var captchaWidgetmpFrm6f29d983d62c453299820e01b9e09b96; var mpCurrentScriptmpFrm6f29d983d62c453299820e01b9e09b96Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm6f29d983d62c453299820e01b9e09b96"; 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); mpFormmpFrm6f29d983d62c453299820e01b9e09b96Find(); } })(); function mpFormmpFrm6f29d983d62c453299820e01b9e09b96Find() { if(!mpCurrentScriptmpFrm6f29d983d62c453299820e01b9e09b96Container) return; if (mpCurrentScriptmpFrm6f29d983d62c453299820e01b9e09b96Container && mpCurrentScriptmpFrm6f29d983d62c453299820e01b9e09b96Container.nodeName && mpCurrentScriptmpFrm6f29d983d62c453299820e01b9e09b96Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm6f29d983d62c453299820e01b9e09b96" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm6f29d983d62c453299820e01b9e09b96Container.children).forEach(c => { if (c.id === "mpFrm6f29d983d62c453299820e01b9e09b96") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript318533e5fa3f4484aa0a41cdad09d1bcContainer.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm6f29d983d62c453299820e01b9e09b96"; } } } } function mpForm318533e5fa3f4484aa0a41cdad09d1bcCheck() { let checkBoxes = document.getElementById("mpform-318533e5fa3f4484aa0a41cdad09d1bc").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 mpForm318533e5fa3f4484aa0a41cdad09d1bcSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-318533e5fa3f4484aa0a41cdad09d1bc").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-318533e5fa3f4484aa0a41cdad09d1bc").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-318533e5fa3f4484aa0a41cdad09d1bc").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-318533e5fa3f4484aa0a41cdad09d1bc')), 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: getTrackingId318533e5fa3f4484aa0a41cdad09d1bc() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-318533e5fa3f4484aa0a41cdad09d1bc").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-318533e5fa3f4484aa0a41cdad09d1bc").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) { mpForm318533e5fa3f4484aa0a41cdad09d1bcCheck(); 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-318533e5fa3f4484aa0a41cdad09d1bc').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-318533e5fa3f4484aa0a41cdad09d1bc").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-318533e5fa3f4484aa0a41cdad09d1bc').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm6f29d983d62c453299820e01b9e09b96); } else { mpForm318533e5fa3f4484aa0a41cdad09d1bcCheck(); 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 mpmRecaptchaLoaded318533e5fa3f4484aa0a41cdad09d1bc() { captchaWidgetmpFrm6f29d983d62c453299820e01b9e09b96 = grecaptcha.render('mpmRecaptchampFrm6f29d983d62c453299820e01b9e09b96', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId318533e5fa3f4484aa0a41cdad09d1bc() { 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 mpmFormInit318533e5fa3f4484aa0a41cdad09d1bc () { 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 finishedLoading318533e5fa3f4484aa0a41cdad09d1bc() { window.mpFormLoading = false; let container = document.getElementById('mpFrm6f29d983d62c453299820e01b9e09b96'); if (!container) { mpFormmpFrm6f29d983d62c453299820e01b9e09b96Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm6f29d983d62c453299820e01b9e09b96'); return setTimeout(finishedLoading318533e5fa3f4484aa0a41cdad09d1bc, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-318533e5fa3f4484aa0a41cdad09d1bc").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-318533e5fa3f4484aa0a41cdad09d1bc").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-318533e5fa3f4484aa0a41cdad09d1bc").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-318533e5fa3f4484aa0a41cdad09d1bc").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-318533e5fa3f4484aa0a41cdad09d1bc").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=mpmRecaptchaLoaded318533e5fa3f4484aa0a41cdad09d1bc&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup318533e5fa3f4484aa0a41cdad09d1bc() { let popups = document.getElementById("mpform-318533e5fa3f4484aa0a41cdad09d1bc").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput318533e5fa3f4484aa0a41cdad09d1bc() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading318533e5fa3f4484aa0a41cdad09d1bc(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading318533e5fa3f4484aa0a41cdad09d1bc(); } } 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); mploadTelInput318533e5fa3f4484aa0a41cdad09d1bc(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit318533e5fa3f4484aa0a41cdad09d1bc(); } else { function waitForOtherFormsmpFrm6f29d983d62c453299820e01b9e09b96() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit318533e5fa3f4484aa0a41cdad09d1bc(); } else { setTimeout(waitForOtherFormsmpFrm6f29d983d62c453299820e01b9e09b96,300); } } waitForOtherFormsmpFrm6f29d983d62c453299820e01b9e09b96(); }