var captchaWidgetmpFrmadd9be8e44f14f2eab5725b393673c94; var mpCurrentScriptmpFrmadd9be8e44f14f2eab5725b393673c94Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmadd9be8e44f14f2eab5725b393673c94"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41943"); 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); mpFormmpFrmadd9be8e44f14f2eab5725b393673c94Find(); } })(); function mpFormmpFrmadd9be8e44f14f2eab5725b393673c94Find() { if(!mpCurrentScriptmpFrmadd9be8e44f14f2eab5725b393673c94Container) return; if (mpCurrentScriptmpFrmadd9be8e44f14f2eab5725b393673c94Container && mpCurrentScriptmpFrmadd9be8e44f14f2eab5725b393673c94Container.nodeName && mpCurrentScriptmpFrmadd9be8e44f14f2eab5725b393673c94Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmadd9be8e44f14f2eab5725b393673c94" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmadd9be8e44f14f2eab5725b393673c94Container.children).forEach(c => { if (c.id === "mpFrmadd9be8e44f14f2eab5725b393673c94") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript55ac6f97dcd44bb3b4ae76e08b4d896bContainer.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmadd9be8e44f14f2eab5725b393673c94"; } } } } function mpForm55ac6f97dcd44bb3b4ae76e08b4d896bCheck() { let checkBoxes = document.getElementById("mpform-55ac6f97dcd44bb3b4ae76e08b4d896b").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 mpForm55ac6f97dcd44bb3b4ae76e08b4d896bSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-55ac6f97dcd44bb3b4ae76e08b4d896b").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-55ac6f97dcd44bb3b4ae76e08b4d896b").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-55ac6f97dcd44bb3b4ae76e08b4d896b").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-55ac6f97dcd44bb3b4ae76e08b4d896b')), 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: getTrackingId55ac6f97dcd44bb3b4ae76e08b4d896b() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-55ac6f97dcd44bb3b4ae76e08b4d896b").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-55ac6f97dcd44bb3b4ae76e08b4d896b").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=41943", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm55ac6f97dcd44bb3b4ae76e08b4d896bCheck(); 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-55ac6f97dcd44bb3b4ae76e08b4d896b').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-55ac6f97dcd44bb3b4ae76e08b4d896b").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-55ac6f97dcd44bb3b4ae76e08b4d896b').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmadd9be8e44f14f2eab5725b393673c94); } else { mpForm55ac6f97dcd44bb3b4ae76e08b4d896bCheck(); 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 mpmRecaptchaLoaded55ac6f97dcd44bb3b4ae76e08b4d896b() { captchaWidgetmpFrmadd9be8e44f14f2eab5725b393673c94 = grecaptcha.render('mpmRecaptchampFrmadd9be8e44f14f2eab5725b393673c94', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId55ac6f97dcd44bb3b4ae76e08b4d896b() { 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 mpmFormInit55ac6f97dcd44bb3b4ae76e08b4d896b () { 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 finishedLoading55ac6f97dcd44bb3b4ae76e08b4d896b() { window.mpFormLoading = false; let container = document.getElementById('mpFrmadd9be8e44f14f2eab5725b393673c94'); if (!container) { mpFormmpFrmadd9be8e44f14f2eab5725b393673c94Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmadd9be8e44f14f2eab5725b393673c94'); return setTimeout(finishedLoading55ac6f97dcd44bb3b4ae76e08b4d896b, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-55ac6f97dcd44bb3b4ae76e08b4d896b").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-55ac6f97dcd44bb3b4ae76e08b4d896b").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-55ac6f97dcd44bb3b4ae76e08b4d896b").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-55ac6f97dcd44bb3b4ae76e08b4d896b").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-55ac6f97dcd44bb3b4ae76e08b4d896b").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=mpmRecaptchaLoaded55ac6f97dcd44bb3b4ae76e08b4d896b&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup55ac6f97dcd44bb3b4ae76e08b4d896b() { let popups = document.getElementById("mpform-55ac6f97dcd44bb3b4ae76e08b4d896b").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput55ac6f97dcd44bb3b4ae76e08b4d896b() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading55ac6f97dcd44bb3b4ae76e08b4d896b(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading55ac6f97dcd44bb3b4ae76e08b4d896b(); } } 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); mploadTelInput55ac6f97dcd44bb3b4ae76e08b4d896b(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit55ac6f97dcd44bb3b4ae76e08b4d896b(); } else { function waitForOtherFormsmpFrmadd9be8e44f14f2eab5725b393673c94() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit55ac6f97dcd44bb3b4ae76e08b4d896b(); } else { setTimeout(waitForOtherFormsmpFrmadd9be8e44f14f2eab5725b393673c94,300); } } waitForOtherFormsmpFrmadd9be8e44f14f2eab5725b393673c94(); }