var captchaWidgetmpFrm1d61db48791c42c2b9110aa313979c72; var mpCurrentScriptmpFrm1d61db48791c42c2b9110aa313979c72Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm1d61db48791c42c2b9110aa313979c72"; 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); mpFormmpFrm1d61db48791c42c2b9110aa313979c72Find(); } })(); function mpFormmpFrm1d61db48791c42c2b9110aa313979c72Find() { if(!mpCurrentScriptmpFrm1d61db48791c42c2b9110aa313979c72Container) return; if (mpCurrentScriptmpFrm1d61db48791c42c2b9110aa313979c72Container && mpCurrentScriptmpFrm1d61db48791c42c2b9110aa313979c72Container.nodeName && mpCurrentScriptmpFrm1d61db48791c42c2b9110aa313979c72Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm1d61db48791c42c2b9110aa313979c72" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm1d61db48791c42c2b9110aa313979c72Container.children).forEach(c => { if (c.id === "mpFrm1d61db48791c42c2b9110aa313979c72") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript4894e02fcd394fa3aa28b6ea5eb5d404Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm1d61db48791c42c2b9110aa313979c72"; } } } } function mpForm4894e02fcd394fa3aa28b6ea5eb5d404Check() { let checkBoxes = document.getElementById("mpform-4894e02fcd394fa3aa28b6ea5eb5d404").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 mpForm4894e02fcd394fa3aa28b6ea5eb5d404Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-4894e02fcd394fa3aa28b6ea5eb5d404").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-4894e02fcd394fa3aa28b6ea5eb5d404").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-4894e02fcd394fa3aa28b6ea5eb5d404").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-4894e02fcd394fa3aa28b6ea5eb5d404')), 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: getTrackingId4894e02fcd394fa3aa28b6ea5eb5d404() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-4894e02fcd394fa3aa28b6ea5eb5d404").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-4894e02fcd394fa3aa28b6ea5eb5d404").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) { mpForm4894e02fcd394fa3aa28b6ea5eb5d404Check(); 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-4894e02fcd394fa3aa28b6ea5eb5d404').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-4894e02fcd394fa3aa28b6ea5eb5d404").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-4894e02fcd394fa3aa28b6ea5eb5d404').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm1d61db48791c42c2b9110aa313979c72); } else { mpForm4894e02fcd394fa3aa28b6ea5eb5d404Check(); 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 mpmRecaptchaLoaded4894e02fcd394fa3aa28b6ea5eb5d404() { captchaWidgetmpFrm1d61db48791c42c2b9110aa313979c72 = grecaptcha.render('mpmRecaptchampFrm1d61db48791c42c2b9110aa313979c72', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId4894e02fcd394fa3aa28b6ea5eb5d404() { 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 mpmFormInit4894e02fcd394fa3aa28b6ea5eb5d404 () { 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 finishedLoading4894e02fcd394fa3aa28b6ea5eb5d404() { window.mpFormLoading = false; let container = document.getElementById('mpFrm1d61db48791c42c2b9110aa313979c72'); if (!container) { mpFormmpFrm1d61db48791c42c2b9110aa313979c72Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm1d61db48791c42c2b9110aa313979c72'); return setTimeout(finishedLoading4894e02fcd394fa3aa28b6ea5eb5d404, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-4894e02fcd394fa3aa28b6ea5eb5d404").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-4894e02fcd394fa3aa28b6ea5eb5d404").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-4894e02fcd394fa3aa28b6ea5eb5d404").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-4894e02fcd394fa3aa28b6ea5eb5d404").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-4894e02fcd394fa3aa28b6ea5eb5d404").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=mpmRecaptchaLoaded4894e02fcd394fa3aa28b6ea5eb5d404&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup4894e02fcd394fa3aa28b6ea5eb5d404() { let popups = document.getElementById("mpform-4894e02fcd394fa3aa28b6ea5eb5d404").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput4894e02fcd394fa3aa28b6ea5eb5d404() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading4894e02fcd394fa3aa28b6ea5eb5d404(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading4894e02fcd394fa3aa28b6ea5eb5d404(); } } 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); mploadTelInput4894e02fcd394fa3aa28b6ea5eb5d404(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit4894e02fcd394fa3aa28b6ea5eb5d404(); } else { function waitForOtherFormsmpFrm1d61db48791c42c2b9110aa313979c72() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit4894e02fcd394fa3aa28b6ea5eb5d404(); } else { setTimeout(waitForOtherFormsmpFrm1d61db48791c42c2b9110aa313979c72,300); } } waitForOtherFormsmpFrm1d61db48791c42c2b9110aa313979c72(); }