var captchaWidgetmpFrm25c293d63f1d48bfa972a7d8e6f20f86; var mpCurrentScriptmpFrm25c293d63f1d48bfa972a7d8e6f20f86Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm25c293d63f1d48bfa972a7d8e6f20f86"; 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); mpFormmpFrm25c293d63f1d48bfa972a7d8e6f20f86Find(); } })(); function mpFormmpFrm25c293d63f1d48bfa972a7d8e6f20f86Find() { if(!mpCurrentScriptmpFrm25c293d63f1d48bfa972a7d8e6f20f86Container) return; if (mpCurrentScriptmpFrm25c293d63f1d48bfa972a7d8e6f20f86Container && mpCurrentScriptmpFrm25c293d63f1d48bfa972a7d8e6f20f86Container.nodeName && mpCurrentScriptmpFrm25c293d63f1d48bfa972a7d8e6f20f86Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm25c293d63f1d48bfa972a7d8e6f20f86" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm25c293d63f1d48bfa972a7d8e6f20f86Container.children).forEach(c => { if (c.id === "mpFrm25c293d63f1d48bfa972a7d8e6f20f86") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript637448971fe44e25b560a93dcc1c2588Container.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm25c293d63f1d48bfa972a7d8e6f20f86"; } } } } function mpForm637448971fe44e25b560a93dcc1c2588Check() { let checkBoxes = document.getElementById("mpform-637448971fe44e25b560a93dcc1c2588").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 mpForm637448971fe44e25b560a93dcc1c2588Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-637448971fe44e25b560a93dcc1c2588").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-637448971fe44e25b560a93dcc1c2588").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-637448971fe44e25b560a93dcc1c2588").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-637448971fe44e25b560a93dcc1c2588')), 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: getTrackingId637448971fe44e25b560a93dcc1c2588() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-637448971fe44e25b560a93dcc1c2588").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-637448971fe44e25b560a93dcc1c2588").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) { mpForm637448971fe44e25b560a93dcc1c2588Check(); 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-637448971fe44e25b560a93dcc1c2588').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-637448971fe44e25b560a93dcc1c2588").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-637448971fe44e25b560a93dcc1c2588').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm25c293d63f1d48bfa972a7d8e6f20f86); } else { mpForm637448971fe44e25b560a93dcc1c2588Check(); 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 mpmRecaptchaLoaded637448971fe44e25b560a93dcc1c2588() { captchaWidgetmpFrm25c293d63f1d48bfa972a7d8e6f20f86 = grecaptcha.render('mpmRecaptchampFrm25c293d63f1d48bfa972a7d8e6f20f86', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId637448971fe44e25b560a93dcc1c2588() { 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 mpmFormInit637448971fe44e25b560a93dcc1c2588 () { 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 finishedLoading637448971fe44e25b560a93dcc1c2588() { window.mpFormLoading = false; let container = document.getElementById('mpFrm25c293d63f1d48bfa972a7d8e6f20f86'); if (!container) { mpFormmpFrm25c293d63f1d48bfa972a7d8e6f20f86Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm25c293d63f1d48bfa972a7d8e6f20f86'); return setTimeout(finishedLoading637448971fe44e25b560a93dcc1c2588, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-637448971fe44e25b560a93dcc1c2588").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-637448971fe44e25b560a93dcc1c2588").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-637448971fe44e25b560a93dcc1c2588").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-637448971fe44e25b560a93dcc1c2588").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-637448971fe44e25b560a93dcc1c2588").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=mpmRecaptchaLoaded637448971fe44e25b560a93dcc1c2588&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup637448971fe44e25b560a93dcc1c2588() { let popups = document.getElementById("mpform-637448971fe44e25b560a93dcc1c2588").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput637448971fe44e25b560a93dcc1c2588() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading637448971fe44e25b560a93dcc1c2588(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading637448971fe44e25b560a93dcc1c2588(); } } 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); mploadTelInput637448971fe44e25b560a93dcc1c2588(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit637448971fe44e25b560a93dcc1c2588(); } else { function waitForOtherFormsmpFrm25c293d63f1d48bfa972a7d8e6f20f86() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit637448971fe44e25b560a93dcc1c2588(); } else { setTimeout(waitForOtherFormsmpFrm25c293d63f1d48bfa972a7d8e6f20f86,300); } } waitForOtherFormsmpFrm25c293d63f1d48bfa972a7d8e6f20f86(); }