var captchaWidgetmpFrm6f3d164f50554109a788c860bc950143; var mpCurrentScriptmpFrm6f3d164f50554109a788c860bc950143Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm6f3d164f50554109a788c860bc950143"; 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); mpFormmpFrm6f3d164f50554109a788c860bc950143Find(); } })(); function mpFormmpFrm6f3d164f50554109a788c860bc950143Find() { if(!mpCurrentScriptmpFrm6f3d164f50554109a788c860bc950143Container) return; if (mpCurrentScriptmpFrm6f3d164f50554109a788c860bc950143Container && mpCurrentScriptmpFrm6f3d164f50554109a788c860bc950143Container.nodeName && mpCurrentScriptmpFrm6f3d164f50554109a788c860bc950143Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm6f3d164f50554109a788c860bc950143" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm6f3d164f50554109a788c860bc950143Container.children).forEach(c => { if (c.id === "mpFrm6f3d164f50554109a788c860bc950143") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptb22658474ced448e9cfa8d8bf5f156faContainer.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm6f3d164f50554109a788c860bc950143"; } } } } function mpFormb22658474ced448e9cfa8d8bf5f156faCheck() { let checkBoxes = document.getElementById("mpform-b22658474ced448e9cfa8d8bf5f156fa").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 mpFormb22658474ced448e9cfa8d8bf5f156faSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-b22658474ced448e9cfa8d8bf5f156fa").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-b22658474ced448e9cfa8d8bf5f156fa").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-b22658474ced448e9cfa8d8bf5f156fa").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-b22658474ced448e9cfa8d8bf5f156fa')), 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: getTrackingIdb22658474ced448e9cfa8d8bf5f156fa() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-b22658474ced448e9cfa8d8bf5f156fa").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-b22658474ced448e9cfa8d8bf5f156fa").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) { mpFormb22658474ced448e9cfa8d8bf5f156faCheck(); 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-b22658474ced448e9cfa8d8bf5f156fa').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-b22658474ced448e9cfa8d8bf5f156fa").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-b22658474ced448e9cfa8d8bf5f156fa').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm6f3d164f50554109a788c860bc950143); } else { mpFormb22658474ced448e9cfa8d8bf5f156faCheck(); 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 mpmRecaptchaLoadedb22658474ced448e9cfa8d8bf5f156fa() { captchaWidgetmpFrm6f3d164f50554109a788c860bc950143 = grecaptcha.render('mpmRecaptchampFrm6f3d164f50554109a788c860bc950143', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdb22658474ced448e9cfa8d8bf5f156fa() { 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 mpmFormInitb22658474ced448e9cfa8d8bf5f156fa () { 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 finishedLoadingb22658474ced448e9cfa8d8bf5f156fa() { window.mpFormLoading = false; let container = document.getElementById('mpFrm6f3d164f50554109a788c860bc950143'); if (!container) { mpFormmpFrm6f3d164f50554109a788c860bc950143Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm6f3d164f50554109a788c860bc950143'); return setTimeout(finishedLoadingb22658474ced448e9cfa8d8bf5f156fa, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-b22658474ced448e9cfa8d8bf5f156fa").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-b22658474ced448e9cfa8d8bf5f156fa").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-b22658474ced448e9cfa8d8bf5f156fa").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-b22658474ced448e9cfa8d8bf5f156fa").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-b22658474ced448e9cfa8d8bf5f156fa").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=mpmRecaptchaLoadedb22658474ced448e9cfa8d8bf5f156fa&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupb22658474ced448e9cfa8d8bf5f156fa() { let popups = document.getElementById("mpform-b22658474ced448e9cfa8d8bf5f156fa").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputb22658474ced448e9cfa8d8bf5f156fa() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingb22658474ced448e9cfa8d8bf5f156fa(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingb22658474ced448e9cfa8d8bf5f156fa(); } } 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); mploadTelInputb22658474ced448e9cfa8d8bf5f156fa(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitb22658474ced448e9cfa8d8bf5f156fa(); } else { function waitForOtherFormsmpFrm6f3d164f50554109a788c860bc950143() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitb22658474ced448e9cfa8d8bf5f156fa(); } else { setTimeout(waitForOtherFormsmpFrm6f3d164f50554109a788c860bc950143,300); } } waitForOtherFormsmpFrm6f3d164f50554109a788c860bc950143(); }