var captchaWidgetmpFrm36f35dc7dff14eb2a8a3e8699ee5a314; var mpCurrentScriptmpFrm36f35dc7dff14eb2a8a3e8699ee5a314Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm36f35dc7dff14eb2a8a3e8699ee5a314"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41939"); 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); mpFormmpFrm36f35dc7dff14eb2a8a3e8699ee5a314Find(); } })(); function mpFormmpFrm36f35dc7dff14eb2a8a3e8699ee5a314Find() { if(!mpCurrentScriptmpFrm36f35dc7dff14eb2a8a3e8699ee5a314Container) return; if (mpCurrentScriptmpFrm36f35dc7dff14eb2a8a3e8699ee5a314Container && mpCurrentScriptmpFrm36f35dc7dff14eb2a8a3e8699ee5a314Container.nodeName && mpCurrentScriptmpFrm36f35dc7dff14eb2a8a3e8699ee5a314Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm36f35dc7dff14eb2a8a3e8699ee5a314" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm36f35dc7dff14eb2a8a3e8699ee5a314Container.children).forEach(c => { if (c.id === "mpFrm36f35dc7dff14eb2a8a3e8699ee5a314") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript0c49939777f1438fbb615671cf5165e4Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm36f35dc7dff14eb2a8a3e8699ee5a314"; } } } } function mpForm0c49939777f1438fbb615671cf5165e4Check() { let checkBoxes = document.getElementById("mpform-0c49939777f1438fbb615671cf5165e4").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 mpForm0c49939777f1438fbb615671cf5165e4Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-0c49939777f1438fbb615671cf5165e4").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-0c49939777f1438fbb615671cf5165e4").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-0c49939777f1438fbb615671cf5165e4").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-0c49939777f1438fbb615671cf5165e4')), 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: getTrackingId0c49939777f1438fbb615671cf5165e4() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-0c49939777f1438fbb615671cf5165e4").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-0c49939777f1438fbb615671cf5165e4").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=41939", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm0c49939777f1438fbb615671cf5165e4Check(); 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-0c49939777f1438fbb615671cf5165e4').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-0c49939777f1438fbb615671cf5165e4").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-0c49939777f1438fbb615671cf5165e4').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm36f35dc7dff14eb2a8a3e8699ee5a314); } else { mpForm0c49939777f1438fbb615671cf5165e4Check(); 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 mpmRecaptchaLoaded0c49939777f1438fbb615671cf5165e4() { captchaWidgetmpFrm36f35dc7dff14eb2a8a3e8699ee5a314 = grecaptcha.render('mpmRecaptchampFrm36f35dc7dff14eb2a8a3e8699ee5a314', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId0c49939777f1438fbb615671cf5165e4() { 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 mpmFormInit0c49939777f1438fbb615671cf5165e4 () { 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 finishedLoading0c49939777f1438fbb615671cf5165e4() { window.mpFormLoading = false; let container = document.getElementById('mpFrm36f35dc7dff14eb2a8a3e8699ee5a314'); if (!container) { mpFormmpFrm36f35dc7dff14eb2a8a3e8699ee5a314Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm36f35dc7dff14eb2a8a3e8699ee5a314'); return setTimeout(finishedLoading0c49939777f1438fbb615671cf5165e4, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-0c49939777f1438fbb615671cf5165e4").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-0c49939777f1438fbb615671cf5165e4").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-0c49939777f1438fbb615671cf5165e4").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-0c49939777f1438fbb615671cf5165e4").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-0c49939777f1438fbb615671cf5165e4").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=mpmRecaptchaLoaded0c49939777f1438fbb615671cf5165e4&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup0c49939777f1438fbb615671cf5165e4() { let popups = document.getElementById("mpform-0c49939777f1438fbb615671cf5165e4").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput0c49939777f1438fbb615671cf5165e4() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading0c49939777f1438fbb615671cf5165e4(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading0c49939777f1438fbb615671cf5165e4(); } } 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); mploadTelInput0c49939777f1438fbb615671cf5165e4(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit0c49939777f1438fbb615671cf5165e4(); } else { function waitForOtherFormsmpFrm36f35dc7dff14eb2a8a3e8699ee5a314() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit0c49939777f1438fbb615671cf5165e4(); } else { setTimeout(waitForOtherFormsmpFrm36f35dc7dff14eb2a8a3e8699ee5a314,300); } } waitForOtherFormsmpFrm36f35dc7dff14eb2a8a3e8699ee5a314(); }