var captchaWidgetmpFrmed10290e613145d383f333815b62742e; var mpCurrentScriptmpFrmed10290e613145d383f333815b62742eContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmed10290e613145d383f333815b62742e"; 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); mpFormmpFrmed10290e613145d383f333815b62742eFind(); } })(); function mpFormmpFrmed10290e613145d383f333815b62742eFind() { if(!mpCurrentScriptmpFrmed10290e613145d383f333815b62742eContainer) return; if (mpCurrentScriptmpFrmed10290e613145d383f333815b62742eContainer && mpCurrentScriptmpFrmed10290e613145d383f333815b62742eContainer.nodeName && mpCurrentScriptmpFrmed10290e613145d383f333815b62742eContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmed10290e613145d383f333815b62742e" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmed10290e613145d383f333815b62742eContainer.children).forEach(c => { if (c.id === "mpFrmed10290e613145d383f333815b62742e") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript12c564e220624e17a4e06be65fec6301Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmed10290e613145d383f333815b62742e"; } } } } function mpForm12c564e220624e17a4e06be65fec6301Check() { let checkBoxes = document.getElementById("mpform-12c564e220624e17a4e06be65fec6301").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 mpForm12c564e220624e17a4e06be65fec6301Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-12c564e220624e17a4e06be65fec6301").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-12c564e220624e17a4e06be65fec6301").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-12c564e220624e17a4e06be65fec6301").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-12c564e220624e17a4e06be65fec6301')), 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: getTrackingId12c564e220624e17a4e06be65fec6301() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-12c564e220624e17a4e06be65fec6301").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-12c564e220624e17a4e06be65fec6301").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) { mpForm12c564e220624e17a4e06be65fec6301Check(); 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-12c564e220624e17a4e06be65fec6301').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-12c564e220624e17a4e06be65fec6301").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-12c564e220624e17a4e06be65fec6301').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmed10290e613145d383f333815b62742e); } else { mpForm12c564e220624e17a4e06be65fec6301Check(); 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 mpmRecaptchaLoaded12c564e220624e17a4e06be65fec6301() { captchaWidgetmpFrmed10290e613145d383f333815b62742e = grecaptcha.render('mpmRecaptchampFrmed10290e613145d383f333815b62742e', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId12c564e220624e17a4e06be65fec6301() { 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 mpmFormInit12c564e220624e17a4e06be65fec6301 () { 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 finishedLoading12c564e220624e17a4e06be65fec6301() { window.mpFormLoading = false; let container = document.getElementById('mpFrmed10290e613145d383f333815b62742e'); if (!container) { mpFormmpFrmed10290e613145d383f333815b62742eFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmed10290e613145d383f333815b62742e'); return setTimeout(finishedLoading12c564e220624e17a4e06be65fec6301, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-12c564e220624e17a4e06be65fec6301").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-12c564e220624e17a4e06be65fec6301").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-12c564e220624e17a4e06be65fec6301").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-12c564e220624e17a4e06be65fec6301").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-12c564e220624e17a4e06be65fec6301").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=mpmRecaptchaLoaded12c564e220624e17a4e06be65fec6301&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup12c564e220624e17a4e06be65fec6301() { let popups = document.getElementById("mpform-12c564e220624e17a4e06be65fec6301").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput12c564e220624e17a4e06be65fec6301() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading12c564e220624e17a4e06be65fec6301(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading12c564e220624e17a4e06be65fec6301(); } } 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); mploadTelInput12c564e220624e17a4e06be65fec6301(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit12c564e220624e17a4e06be65fec6301(); } else { function waitForOtherFormsmpFrmed10290e613145d383f333815b62742e() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit12c564e220624e17a4e06be65fec6301(); } else { setTimeout(waitForOtherFormsmpFrmed10290e613145d383f333815b62742e,300); } } waitForOtherFormsmpFrmed10290e613145d383f333815b62742e(); }