var captchaWidgetmpFrm4fab4a3c9afa426cb07dfa4d4691a37c; var mpCurrentScriptmpFrm4fab4a3c9afa426cb07dfa4d4691a37cContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm4fab4a3c9afa426cb07dfa4d4691a37c"; 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); mpFormmpFrm4fab4a3c9afa426cb07dfa4d4691a37cFind(); } })(); function mpFormmpFrm4fab4a3c9afa426cb07dfa4d4691a37cFind() { if(!mpCurrentScriptmpFrm4fab4a3c9afa426cb07dfa4d4691a37cContainer) return; if (mpCurrentScriptmpFrm4fab4a3c9afa426cb07dfa4d4691a37cContainer && mpCurrentScriptmpFrm4fab4a3c9afa426cb07dfa4d4691a37cContainer.nodeName && mpCurrentScriptmpFrm4fab4a3c9afa426cb07dfa4d4691a37cContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm4fab4a3c9afa426cb07dfa4d4691a37c" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm4fab4a3c9afa426cb07dfa4d4691a37cContainer.children).forEach(c => { if (c.id === "mpFrm4fab4a3c9afa426cb07dfa4d4691a37c") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript122f32aeaf5b47f4b9c7ee5a8189fb48Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm4fab4a3c9afa426cb07dfa4d4691a37c"; } } } } function mpForm122f32aeaf5b47f4b9c7ee5a8189fb48Check() { let checkBoxes = document.getElementById("mpform-122f32aeaf5b47f4b9c7ee5a8189fb48").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 mpForm122f32aeaf5b47f4b9c7ee5a8189fb48Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-122f32aeaf5b47f4b9c7ee5a8189fb48").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-122f32aeaf5b47f4b9c7ee5a8189fb48").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-122f32aeaf5b47f4b9c7ee5a8189fb48").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-122f32aeaf5b47f4b9c7ee5a8189fb48')), 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: getTrackingId122f32aeaf5b47f4b9c7ee5a8189fb48() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-122f32aeaf5b47f4b9c7ee5a8189fb48").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-122f32aeaf5b47f4b9c7ee5a8189fb48").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) { mpForm122f32aeaf5b47f4b9c7ee5a8189fb48Check(); 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-122f32aeaf5b47f4b9c7ee5a8189fb48').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-122f32aeaf5b47f4b9c7ee5a8189fb48").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-122f32aeaf5b47f4b9c7ee5a8189fb48').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm4fab4a3c9afa426cb07dfa4d4691a37c); } else { mpForm122f32aeaf5b47f4b9c7ee5a8189fb48Check(); 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 mpmRecaptchaLoaded122f32aeaf5b47f4b9c7ee5a8189fb48() { captchaWidgetmpFrm4fab4a3c9afa426cb07dfa4d4691a37c = grecaptcha.render('mpmRecaptchampFrm4fab4a3c9afa426cb07dfa4d4691a37c', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId122f32aeaf5b47f4b9c7ee5a8189fb48() { 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 mpmFormInit122f32aeaf5b47f4b9c7ee5a8189fb48 () { 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 finishedLoading122f32aeaf5b47f4b9c7ee5a8189fb48() { window.mpFormLoading = false; let container = document.getElementById('mpFrm4fab4a3c9afa426cb07dfa4d4691a37c'); if (!container) { mpFormmpFrm4fab4a3c9afa426cb07dfa4d4691a37cFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm4fab4a3c9afa426cb07dfa4d4691a37c'); return setTimeout(finishedLoading122f32aeaf5b47f4b9c7ee5a8189fb48, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-122f32aeaf5b47f4b9c7ee5a8189fb48").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-122f32aeaf5b47f4b9c7ee5a8189fb48").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-122f32aeaf5b47f4b9c7ee5a8189fb48").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-122f32aeaf5b47f4b9c7ee5a8189fb48").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-122f32aeaf5b47f4b9c7ee5a8189fb48").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=mpmRecaptchaLoaded122f32aeaf5b47f4b9c7ee5a8189fb48&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup122f32aeaf5b47f4b9c7ee5a8189fb48() { let popups = document.getElementById("mpform-122f32aeaf5b47f4b9c7ee5a8189fb48").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput122f32aeaf5b47f4b9c7ee5a8189fb48() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading122f32aeaf5b47f4b9c7ee5a8189fb48(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading122f32aeaf5b47f4b9c7ee5a8189fb48(); } } 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); mploadTelInput122f32aeaf5b47f4b9c7ee5a8189fb48(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit122f32aeaf5b47f4b9c7ee5a8189fb48(); } else { function waitForOtherFormsmpFrm4fab4a3c9afa426cb07dfa4d4691a37c() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit122f32aeaf5b47f4b9c7ee5a8189fb48(); } else { setTimeout(waitForOtherFormsmpFrm4fab4a3c9afa426cb07dfa4d4691a37c,300); } } waitForOtherFormsmpFrm4fab4a3c9afa426cb07dfa4d4691a37c(); }