var captchaWidgetmpFrm0daf777dc2c54869adc52fa34a392991; var mpCurrentScriptmpFrm0daf777dc2c54869adc52fa34a392991Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm0daf777dc2c54869adc52fa34a392991"; 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); mpFormmpFrm0daf777dc2c54869adc52fa34a392991Find(); } })(); function mpFormmpFrm0daf777dc2c54869adc52fa34a392991Find() { if(!mpCurrentScriptmpFrm0daf777dc2c54869adc52fa34a392991Container) return; if (mpCurrentScriptmpFrm0daf777dc2c54869adc52fa34a392991Container && mpCurrentScriptmpFrm0daf777dc2c54869adc52fa34a392991Container.nodeName && mpCurrentScriptmpFrm0daf777dc2c54869adc52fa34a392991Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm0daf777dc2c54869adc52fa34a392991" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm0daf777dc2c54869adc52fa34a392991Container.children).forEach(c => { if (c.id === "mpFrm0daf777dc2c54869adc52fa34a392991") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript4b0c0620099049daaf6d7ae35a1cafcdContainer.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm0daf777dc2c54869adc52fa34a392991"; } } } } function mpForm4b0c0620099049daaf6d7ae35a1cafcdCheck() { let checkBoxes = document.getElementById("mpform-4b0c0620099049daaf6d7ae35a1cafcd").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 mpForm4b0c0620099049daaf6d7ae35a1cafcdSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-4b0c0620099049daaf6d7ae35a1cafcd").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-4b0c0620099049daaf6d7ae35a1cafcd").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-4b0c0620099049daaf6d7ae35a1cafcd").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-4b0c0620099049daaf6d7ae35a1cafcd')), 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: getTrackingId4b0c0620099049daaf6d7ae35a1cafcd() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-4b0c0620099049daaf6d7ae35a1cafcd").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-4b0c0620099049daaf6d7ae35a1cafcd").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) { mpForm4b0c0620099049daaf6d7ae35a1cafcdCheck(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; let response = JSON.parse(xhr.responseText); try { document.getElementById('mpform-4b0c0620099049daaf6d7ae35a1cafcd').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-4b0c0620099049daaf6d7ae35a1cafcd").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-4b0c0620099049daaf6d7ae35a1cafcd').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm0daf777dc2c54869adc52fa34a392991); } else { mpForm4b0c0620099049daaf6d7ae35a1cafcdCheck(); 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 mpmRecaptchaLoaded4b0c0620099049daaf6d7ae35a1cafcd() { captchaWidgetmpFrm0daf777dc2c54869adc52fa34a392991 = grecaptcha.render('mpmRecaptchampFrm0daf777dc2c54869adc52fa34a392991', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId4b0c0620099049daaf6d7ae35a1cafcd() { 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 mpmFormInit4b0c0620099049daaf6d7ae35a1cafcd () { 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 finishedLoading4b0c0620099049daaf6d7ae35a1cafcd() { window.mpFormLoading = false; let container = document.getElementById('mpFrm0daf777dc2c54869adc52fa34a392991'); if (!container) { mpFormmpFrm0daf777dc2c54869adc52fa34a392991Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm0daf777dc2c54869adc52fa34a392991'); return setTimeout(finishedLoading4b0c0620099049daaf6d7ae35a1cafcd, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-4b0c0620099049daaf6d7ae35a1cafcd").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-4b0c0620099049daaf6d7ae35a1cafcd").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-4b0c0620099049daaf6d7ae35a1cafcd").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-4b0c0620099049daaf6d7ae35a1cafcd").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-4b0c0620099049daaf6d7ae35a1cafcd").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=mpmRecaptchaLoaded4b0c0620099049daaf6d7ae35a1cafcd&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup4b0c0620099049daaf6d7ae35a1cafcd() { let popups = document.getElementById("mpform-4b0c0620099049daaf6d7ae35a1cafcd").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput4b0c0620099049daaf6d7ae35a1cafcd() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading4b0c0620099049daaf6d7ae35a1cafcd(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading4b0c0620099049daaf6d7ae35a1cafcd(); } } 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); mploadTelInput4b0c0620099049daaf6d7ae35a1cafcd(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit4b0c0620099049daaf6d7ae35a1cafcd(); } else { function waitForOtherFormsmpFrm0daf777dc2c54869adc52fa34a392991() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit4b0c0620099049daaf6d7ae35a1cafcd(); } else { setTimeout(waitForOtherFormsmpFrm0daf777dc2c54869adc52fa34a392991,300); } } waitForOtherFormsmpFrm0daf777dc2c54869adc52fa34a392991(); }