var captchaWidgetmpFrm14dd4b448da04894946fdbf6e91a0e39; var mpCurrentScriptmpFrm14dd4b448da04894946fdbf6e91a0e39Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm14dd4b448da04894946fdbf6e91a0e39"; 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); mpFormmpFrm14dd4b448da04894946fdbf6e91a0e39Find(); } })(); function mpFormmpFrm14dd4b448da04894946fdbf6e91a0e39Find() { if(!mpCurrentScriptmpFrm14dd4b448da04894946fdbf6e91a0e39Container) return; if (mpCurrentScriptmpFrm14dd4b448da04894946fdbf6e91a0e39Container && mpCurrentScriptmpFrm14dd4b448da04894946fdbf6e91a0e39Container.nodeName && mpCurrentScriptmpFrm14dd4b448da04894946fdbf6e91a0e39Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm14dd4b448da04894946fdbf6e91a0e39" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm14dd4b448da04894946fdbf6e91a0e39Container.children).forEach(c => { if (c.id === "mpFrm14dd4b448da04894946fdbf6e91a0e39") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript57f8b11a2c484a75a73430338dcdf066Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm14dd4b448da04894946fdbf6e91a0e39"; } } } } function mpForm57f8b11a2c484a75a73430338dcdf066Check() { let checkBoxes = document.getElementById("mpform-57f8b11a2c484a75a73430338dcdf066").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 mpForm57f8b11a2c484a75a73430338dcdf066Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-57f8b11a2c484a75a73430338dcdf066").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-57f8b11a2c484a75a73430338dcdf066").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-57f8b11a2c484a75a73430338dcdf066").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-57f8b11a2c484a75a73430338dcdf066')), 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: getTrackingId57f8b11a2c484a75a73430338dcdf066() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-57f8b11a2c484a75a73430338dcdf066").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-57f8b11a2c484a75a73430338dcdf066").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) { mpForm57f8b11a2c484a75a73430338dcdf066Check(); 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-57f8b11a2c484a75a73430338dcdf066').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-57f8b11a2c484a75a73430338dcdf066").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-57f8b11a2c484a75a73430338dcdf066').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm14dd4b448da04894946fdbf6e91a0e39); } else { mpForm57f8b11a2c484a75a73430338dcdf066Check(); 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 mpmRecaptchaLoaded57f8b11a2c484a75a73430338dcdf066() { captchaWidgetmpFrm14dd4b448da04894946fdbf6e91a0e39 = grecaptcha.render('mpmRecaptchampFrm14dd4b448da04894946fdbf6e91a0e39', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId57f8b11a2c484a75a73430338dcdf066() { 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 mpmFormInit57f8b11a2c484a75a73430338dcdf066 () { 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 finishedLoading57f8b11a2c484a75a73430338dcdf066() { window.mpFormLoading = false; let container = document.getElementById('mpFrm14dd4b448da04894946fdbf6e91a0e39'); if (!container) { mpFormmpFrm14dd4b448da04894946fdbf6e91a0e39Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm14dd4b448da04894946fdbf6e91a0e39'); return setTimeout(finishedLoading57f8b11a2c484a75a73430338dcdf066, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-57f8b11a2c484a75a73430338dcdf066").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-57f8b11a2c484a75a73430338dcdf066").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-57f8b11a2c484a75a73430338dcdf066").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-57f8b11a2c484a75a73430338dcdf066").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-57f8b11a2c484a75a73430338dcdf066").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=mpmRecaptchaLoaded57f8b11a2c484a75a73430338dcdf066&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup57f8b11a2c484a75a73430338dcdf066() { let popups = document.getElementById("mpform-57f8b11a2c484a75a73430338dcdf066").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput57f8b11a2c484a75a73430338dcdf066() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading57f8b11a2c484a75a73430338dcdf066(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading57f8b11a2c484a75a73430338dcdf066(); } } 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); mploadTelInput57f8b11a2c484a75a73430338dcdf066(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit57f8b11a2c484a75a73430338dcdf066(); } else { function waitForOtherFormsmpFrm14dd4b448da04894946fdbf6e91a0e39() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit57f8b11a2c484a75a73430338dcdf066(); } else { setTimeout(waitForOtherFormsmpFrm14dd4b448da04894946fdbf6e91a0e39,300); } } waitForOtherFormsmpFrm14dd4b448da04894946fdbf6e91a0e39(); }