var captchaWidgetmpFrm4b73175bb5bd4149b293e71d3b6e19a5; var mpCurrentScriptmpFrm4b73175bb5bd4149b293e71d3b6e19a5Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm4b73175bb5bd4149b293e71d3b6e19a5"; 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); mpFormmpFrm4b73175bb5bd4149b293e71d3b6e19a5Find(); } })(); function mpFormmpFrm4b73175bb5bd4149b293e71d3b6e19a5Find() { if(!mpCurrentScriptmpFrm4b73175bb5bd4149b293e71d3b6e19a5Container) return; if (mpCurrentScriptmpFrm4b73175bb5bd4149b293e71d3b6e19a5Container && mpCurrentScriptmpFrm4b73175bb5bd4149b293e71d3b6e19a5Container.nodeName && mpCurrentScriptmpFrm4b73175bb5bd4149b293e71d3b6e19a5Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm4b73175bb5bd4149b293e71d3b6e19a5" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm4b73175bb5bd4149b293e71d3b6e19a5Container.children).forEach(c => { if (c.id === "mpFrm4b73175bb5bd4149b293e71d3b6e19a5") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript44e929169daa473c8cd13153949e9aaaContainer.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm4b73175bb5bd4149b293e71d3b6e19a5"; } } } } function mpForm44e929169daa473c8cd13153949e9aaaCheck() { let checkBoxes = document.getElementById("mpform-44e929169daa473c8cd13153949e9aaa").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 mpForm44e929169daa473c8cd13153949e9aaaSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-44e929169daa473c8cd13153949e9aaa").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-44e929169daa473c8cd13153949e9aaa").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-44e929169daa473c8cd13153949e9aaa").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-44e929169daa473c8cd13153949e9aaa')), 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: getTrackingId44e929169daa473c8cd13153949e9aaa() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-44e929169daa473c8cd13153949e9aaa").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-44e929169daa473c8cd13153949e9aaa").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) { mpForm44e929169daa473c8cd13153949e9aaaCheck(); 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-44e929169daa473c8cd13153949e9aaa').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-44e929169daa473c8cd13153949e9aaa").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-44e929169daa473c8cd13153949e9aaa').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm4b73175bb5bd4149b293e71d3b6e19a5); } else { mpForm44e929169daa473c8cd13153949e9aaaCheck(); 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 mpmRecaptchaLoaded44e929169daa473c8cd13153949e9aaa() { captchaWidgetmpFrm4b73175bb5bd4149b293e71d3b6e19a5 = grecaptcha.render('mpmRecaptchampFrm4b73175bb5bd4149b293e71d3b6e19a5', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId44e929169daa473c8cd13153949e9aaa() { 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 mpmFormInit44e929169daa473c8cd13153949e9aaa () { 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 finishedLoading44e929169daa473c8cd13153949e9aaa() { window.mpFormLoading = false; let container = document.getElementById('mpFrm4b73175bb5bd4149b293e71d3b6e19a5'); if (!container) { mpFormmpFrm4b73175bb5bd4149b293e71d3b6e19a5Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm4b73175bb5bd4149b293e71d3b6e19a5'); return setTimeout(finishedLoading44e929169daa473c8cd13153949e9aaa, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-44e929169daa473c8cd13153949e9aaa").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-44e929169daa473c8cd13153949e9aaa").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-44e929169daa473c8cd13153949e9aaa").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-44e929169daa473c8cd13153949e9aaa").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-44e929169daa473c8cd13153949e9aaa").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=mpmRecaptchaLoaded44e929169daa473c8cd13153949e9aaa&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup44e929169daa473c8cd13153949e9aaa() { let popups = document.getElementById("mpform-44e929169daa473c8cd13153949e9aaa").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput44e929169daa473c8cd13153949e9aaa() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading44e929169daa473c8cd13153949e9aaa(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading44e929169daa473c8cd13153949e9aaa(); } } 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); mploadTelInput44e929169daa473c8cd13153949e9aaa(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit44e929169daa473c8cd13153949e9aaa(); } else { function waitForOtherFormsmpFrm4b73175bb5bd4149b293e71d3b6e19a5() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit44e929169daa473c8cd13153949e9aaa(); } else { setTimeout(waitForOtherFormsmpFrm4b73175bb5bd4149b293e71d3b6e19a5,300); } } waitForOtherFormsmpFrm4b73175bb5bd4149b293e71d3b6e19a5(); }