var captchaWidgetmpFrmcd5fdf9be4b347df84ef69fe8745872f; var mpCurrentScriptmpFrmcd5fdf9be4b347df84ef69fe8745872fContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmcd5fdf9be4b347df84ef69fe8745872f"; 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); mpFormmpFrmcd5fdf9be4b347df84ef69fe8745872fFind(); } })(); function mpFormmpFrmcd5fdf9be4b347df84ef69fe8745872fFind() { if(!mpCurrentScriptmpFrmcd5fdf9be4b347df84ef69fe8745872fContainer) return; if (mpCurrentScriptmpFrmcd5fdf9be4b347df84ef69fe8745872fContainer && mpCurrentScriptmpFrmcd5fdf9be4b347df84ef69fe8745872fContainer.nodeName && mpCurrentScriptmpFrmcd5fdf9be4b347df84ef69fe8745872fContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmcd5fdf9be4b347df84ef69fe8745872f" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmcd5fdf9be4b347df84ef69fe8745872fContainer.children).forEach(c => { if (c.id === "mpFrmcd5fdf9be4b347df84ef69fe8745872f") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript8f23705c44fc41a7a5bf39c4a76d1575Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmcd5fdf9be4b347df84ef69fe8745872f"; } } } } function mpForm8f23705c44fc41a7a5bf39c4a76d1575Check() { let checkBoxes = document.getElementById("mpform-8f23705c44fc41a7a5bf39c4a76d1575").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 mpForm8f23705c44fc41a7a5bf39c4a76d1575Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-8f23705c44fc41a7a5bf39c4a76d1575").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-8f23705c44fc41a7a5bf39c4a76d1575").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-8f23705c44fc41a7a5bf39c4a76d1575").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-8f23705c44fc41a7a5bf39c4a76d1575')), 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: getTrackingId8f23705c44fc41a7a5bf39c4a76d1575() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-8f23705c44fc41a7a5bf39c4a76d1575").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-8f23705c44fc41a7a5bf39c4a76d1575").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) { mpForm8f23705c44fc41a7a5bf39c4a76d1575Check(); 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-8f23705c44fc41a7a5bf39c4a76d1575').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-8f23705c44fc41a7a5bf39c4a76d1575").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-8f23705c44fc41a7a5bf39c4a76d1575').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmcd5fdf9be4b347df84ef69fe8745872f); } else { mpForm8f23705c44fc41a7a5bf39c4a76d1575Check(); 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 mpmRecaptchaLoaded8f23705c44fc41a7a5bf39c4a76d1575() { captchaWidgetmpFrmcd5fdf9be4b347df84ef69fe8745872f = grecaptcha.render('mpmRecaptchampFrmcd5fdf9be4b347df84ef69fe8745872f', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId8f23705c44fc41a7a5bf39c4a76d1575() { 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 mpmFormInit8f23705c44fc41a7a5bf39c4a76d1575 () { 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 finishedLoading8f23705c44fc41a7a5bf39c4a76d1575() { window.mpFormLoading = false; let container = document.getElementById('mpFrmcd5fdf9be4b347df84ef69fe8745872f'); if (!container) { mpFormmpFrmcd5fdf9be4b347df84ef69fe8745872fFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmcd5fdf9be4b347df84ef69fe8745872f'); return setTimeout(finishedLoading8f23705c44fc41a7a5bf39c4a76d1575, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-8f23705c44fc41a7a5bf39c4a76d1575").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-8f23705c44fc41a7a5bf39c4a76d1575").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-8f23705c44fc41a7a5bf39c4a76d1575").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-8f23705c44fc41a7a5bf39c4a76d1575").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-8f23705c44fc41a7a5bf39c4a76d1575").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=mpmRecaptchaLoaded8f23705c44fc41a7a5bf39c4a76d1575&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup8f23705c44fc41a7a5bf39c4a76d1575() { let popups = document.getElementById("mpform-8f23705c44fc41a7a5bf39c4a76d1575").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput8f23705c44fc41a7a5bf39c4a76d1575() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading8f23705c44fc41a7a5bf39c4a76d1575(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading8f23705c44fc41a7a5bf39c4a76d1575(); } } 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); mploadTelInput8f23705c44fc41a7a5bf39c4a76d1575(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit8f23705c44fc41a7a5bf39c4a76d1575(); } else { function waitForOtherFormsmpFrmcd5fdf9be4b347df84ef69fe8745872f() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit8f23705c44fc41a7a5bf39c4a76d1575(); } else { setTimeout(waitForOtherFormsmpFrmcd5fdf9be4b347df84ef69fe8745872f,300); } } waitForOtherFormsmpFrmcd5fdf9be4b347df84ef69fe8745872f(); }