var captchaWidgetmpFrm54c22c13150247879c201e8b118e4f98; var mpCurrentScriptmpFrm54c22c13150247879c201e8b118e4f98Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm54c22c13150247879c201e8b118e4f98"; 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); mpFormmpFrm54c22c13150247879c201e8b118e4f98Find(); } })(); function mpFormmpFrm54c22c13150247879c201e8b118e4f98Find() { if(!mpCurrentScriptmpFrm54c22c13150247879c201e8b118e4f98Container) return; if (mpCurrentScriptmpFrm54c22c13150247879c201e8b118e4f98Container && mpCurrentScriptmpFrm54c22c13150247879c201e8b118e4f98Container.nodeName && mpCurrentScriptmpFrm54c22c13150247879c201e8b118e4f98Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm54c22c13150247879c201e8b118e4f98" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm54c22c13150247879c201e8b118e4f98Container.children).forEach(c => { if (c.id === "mpFrm54c22c13150247879c201e8b118e4f98") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptcac79542adda452aadd4ea450592c507Container.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm54c22c13150247879c201e8b118e4f98"; } } } } function mpFormcac79542adda452aadd4ea450592c507Check() { let checkBoxes = document.getElementById("mpform-cac79542adda452aadd4ea450592c507").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 mpFormcac79542adda452aadd4ea450592c507Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-cac79542adda452aadd4ea450592c507").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-cac79542adda452aadd4ea450592c507").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-cac79542adda452aadd4ea450592c507").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-cac79542adda452aadd4ea450592c507')), 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: getTrackingIdcac79542adda452aadd4ea450592c507() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-cac79542adda452aadd4ea450592c507").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-cac79542adda452aadd4ea450592c507").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) { mpFormcac79542adda452aadd4ea450592c507Check(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; let response = JSON.parse(xhr.responseText); try { document.getElementById('mpform-cac79542adda452aadd4ea450592c507').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-cac79542adda452aadd4ea450592c507").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-cac79542adda452aadd4ea450592c507').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm54c22c13150247879c201e8b118e4f98); } else { mpFormcac79542adda452aadd4ea450592c507Check(); 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 mpmRecaptchaLoadedcac79542adda452aadd4ea450592c507() { captchaWidgetmpFrm54c22c13150247879c201e8b118e4f98 = grecaptcha.render('mpmRecaptchampFrm54c22c13150247879c201e8b118e4f98', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdcac79542adda452aadd4ea450592c507() { 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 mpmFormInitcac79542adda452aadd4ea450592c507 () { 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 finishedLoadingcac79542adda452aadd4ea450592c507() { window.mpFormLoading = false; let container = document.getElementById('mpFrm54c22c13150247879c201e8b118e4f98'); if (!container) { mpFormmpFrm54c22c13150247879c201e8b118e4f98Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm54c22c13150247879c201e8b118e4f98'); return setTimeout(finishedLoadingcac79542adda452aadd4ea450592c507, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-cac79542adda452aadd4ea450592c507").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-cac79542adda452aadd4ea450592c507").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-cac79542adda452aadd4ea450592c507").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-cac79542adda452aadd4ea450592c507").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-cac79542adda452aadd4ea450592c507").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=mpmRecaptchaLoadedcac79542adda452aadd4ea450592c507&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupcac79542adda452aadd4ea450592c507() { let popups = document.getElementById("mpform-cac79542adda452aadd4ea450592c507").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputcac79542adda452aadd4ea450592c507() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingcac79542adda452aadd4ea450592c507(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingcac79542adda452aadd4ea450592c507(); } } 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); mploadTelInputcac79542adda452aadd4ea450592c507(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitcac79542adda452aadd4ea450592c507(); } else { function waitForOtherFormsmpFrm54c22c13150247879c201e8b118e4f98() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitcac79542adda452aadd4ea450592c507(); } else { setTimeout(waitForOtherFormsmpFrm54c22c13150247879c201e8b118e4f98,300); } } waitForOtherFormsmpFrm54c22c13150247879c201e8b118e4f98(); }