var captchaWidgetmpFrma1c9ecc680764e7b830d900b5b56b477; var mpCurrentScriptmpFrma1c9ecc680764e7b830d900b5b56b477Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrma1c9ecc680764e7b830d900b5b56b477"; 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); mpFormmpFrma1c9ecc680764e7b830d900b5b56b477Find(); } })(); function mpFormmpFrma1c9ecc680764e7b830d900b5b56b477Find() { if(!mpCurrentScriptmpFrma1c9ecc680764e7b830d900b5b56b477Container) return; if (mpCurrentScriptmpFrma1c9ecc680764e7b830d900b5b56b477Container && mpCurrentScriptmpFrma1c9ecc680764e7b830d900b5b56b477Container.nodeName && mpCurrentScriptmpFrma1c9ecc680764e7b830d900b5b56b477Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrma1c9ecc680764e7b830d900b5b56b477" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrma1c9ecc680764e7b830d900b5b56b477Container.children).forEach(c => { if (c.id === "mpFrma1c9ecc680764e7b830d900b5b56b477") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript2f155b3a3f8e48dfb0255d4f5580c94bContainer.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrma1c9ecc680764e7b830d900b5b56b477"; } } } } function mpForm2f155b3a3f8e48dfb0255d4f5580c94bCheck() { let checkBoxes = document.getElementById("mpform-2f155b3a3f8e48dfb0255d4f5580c94b").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 mpForm2f155b3a3f8e48dfb0255d4f5580c94bSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-2f155b3a3f8e48dfb0255d4f5580c94b").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-2f155b3a3f8e48dfb0255d4f5580c94b").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-2f155b3a3f8e48dfb0255d4f5580c94b").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-2f155b3a3f8e48dfb0255d4f5580c94b')), 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: getTrackingId2f155b3a3f8e48dfb0255d4f5580c94b() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-2f155b3a3f8e48dfb0255d4f5580c94b").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-2f155b3a3f8e48dfb0255d4f5580c94b").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) { mpForm2f155b3a3f8e48dfb0255d4f5580c94bCheck(); 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-2f155b3a3f8e48dfb0255d4f5580c94b').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-2f155b3a3f8e48dfb0255d4f5580c94b").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-2f155b3a3f8e48dfb0255d4f5580c94b').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrma1c9ecc680764e7b830d900b5b56b477); } else { mpForm2f155b3a3f8e48dfb0255d4f5580c94bCheck(); 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 mpmRecaptchaLoaded2f155b3a3f8e48dfb0255d4f5580c94b() { captchaWidgetmpFrma1c9ecc680764e7b830d900b5b56b477 = grecaptcha.render('mpmRecaptchampFrma1c9ecc680764e7b830d900b5b56b477', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId2f155b3a3f8e48dfb0255d4f5580c94b() { 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 mpmFormInit2f155b3a3f8e48dfb0255d4f5580c94b () { 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 finishedLoading2f155b3a3f8e48dfb0255d4f5580c94b() { window.mpFormLoading = false; let container = document.getElementById('mpFrma1c9ecc680764e7b830d900b5b56b477'); if (!container) { mpFormmpFrma1c9ecc680764e7b830d900b5b56b477Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrma1c9ecc680764e7b830d900b5b56b477'); return setTimeout(finishedLoading2f155b3a3f8e48dfb0255d4f5580c94b, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-2f155b3a3f8e48dfb0255d4f5580c94b").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-2f155b3a3f8e48dfb0255d4f5580c94b").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-2f155b3a3f8e48dfb0255d4f5580c94b").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-2f155b3a3f8e48dfb0255d4f5580c94b").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-2f155b3a3f8e48dfb0255d4f5580c94b").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=mpmRecaptchaLoaded2f155b3a3f8e48dfb0255d4f5580c94b&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup2f155b3a3f8e48dfb0255d4f5580c94b() { let popups = document.getElementById("mpform-2f155b3a3f8e48dfb0255d4f5580c94b").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput2f155b3a3f8e48dfb0255d4f5580c94b() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading2f155b3a3f8e48dfb0255d4f5580c94b(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading2f155b3a3f8e48dfb0255d4f5580c94b(); } } 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); mploadTelInput2f155b3a3f8e48dfb0255d4f5580c94b(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit2f155b3a3f8e48dfb0255d4f5580c94b(); } else { function waitForOtherFormsmpFrma1c9ecc680764e7b830d900b5b56b477() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit2f155b3a3f8e48dfb0255d4f5580c94b(); } else { setTimeout(waitForOtherFormsmpFrma1c9ecc680764e7b830d900b5b56b477,300); } } waitForOtherFormsmpFrma1c9ecc680764e7b830d900b5b56b477(); }