var captchaWidgetmpFrm32d2f8bc76c4481fae54f5fb2f4377c9; var mpCurrentScriptmpFrm32d2f8bc76c4481fae54f5fb2f4377c9Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm32d2f8bc76c4481fae54f5fb2f4377c9"; 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); mpFormmpFrm32d2f8bc76c4481fae54f5fb2f4377c9Find(); } })(); function mpFormmpFrm32d2f8bc76c4481fae54f5fb2f4377c9Find() { if(!mpCurrentScriptmpFrm32d2f8bc76c4481fae54f5fb2f4377c9Container) return; if (mpCurrentScriptmpFrm32d2f8bc76c4481fae54f5fb2f4377c9Container && mpCurrentScriptmpFrm32d2f8bc76c4481fae54f5fb2f4377c9Container.nodeName && mpCurrentScriptmpFrm32d2f8bc76c4481fae54f5fb2f4377c9Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm32d2f8bc76c4481fae54f5fb2f4377c9" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm32d2f8bc76c4481fae54f5fb2f4377c9Container.children).forEach(c => { if (c.id === "mpFrm32d2f8bc76c4481fae54f5fb2f4377c9") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript468e80c13e114ffe9d6529e42b1221a2Container.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm32d2f8bc76c4481fae54f5fb2f4377c9"; } } } } function mpForm468e80c13e114ffe9d6529e42b1221a2Check() { let checkBoxes = document.getElementById("mpform-468e80c13e114ffe9d6529e42b1221a2").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 mpForm468e80c13e114ffe9d6529e42b1221a2Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-468e80c13e114ffe9d6529e42b1221a2").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-468e80c13e114ffe9d6529e42b1221a2").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-468e80c13e114ffe9d6529e42b1221a2").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-468e80c13e114ffe9d6529e42b1221a2')), 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: getTrackingId468e80c13e114ffe9d6529e42b1221a2() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-468e80c13e114ffe9d6529e42b1221a2").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-468e80c13e114ffe9d6529e42b1221a2").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) { mpForm468e80c13e114ffe9d6529e42b1221a2Check(); 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-468e80c13e114ffe9d6529e42b1221a2').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-468e80c13e114ffe9d6529e42b1221a2").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-468e80c13e114ffe9d6529e42b1221a2').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm32d2f8bc76c4481fae54f5fb2f4377c9); } else { mpForm468e80c13e114ffe9d6529e42b1221a2Check(); 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 mpmRecaptchaLoaded468e80c13e114ffe9d6529e42b1221a2() { captchaWidgetmpFrm32d2f8bc76c4481fae54f5fb2f4377c9 = grecaptcha.render('mpmRecaptchampFrm32d2f8bc76c4481fae54f5fb2f4377c9', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId468e80c13e114ffe9d6529e42b1221a2() { 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 mpmFormInit468e80c13e114ffe9d6529e42b1221a2 () { 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 finishedLoading468e80c13e114ffe9d6529e42b1221a2() { window.mpFormLoading = false; let container = document.getElementById('mpFrm32d2f8bc76c4481fae54f5fb2f4377c9'); if (!container) { mpFormmpFrm32d2f8bc76c4481fae54f5fb2f4377c9Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm32d2f8bc76c4481fae54f5fb2f4377c9'); return setTimeout(finishedLoading468e80c13e114ffe9d6529e42b1221a2, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-468e80c13e114ffe9d6529e42b1221a2").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-468e80c13e114ffe9d6529e42b1221a2").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-468e80c13e114ffe9d6529e42b1221a2").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-468e80c13e114ffe9d6529e42b1221a2").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-468e80c13e114ffe9d6529e42b1221a2").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=mpmRecaptchaLoaded468e80c13e114ffe9d6529e42b1221a2&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup468e80c13e114ffe9d6529e42b1221a2() { let popups = document.getElementById("mpform-468e80c13e114ffe9d6529e42b1221a2").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput468e80c13e114ffe9d6529e42b1221a2() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading468e80c13e114ffe9d6529e42b1221a2(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading468e80c13e114ffe9d6529e42b1221a2(); } } 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); mploadTelInput468e80c13e114ffe9d6529e42b1221a2(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit468e80c13e114ffe9d6529e42b1221a2(); } else { function waitForOtherFormsmpFrm32d2f8bc76c4481fae54f5fb2f4377c9() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit468e80c13e114ffe9d6529e42b1221a2(); } else { setTimeout(waitForOtherFormsmpFrm32d2f8bc76c4481fae54f5fb2f4377c9,300); } } waitForOtherFormsmpFrm32d2f8bc76c4481fae54f5fb2f4377c9(); }