var captchaWidgetmpFrmd7d1e02ac8f5418bab3ed36cb3f8346c; var mpCurrentScriptmpFrmd7d1e02ac8f5418bab3ed36cb3f8346cContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmd7d1e02ac8f5418bab3ed36cb3f8346c"; 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); mpFormmpFrmd7d1e02ac8f5418bab3ed36cb3f8346cFind(); } })(); function mpFormmpFrmd7d1e02ac8f5418bab3ed36cb3f8346cFind() { if(!mpCurrentScriptmpFrmd7d1e02ac8f5418bab3ed36cb3f8346cContainer) return; if (mpCurrentScriptmpFrmd7d1e02ac8f5418bab3ed36cb3f8346cContainer && mpCurrentScriptmpFrmd7d1e02ac8f5418bab3ed36cb3f8346cContainer.nodeName && mpCurrentScriptmpFrmd7d1e02ac8f5418bab3ed36cb3f8346cContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmd7d1e02ac8f5418bab3ed36cb3f8346c" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmd7d1e02ac8f5418bab3ed36cb3f8346cContainer.children).forEach(c => { if (c.id === "mpFrmd7d1e02ac8f5418bab3ed36cb3f8346c") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript562865c4acdc4e35999684f1341bf1b6Container.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmd7d1e02ac8f5418bab3ed36cb3f8346c"; } } } } function mpForm562865c4acdc4e35999684f1341bf1b6Check() { let checkBoxes = document.getElementById("mpform-562865c4acdc4e35999684f1341bf1b6").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 mpForm562865c4acdc4e35999684f1341bf1b6Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-562865c4acdc4e35999684f1341bf1b6").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-562865c4acdc4e35999684f1341bf1b6").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-562865c4acdc4e35999684f1341bf1b6").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-562865c4acdc4e35999684f1341bf1b6')), 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: getTrackingId562865c4acdc4e35999684f1341bf1b6() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-562865c4acdc4e35999684f1341bf1b6").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-562865c4acdc4e35999684f1341bf1b6").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) { mpForm562865c4acdc4e35999684f1341bf1b6Check(); 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-562865c4acdc4e35999684f1341bf1b6').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-562865c4acdc4e35999684f1341bf1b6").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-562865c4acdc4e35999684f1341bf1b6').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmd7d1e02ac8f5418bab3ed36cb3f8346c); } else { mpForm562865c4acdc4e35999684f1341bf1b6Check(); 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 mpmRecaptchaLoaded562865c4acdc4e35999684f1341bf1b6() { captchaWidgetmpFrmd7d1e02ac8f5418bab3ed36cb3f8346c = grecaptcha.render('mpmRecaptchampFrmd7d1e02ac8f5418bab3ed36cb3f8346c', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId562865c4acdc4e35999684f1341bf1b6() { 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 mpmFormInit562865c4acdc4e35999684f1341bf1b6 () { 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 finishedLoading562865c4acdc4e35999684f1341bf1b6() { window.mpFormLoading = false; let container = document.getElementById('mpFrmd7d1e02ac8f5418bab3ed36cb3f8346c'); if (!container) { mpFormmpFrmd7d1e02ac8f5418bab3ed36cb3f8346cFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmd7d1e02ac8f5418bab3ed36cb3f8346c'); return setTimeout(finishedLoading562865c4acdc4e35999684f1341bf1b6, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-562865c4acdc4e35999684f1341bf1b6").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-562865c4acdc4e35999684f1341bf1b6").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-562865c4acdc4e35999684f1341bf1b6").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-562865c4acdc4e35999684f1341bf1b6").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-562865c4acdc4e35999684f1341bf1b6").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=mpmRecaptchaLoaded562865c4acdc4e35999684f1341bf1b6&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup562865c4acdc4e35999684f1341bf1b6() { let popups = document.getElementById("mpform-562865c4acdc4e35999684f1341bf1b6").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput562865c4acdc4e35999684f1341bf1b6() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading562865c4acdc4e35999684f1341bf1b6(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading562865c4acdc4e35999684f1341bf1b6(); } } 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); mploadTelInput562865c4acdc4e35999684f1341bf1b6(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit562865c4acdc4e35999684f1341bf1b6(); } else { function waitForOtherFormsmpFrmd7d1e02ac8f5418bab3ed36cb3f8346c() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit562865c4acdc4e35999684f1341bf1b6(); } else { setTimeout(waitForOtherFormsmpFrmd7d1e02ac8f5418bab3ed36cb3f8346c,300); } } waitForOtherFormsmpFrmd7d1e02ac8f5418bab3ed36cb3f8346c(); }