmf395cd78189b4915adce21a3ad71ad35"; 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); mpFormmpFrmf395cd78189b4915adce21a3ad71ad35Find(); } })(); function mpFormmpFrmf395cd78189b4915adce21a3ad71ad35Find() { if(!mpCurrentScriptmpFrmf395cd78189b4915adce21a3ad71ad35Container) return; if (mpCurrentScriptmpFrmf395cd78189b4915adce21a3ad71ad35Container && mpCurrentScriptmpFrmf395cd78189b4915adce21a3ad71ad35Container.nodeName && mpCurrentScriptmpFrmf395cd78189b4915adce21a3ad71ad35Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmf395cd78189b4915adce21a3ad71ad35" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmf395cd78189b4915adce21a3ad71ad35Container.children).forEach(c => { if (c.id === "mpFrmf395cd78189b4915adce21a3ad71ad35") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript39e37fb88cd549dfb1c5e5dadd158420Container.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmf395cd78189b4915adce21a3ad71ad35"; } } } } function mpForm39e37fb88cd549dfb1c5e5dadd158420Check() { let checkBoxes = document.getElementById("mpform-39e37fb88cd549dfb1c5e5dadd158420").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 mpForm39e37fb88cd549dfb1c5e5dadd158420Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-39e37fb88cd549dfb1c5e5dadd158420").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-39e37fb88cd549dfb1c5e5dadd158420").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-39e37fb88cd549dfb1c5e5dadd158420").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-39e37fb88cd549dfb1c5e5dadd158420')), 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: getTrackingId39e37fb88cd549dfb1c5e5dadd158420() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-39e37fb88cd549dfb1c5e5dadd158420").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-39e37fb88cd549dfb1c5e5dadd158420").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) { mpForm39e37fb88cd549dfb1c5e5dadd158420Check(); 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-39e37fb88cd549dfb1c5e5dadd158420').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-39e37fb88cd549dfb1c5e5dadd158420").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-39e37fb88cd549dfb1c5e5dadd158420').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmf395cd78189b4915adce21a3ad71ad35); } else { mpForm39e37fb88cd549dfb1c5e5dadd158420Check(); 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 mpmRecaptchaLoaded39e37fb88cd549dfb1c5e5dadd158420() { captchaWidgetmpFrmf395cd78189b4915adce21a3ad71ad35 = grecaptcha.render('mpmRecaptchampFrmf395cd78189b4915adce21a3ad71ad35', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId39e37fb88cd549dfb1c5e5dadd158420() { 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 mpmFormInit39e37fb88cd549dfb1c5e5dadd158420 () { 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 finishedLoading39e37fb88cd549dfb1c5e5dadd158420() { window.mpFormLoading = false; let container = document.getElementById('mpFrmf395cd78189b4915adce21a3ad71ad35'); if (!container) { mpFormmpFrmf395cd78189b4915adce21a3ad71ad35Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmf395cd78189b4915adce21a3ad71ad35'); return setTimeout(finishedLoading39e37fb88cd549dfb1c5e5dadd158420, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-39e37fb88cd549dfb1c5e5dadd158420").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-39e37fb88cd549dfb1c5e5dadd158420").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-39e37fb88cd549dfb1c5e5dadd158420").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-39e37fb88cd549dfb1c5e5dadd158420").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-39e37fb88cd549dfb1c5e5dadd158420").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=mpmRecaptchaLoaded39e37fb88cd549dfb1c5e5dadd158420&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup39e37fb88cd549dfb1c5e5dadd158420() { let popups = document.getElementById("mpform-39e37fb88cd549dfb1c5e5dadd158420").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput39e37fb88cd549dfb1c5e5dadd158420() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading39e37fb88cd549dfb1c5e5dadd158420(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading39e37fb88cd549dfb1c5e5dadd158420(); } } 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); mploadTelInput39e37fb88cd549dfb1c5e5dadd158420(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit39e37fb88cd549dfb1c5e5dadd158420(); } else { function waitForOtherFormsmpFrmf395cd78189b4915adce21a3ad71ad35() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit39e37fb88cd549dfb1c5e5dadd158420(); } else { setTimeout(waitForOtherFormsmpFrmf395cd78189b4915adce21a3ad71ad35,300); } } waitForOtherFormsmpFrmf395cd78189b4915adce21a3ad71ad35(); }