var captchaWidgetmpFrm132703956ffa4b479bd19d3494c9c7cd; var mpCurrentScriptmpFrm132703956ffa4b479bd19d3494c9c7cdContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm132703956ffa4b479bd19d3494c9c7cd"; 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); mpFormmpFrm132703956ffa4b479bd19d3494c9c7cdFind(); } })(); function mpFormmpFrm132703956ffa4b479bd19d3494c9c7cdFind() { if(!mpCurrentScriptmpFrm132703956ffa4b479bd19d3494c9c7cdContainer) return; if (mpCurrentScriptmpFrm132703956ffa4b479bd19d3494c9c7cdContainer && mpCurrentScriptmpFrm132703956ffa4b479bd19d3494c9c7cdContainer.nodeName && mpCurrentScriptmpFrm132703956ffa4b479bd19d3494c9c7cdContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm132703956ffa4b479bd19d3494c9c7cd" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm132703956ffa4b479bd19d3494c9c7cdContainer.children).forEach(c => { if (c.id === "mpFrm132703956ffa4b479bd19d3494c9c7cd") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript4be51776b3e34f97a777f5d3b92f7e0fContainer.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm132703956ffa4b479bd19d3494c9c7cd"; } } } } function mpForm4be51776b3e34f97a777f5d3b92f7e0fCheck() { let checkBoxes = document.getElementById("mpform-4be51776b3e34f97a777f5d3b92f7e0f").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 mpForm4be51776b3e34f97a777f5d3b92f7e0fSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-4be51776b3e34f97a777f5d3b92f7e0f").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-4be51776b3e34f97a777f5d3b92f7e0f").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-4be51776b3e34f97a777f5d3b92f7e0f").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-4be51776b3e34f97a777f5d3b92f7e0f')), 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: getTrackingId4be51776b3e34f97a777f5d3b92f7e0f() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-4be51776b3e34f97a777f5d3b92f7e0f").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-4be51776b3e34f97a777f5d3b92f7e0f").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) { mpForm4be51776b3e34f97a777f5d3b92f7e0fCheck(); 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-4be51776b3e34f97a777f5d3b92f7e0f').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-4be51776b3e34f97a777f5d3b92f7e0f").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-4be51776b3e34f97a777f5d3b92f7e0f').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm132703956ffa4b479bd19d3494c9c7cd); } else { mpForm4be51776b3e34f97a777f5d3b92f7e0fCheck(); 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 mpmRecaptchaLoaded4be51776b3e34f97a777f5d3b92f7e0f() { captchaWidgetmpFrm132703956ffa4b479bd19d3494c9c7cd = grecaptcha.render('mpmRecaptchampFrm132703956ffa4b479bd19d3494c9c7cd', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId4be51776b3e34f97a777f5d3b92f7e0f() { 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 mpmFormInit4be51776b3e34f97a777f5d3b92f7e0f () { 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 finishedLoading4be51776b3e34f97a777f5d3b92f7e0f() { window.mpFormLoading = false; let container = document.getElementById('mpFrm132703956ffa4b479bd19d3494c9c7cd'); if (!container) { mpFormmpFrm132703956ffa4b479bd19d3494c9c7cdFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm132703956ffa4b479bd19d3494c9c7cd'); return setTimeout(finishedLoading4be51776b3e34f97a777f5d3b92f7e0f, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-4be51776b3e34f97a777f5d3b92f7e0f").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-4be51776b3e34f97a777f5d3b92f7e0f").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-4be51776b3e34f97a777f5d3b92f7e0f").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-4be51776b3e34f97a777f5d3b92f7e0f").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-4be51776b3e34f97a777f5d3b92f7e0f").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=mpmRecaptchaLoaded4be51776b3e34f97a777f5d3b92f7e0f&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup4be51776b3e34f97a777f5d3b92f7e0f() { let popups = document.getElementById("mpform-4be51776b3e34f97a777f5d3b92f7e0f").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput4be51776b3e34f97a777f5d3b92f7e0f() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading4be51776b3e34f97a777f5d3b92f7e0f(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading4be51776b3e34f97a777f5d3b92f7e0f(); } } 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); mploadTelInput4be51776b3e34f97a777f5d3b92f7e0f(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit4be51776b3e34f97a777f5d3b92f7e0f(); } else { function waitForOtherFormsmpFrm132703956ffa4b479bd19d3494c9c7cd() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit4be51776b3e34f97a777f5d3b92f7e0f(); } else { setTimeout(waitForOtherFormsmpFrm132703956ffa4b479bd19d3494c9c7cd,300); } } waitForOtherFormsmpFrm132703956ffa4b479bd19d3494c9c7cd(); }