var captchaWidgetmpFrmfb00bced6f3640dab7a3da3edb6d65cb; var mpCurrentScriptmpFrmfb00bced6f3640dab7a3da3edb6d65cbContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmfb00bced6f3640dab7a3da3edb6d65cb"; 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); mpFormmpFrmfb00bced6f3640dab7a3da3edb6d65cbFind(); } })(); function mpFormmpFrmfb00bced6f3640dab7a3da3edb6d65cbFind() { if(!mpCurrentScriptmpFrmfb00bced6f3640dab7a3da3edb6d65cbContainer) return; if (mpCurrentScriptmpFrmfb00bced6f3640dab7a3da3edb6d65cbContainer && mpCurrentScriptmpFrmfb00bced6f3640dab7a3da3edb6d65cbContainer.nodeName && mpCurrentScriptmpFrmfb00bced6f3640dab7a3da3edb6d65cbContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmfb00bced6f3640dab7a3da3edb6d65cb" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmfb00bced6f3640dab7a3da3edb6d65cbContainer.children).forEach(c => { if (c.id === "mpFrmfb00bced6f3640dab7a3da3edb6d65cb") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript11212c8cdd5942c5a676548f5756dee1Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmfb00bced6f3640dab7a3da3edb6d65cb"; } } } } function mpForm11212c8cdd5942c5a676548f5756dee1Check() { let checkBoxes = document.getElementById("mpform-11212c8cdd5942c5a676548f5756dee1").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 mpForm11212c8cdd5942c5a676548f5756dee1Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-11212c8cdd5942c5a676548f5756dee1").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-11212c8cdd5942c5a676548f5756dee1").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-11212c8cdd5942c5a676548f5756dee1").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-11212c8cdd5942c5a676548f5756dee1')), 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: getTrackingId11212c8cdd5942c5a676548f5756dee1() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-11212c8cdd5942c5a676548f5756dee1").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-11212c8cdd5942c5a676548f5756dee1").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) { mpForm11212c8cdd5942c5a676548f5756dee1Check(); 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-11212c8cdd5942c5a676548f5756dee1').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-11212c8cdd5942c5a676548f5756dee1").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-11212c8cdd5942c5a676548f5756dee1').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmfb00bced6f3640dab7a3da3edb6d65cb); } else { mpForm11212c8cdd5942c5a676548f5756dee1Check(); 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 mpmRecaptchaLoaded11212c8cdd5942c5a676548f5756dee1() { captchaWidgetmpFrmfb00bced6f3640dab7a3da3edb6d65cb = grecaptcha.render('mpmRecaptchampFrmfb00bced6f3640dab7a3da3edb6d65cb', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId11212c8cdd5942c5a676548f5756dee1() { 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 mpmFormInit11212c8cdd5942c5a676548f5756dee1 () { 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 finishedLoading11212c8cdd5942c5a676548f5756dee1() { window.mpFormLoading = false; let container = document.getElementById('mpFrmfb00bced6f3640dab7a3da3edb6d65cb'); if (!container) { mpFormmpFrmfb00bced6f3640dab7a3da3edb6d65cbFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmfb00bced6f3640dab7a3da3edb6d65cb'); return setTimeout(finishedLoading11212c8cdd5942c5a676548f5756dee1, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-11212c8cdd5942c5a676548f5756dee1").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-11212c8cdd5942c5a676548f5756dee1").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-11212c8cdd5942c5a676548f5756dee1").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-11212c8cdd5942c5a676548f5756dee1").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-11212c8cdd5942c5a676548f5756dee1").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=mpmRecaptchaLoaded11212c8cdd5942c5a676548f5756dee1&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup11212c8cdd5942c5a676548f5756dee1() { let popups = document.getElementById("mpform-11212c8cdd5942c5a676548f5756dee1").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput11212c8cdd5942c5a676548f5756dee1() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading11212c8cdd5942c5a676548f5756dee1(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading11212c8cdd5942c5a676548f5756dee1(); } } 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); mploadTelInput11212c8cdd5942c5a676548f5756dee1(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit11212c8cdd5942c5a676548f5756dee1(); } else { function waitForOtherFormsmpFrmfb00bced6f3640dab7a3da3edb6d65cb() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit11212c8cdd5942c5a676548f5756dee1(); } else { setTimeout(waitForOtherFormsmpFrmfb00bced6f3640dab7a3da3edb6d65cb,300); } } waitForOtherFormsmpFrmfb00bced6f3640dab7a3da3edb6d65cb(); }