var captchaWidgetmpFrm5cb1b38b83474e79865834586470cfa3; var mpCurrentScriptmpFrm5cb1b38b83474e79865834586470cfa3Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm5cb1b38b83474e79865834586470cfa3"; 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); mpFormmpFrm5cb1b38b83474e79865834586470cfa3Find(); } })(); function mpFormmpFrm5cb1b38b83474e79865834586470cfa3Find() { if(!mpCurrentScriptmpFrm5cb1b38b83474e79865834586470cfa3Container) return; if (mpCurrentScriptmpFrm5cb1b38b83474e79865834586470cfa3Container && mpCurrentScriptmpFrm5cb1b38b83474e79865834586470cfa3Container.nodeName && mpCurrentScriptmpFrm5cb1b38b83474e79865834586470cfa3Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm5cb1b38b83474e79865834586470cfa3" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm5cb1b38b83474e79865834586470cfa3Container.children).forEach(c => { if (c.id === "mpFrm5cb1b38b83474e79865834586470cfa3") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript9b402fc2b4b94680a55f7f4dc30fb617Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm5cb1b38b83474e79865834586470cfa3"; } } } } function mpForm9b402fc2b4b94680a55f7f4dc30fb617Check() { let checkBoxes = document.getElementById("mpform-9b402fc2b4b94680a55f7f4dc30fb617").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 mpForm9b402fc2b4b94680a55f7f4dc30fb617Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-9b402fc2b4b94680a55f7f4dc30fb617").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-9b402fc2b4b94680a55f7f4dc30fb617").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-9b402fc2b4b94680a55f7f4dc30fb617").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-9b402fc2b4b94680a55f7f4dc30fb617')), 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: getTrackingId9b402fc2b4b94680a55f7f4dc30fb617() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-9b402fc2b4b94680a55f7f4dc30fb617").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-9b402fc2b4b94680a55f7f4dc30fb617").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) { mpForm9b402fc2b4b94680a55f7f4dc30fb617Check(); 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-9b402fc2b4b94680a55f7f4dc30fb617').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-9b402fc2b4b94680a55f7f4dc30fb617").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-9b402fc2b4b94680a55f7f4dc30fb617').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm5cb1b38b83474e79865834586470cfa3); } else { mpForm9b402fc2b4b94680a55f7f4dc30fb617Check(); 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 mpmRecaptchaLoaded9b402fc2b4b94680a55f7f4dc30fb617() { captchaWidgetmpFrm5cb1b38b83474e79865834586470cfa3 = grecaptcha.render('mpmRecaptchampFrm5cb1b38b83474e79865834586470cfa3', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId9b402fc2b4b94680a55f7f4dc30fb617() { 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 mpmFormInit9b402fc2b4b94680a55f7f4dc30fb617 () { 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 finishedLoading9b402fc2b4b94680a55f7f4dc30fb617() { window.mpFormLoading = false; let container = document.getElementById('mpFrm5cb1b38b83474e79865834586470cfa3'); if (!container) { mpFormmpFrm5cb1b38b83474e79865834586470cfa3Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm5cb1b38b83474e79865834586470cfa3'); return setTimeout(finishedLoading9b402fc2b4b94680a55f7f4dc30fb617, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-9b402fc2b4b94680a55f7f4dc30fb617").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-9b402fc2b4b94680a55f7f4dc30fb617").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-9b402fc2b4b94680a55f7f4dc30fb617").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-9b402fc2b4b94680a55f7f4dc30fb617").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-9b402fc2b4b94680a55f7f4dc30fb617").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=mpmRecaptchaLoaded9b402fc2b4b94680a55f7f4dc30fb617&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup9b402fc2b4b94680a55f7f4dc30fb617() { let popups = document.getElementById("mpform-9b402fc2b4b94680a55f7f4dc30fb617").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput9b402fc2b4b94680a55f7f4dc30fb617() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading9b402fc2b4b94680a55f7f4dc30fb617(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading9b402fc2b4b94680a55f7f4dc30fb617(); } } 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); mploadTelInput9b402fc2b4b94680a55f7f4dc30fb617(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit9b402fc2b4b94680a55f7f4dc30fb617(); } else { function waitForOtherFormsmpFrm5cb1b38b83474e79865834586470cfa3() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit9b402fc2b4b94680a55f7f4dc30fb617(); } else { setTimeout(waitForOtherFormsmpFrm5cb1b38b83474e79865834586470cfa3,300); } } waitForOtherFormsmpFrm5cb1b38b83474e79865834586470cfa3(); }