var captchaWidgetmpFrm4981d98183af47c1a9bdfe68958af50c; var mpCurrentScriptmpFrm4981d98183af47c1a9bdfe68958af50cContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm4981d98183af47c1a9bdfe68958af50c"; 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); mpFormmpFrm4981d98183af47c1a9bdfe68958af50cFind(); } })(); function mpFormmpFrm4981d98183af47c1a9bdfe68958af50cFind() { if(!mpCurrentScriptmpFrm4981d98183af47c1a9bdfe68958af50cContainer) return; if (mpCurrentScriptmpFrm4981d98183af47c1a9bdfe68958af50cContainer && mpCurrentScriptmpFrm4981d98183af47c1a9bdfe68958af50cContainer.nodeName && mpCurrentScriptmpFrm4981d98183af47c1a9bdfe68958af50cContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm4981d98183af47c1a9bdfe68958af50c" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm4981d98183af47c1a9bdfe68958af50cContainer.children).forEach(c => { if (c.id === "mpFrm4981d98183af47c1a9bdfe68958af50c") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptec4ee5dbae2d426b82f1cc0b51b6024dContainer.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm4981d98183af47c1a9bdfe68958af50c"; } } } } function mpFormec4ee5dbae2d426b82f1cc0b51b6024dCheck() { let checkBoxes = document.getElementById("mpform-ec4ee5dbae2d426b82f1cc0b51b6024d").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 mpFormec4ee5dbae2d426b82f1cc0b51b6024dSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-ec4ee5dbae2d426b82f1cc0b51b6024d").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-ec4ee5dbae2d426b82f1cc0b51b6024d").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-ec4ee5dbae2d426b82f1cc0b51b6024d").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-ec4ee5dbae2d426b82f1cc0b51b6024d')), 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: getTrackingIdec4ee5dbae2d426b82f1cc0b51b6024d() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-ec4ee5dbae2d426b82f1cc0b51b6024d").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-ec4ee5dbae2d426b82f1cc0b51b6024d").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) { mpFormec4ee5dbae2d426b82f1cc0b51b6024dCheck(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; let response = JSON.parse(xhr.responseText); try { document.getElementById('mpform-ec4ee5dbae2d426b82f1cc0b51b6024d').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-ec4ee5dbae2d426b82f1cc0b51b6024d").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-ec4ee5dbae2d426b82f1cc0b51b6024d').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm4981d98183af47c1a9bdfe68958af50c); } else { mpFormec4ee5dbae2d426b82f1cc0b51b6024dCheck(); 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 mpmRecaptchaLoadedec4ee5dbae2d426b82f1cc0b51b6024d() { captchaWidgetmpFrm4981d98183af47c1a9bdfe68958af50c = grecaptcha.render('mpmRecaptchampFrm4981d98183af47c1a9bdfe68958af50c', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdec4ee5dbae2d426b82f1cc0b51b6024d() { 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 mpmFormInitec4ee5dbae2d426b82f1cc0b51b6024d () { 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 finishedLoadingec4ee5dbae2d426b82f1cc0b51b6024d() { window.mpFormLoading = false; let container = document.getElementById('mpFrm4981d98183af47c1a9bdfe68958af50c'); if (!container) { mpFormmpFrm4981d98183af47c1a9bdfe68958af50cFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm4981d98183af47c1a9bdfe68958af50c'); return setTimeout(finishedLoadingec4ee5dbae2d426b82f1cc0b51b6024d, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-ec4ee5dbae2d426b82f1cc0b51b6024d").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-ec4ee5dbae2d426b82f1cc0b51b6024d").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-ec4ee5dbae2d426b82f1cc0b51b6024d").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-ec4ee5dbae2d426b82f1cc0b51b6024d").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-ec4ee5dbae2d426b82f1cc0b51b6024d").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=mpmRecaptchaLoadedec4ee5dbae2d426b82f1cc0b51b6024d&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupec4ee5dbae2d426b82f1cc0b51b6024d() { let popups = document.getElementById("mpform-ec4ee5dbae2d426b82f1cc0b51b6024d").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputec4ee5dbae2d426b82f1cc0b51b6024d() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingec4ee5dbae2d426b82f1cc0b51b6024d(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingec4ee5dbae2d426b82f1cc0b51b6024d(); } } 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); mploadTelInputec4ee5dbae2d426b82f1cc0b51b6024d(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitec4ee5dbae2d426b82f1cc0b51b6024d(); } else { function waitForOtherFormsmpFrm4981d98183af47c1a9bdfe68958af50c() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitec4ee5dbae2d426b82f1cc0b51b6024d(); } else { setTimeout(waitForOtherFormsmpFrm4981d98183af47c1a9bdfe68958af50c,300); } } waitForOtherFormsmpFrm4981d98183af47c1a9bdfe68958af50c(); }