var captchaWidgetmpFrm3ff0814f84064f74abc9ce47545d795d; var mpCurrentScriptmpFrm3ff0814f84064f74abc9ce47545d795dContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm3ff0814f84064f74abc9ce47545d795d"; 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); mpFormmpFrm3ff0814f84064f74abc9ce47545d795dFind(); } })(); function mpFormmpFrm3ff0814f84064f74abc9ce47545d795dFind() { if(!mpCurrentScriptmpFrm3ff0814f84064f74abc9ce47545d795dContainer) return; if (mpCurrentScriptmpFrm3ff0814f84064f74abc9ce47545d795dContainer && mpCurrentScriptmpFrm3ff0814f84064f74abc9ce47545d795dContainer.nodeName && mpCurrentScriptmpFrm3ff0814f84064f74abc9ce47545d795dContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm3ff0814f84064f74abc9ce47545d795d" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm3ff0814f84064f74abc9ce47545d795dContainer.children).forEach(c => { if (c.id === "mpFrm3ff0814f84064f74abc9ce47545d795d") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript2cc3d375ad64465dabd09807d3a64fd9Container.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm3ff0814f84064f74abc9ce47545d795d"; } } } } function mpForm2cc3d375ad64465dabd09807d3a64fd9Check() { let checkBoxes = document.getElementById("mpform-2cc3d375ad64465dabd09807d3a64fd9").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 mpForm2cc3d375ad64465dabd09807d3a64fd9Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-2cc3d375ad64465dabd09807d3a64fd9").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-2cc3d375ad64465dabd09807d3a64fd9").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-2cc3d375ad64465dabd09807d3a64fd9").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-2cc3d375ad64465dabd09807d3a64fd9')), 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: getTrackingId2cc3d375ad64465dabd09807d3a64fd9() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-2cc3d375ad64465dabd09807d3a64fd9").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-2cc3d375ad64465dabd09807d3a64fd9").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) { mpForm2cc3d375ad64465dabd09807d3a64fd9Check(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; let response = JSON.parse(xhr.responseText); try { document.getElementById('mpform-2cc3d375ad64465dabd09807d3a64fd9').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-2cc3d375ad64465dabd09807d3a64fd9").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-2cc3d375ad64465dabd09807d3a64fd9').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm3ff0814f84064f74abc9ce47545d795d); } else { mpForm2cc3d375ad64465dabd09807d3a64fd9Check(); 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 mpmRecaptchaLoaded2cc3d375ad64465dabd09807d3a64fd9() { captchaWidgetmpFrm3ff0814f84064f74abc9ce47545d795d = grecaptcha.render('mpmRecaptchampFrm3ff0814f84064f74abc9ce47545d795d', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId2cc3d375ad64465dabd09807d3a64fd9() { 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 mpmFormInit2cc3d375ad64465dabd09807d3a64fd9 () { 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 finishedLoading2cc3d375ad64465dabd09807d3a64fd9() { window.mpFormLoading = false; let container = document.getElementById('mpFrm3ff0814f84064f74abc9ce47545d795d'); if (!container) { mpFormmpFrm3ff0814f84064f74abc9ce47545d795dFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm3ff0814f84064f74abc9ce47545d795d'); return setTimeout(finishedLoading2cc3d375ad64465dabd09807d3a64fd9, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-2cc3d375ad64465dabd09807d3a64fd9").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-2cc3d375ad64465dabd09807d3a64fd9").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-2cc3d375ad64465dabd09807d3a64fd9").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-2cc3d375ad64465dabd09807d3a64fd9").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-2cc3d375ad64465dabd09807d3a64fd9").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=mpmRecaptchaLoaded2cc3d375ad64465dabd09807d3a64fd9&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup2cc3d375ad64465dabd09807d3a64fd9() { let popups = document.getElementById("mpform-2cc3d375ad64465dabd09807d3a64fd9").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput2cc3d375ad64465dabd09807d3a64fd9() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading2cc3d375ad64465dabd09807d3a64fd9(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading2cc3d375ad64465dabd09807d3a64fd9(); } } 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); mploadTelInput2cc3d375ad64465dabd09807d3a64fd9(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit2cc3d375ad64465dabd09807d3a64fd9(); } else { function waitForOtherFormsmpFrm3ff0814f84064f74abc9ce47545d795d() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit2cc3d375ad64465dabd09807d3a64fd9(); } else { setTimeout(waitForOtherFormsmpFrm3ff0814f84064f74abc9ce47545d795d,300); } } waitForOtherFormsmpFrm3ff0814f84064f74abc9ce47545d795d(); }