var captchaWidgetmpFrm2289c2df73604e9ab4f57330ee6abd84; var mpCurrentScriptmpFrm2289c2df73604e9ab4f57330ee6abd84Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm2289c2df73604e9ab4f57330ee6abd84"; 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); mpFormmpFrm2289c2df73604e9ab4f57330ee6abd84Find(); } })(); function mpFormmpFrm2289c2df73604e9ab4f57330ee6abd84Find() { if(!mpCurrentScriptmpFrm2289c2df73604e9ab4f57330ee6abd84Container) return; if (mpCurrentScriptmpFrm2289c2df73604e9ab4f57330ee6abd84Container && mpCurrentScriptmpFrm2289c2df73604e9ab4f57330ee6abd84Container.nodeName && mpCurrentScriptmpFrm2289c2df73604e9ab4f57330ee6abd84Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm2289c2df73604e9ab4f57330ee6abd84" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm2289c2df73604e9ab4f57330ee6abd84Container.children).forEach(c => { if (c.id === "mpFrm2289c2df73604e9ab4f57330ee6abd84") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptc75cddc86e7548228628eef17e4b9f0fContainer.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm2289c2df73604e9ab4f57330ee6abd84"; } } } } function mpFormc75cddc86e7548228628eef17e4b9f0fCheck() { let checkBoxes = document.getElementById("mpform-c75cddc86e7548228628eef17e4b9f0f").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 mpFormc75cddc86e7548228628eef17e4b9f0fSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-c75cddc86e7548228628eef17e4b9f0f").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-c75cddc86e7548228628eef17e4b9f0f").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-c75cddc86e7548228628eef17e4b9f0f").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-c75cddc86e7548228628eef17e4b9f0f')), 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: getTrackingIdc75cddc86e7548228628eef17e4b9f0f() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-c75cddc86e7548228628eef17e4b9f0f").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-c75cddc86e7548228628eef17e4b9f0f").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) { mpFormc75cddc86e7548228628eef17e4b9f0fCheck(); 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-c75cddc86e7548228628eef17e4b9f0f').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-c75cddc86e7548228628eef17e4b9f0f").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-c75cddc86e7548228628eef17e4b9f0f').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm2289c2df73604e9ab4f57330ee6abd84); } else { mpFormc75cddc86e7548228628eef17e4b9f0fCheck(); 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 mpmRecaptchaLoadedc75cddc86e7548228628eef17e4b9f0f() { captchaWidgetmpFrm2289c2df73604e9ab4f57330ee6abd84 = grecaptcha.render('mpmRecaptchampFrm2289c2df73604e9ab4f57330ee6abd84', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdc75cddc86e7548228628eef17e4b9f0f() { 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 mpmFormInitc75cddc86e7548228628eef17e4b9f0f () { 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 finishedLoadingc75cddc86e7548228628eef17e4b9f0f() { window.mpFormLoading = false; let container = document.getElementById('mpFrm2289c2df73604e9ab4f57330ee6abd84'); if (!container) { mpFormmpFrm2289c2df73604e9ab4f57330ee6abd84Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm2289c2df73604e9ab4f57330ee6abd84'); return setTimeout(finishedLoadingc75cddc86e7548228628eef17e4b9f0f, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-c75cddc86e7548228628eef17e4b9f0f").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-c75cddc86e7548228628eef17e4b9f0f").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-c75cddc86e7548228628eef17e4b9f0f").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-c75cddc86e7548228628eef17e4b9f0f").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-c75cddc86e7548228628eef17e4b9f0f").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=mpmRecaptchaLoadedc75cddc86e7548228628eef17e4b9f0f&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupc75cddc86e7548228628eef17e4b9f0f() { let popups = document.getElementById("mpform-c75cddc86e7548228628eef17e4b9f0f").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputc75cddc86e7548228628eef17e4b9f0f() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingc75cddc86e7548228628eef17e4b9f0f(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingc75cddc86e7548228628eef17e4b9f0f(); } } 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); mploadTelInputc75cddc86e7548228628eef17e4b9f0f(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitc75cddc86e7548228628eef17e4b9f0f(); } else { function waitForOtherFormsmpFrm2289c2df73604e9ab4f57330ee6abd84() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitc75cddc86e7548228628eef17e4b9f0f(); } else { setTimeout(waitForOtherFormsmpFrm2289c2df73604e9ab4f57330ee6abd84,300); } } waitForOtherFormsmpFrm2289c2df73604e9ab4f57330ee6abd84(); }