var captchaWidgetmpFrm88bf16870c5a4bfc8da5a5c34b8e1f7a; var mpCurrentScriptmpFrm88bf16870c5a4bfc8da5a5c34b8e1f7aContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm88bf16870c5a4bfc8da5a5c34b8e1f7a"; 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); mpFormmpFrm88bf16870c5a4bfc8da5a5c34b8e1f7aFind(); } })(); function mpFormmpFrm88bf16870c5a4bfc8da5a5c34b8e1f7aFind() { if(!mpCurrentScriptmpFrm88bf16870c5a4bfc8da5a5c34b8e1f7aContainer) return; if (mpCurrentScriptmpFrm88bf16870c5a4bfc8da5a5c34b8e1f7aContainer && mpCurrentScriptmpFrm88bf16870c5a4bfc8da5a5c34b8e1f7aContainer.nodeName && mpCurrentScriptmpFrm88bf16870c5a4bfc8da5a5c34b8e1f7aContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm88bf16870c5a4bfc8da5a5c34b8e1f7a" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm88bf16870c5a4bfc8da5a5c34b8e1f7aContainer.children).forEach(c => { if (c.id === "mpFrm88bf16870c5a4bfc8da5a5c34b8e1f7a") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript4ca968bc3ab94ecb8ae62c04cea70e05Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm88bf16870c5a4bfc8da5a5c34b8e1f7a"; } } } } function mpForm4ca968bc3ab94ecb8ae62c04cea70e05Check() { let checkBoxes = document.getElementById("mpform-4ca968bc3ab94ecb8ae62c04cea70e05").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 mpForm4ca968bc3ab94ecb8ae62c04cea70e05Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-4ca968bc3ab94ecb8ae62c04cea70e05").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-4ca968bc3ab94ecb8ae62c04cea70e05").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-4ca968bc3ab94ecb8ae62c04cea70e05").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-4ca968bc3ab94ecb8ae62c04cea70e05')), 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: getTrackingId4ca968bc3ab94ecb8ae62c04cea70e05() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-4ca968bc3ab94ecb8ae62c04cea70e05").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-4ca968bc3ab94ecb8ae62c04cea70e05").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) { mpForm4ca968bc3ab94ecb8ae62c04cea70e05Check(); 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-4ca968bc3ab94ecb8ae62c04cea70e05').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-4ca968bc3ab94ecb8ae62c04cea70e05").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-4ca968bc3ab94ecb8ae62c04cea70e05').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm88bf16870c5a4bfc8da5a5c34b8e1f7a); } else { mpForm4ca968bc3ab94ecb8ae62c04cea70e05Check(); 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 mpmRecaptchaLoaded4ca968bc3ab94ecb8ae62c04cea70e05() { captchaWidgetmpFrm88bf16870c5a4bfc8da5a5c34b8e1f7a = grecaptcha.render('mpmRecaptchampFrm88bf16870c5a4bfc8da5a5c34b8e1f7a', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId4ca968bc3ab94ecb8ae62c04cea70e05() { 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 mpmFormInit4ca968bc3ab94ecb8ae62c04cea70e05 () { 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 finishedLoading4ca968bc3ab94ecb8ae62c04cea70e05() { window.mpFormLoading = false; let container = document.getElementById('mpFrm88bf16870c5a4bfc8da5a5c34b8e1f7a'); if (!container) { mpFormmpFrm88bf16870c5a4bfc8da5a5c34b8e1f7aFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm88bf16870c5a4bfc8da5a5c34b8e1f7a'); return setTimeout(finishedLoading4ca968bc3ab94ecb8ae62c04cea70e05, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-4ca968bc3ab94ecb8ae62c04cea70e05").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-4ca968bc3ab94ecb8ae62c04cea70e05").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-4ca968bc3ab94ecb8ae62c04cea70e05").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-4ca968bc3ab94ecb8ae62c04cea70e05").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-4ca968bc3ab94ecb8ae62c04cea70e05").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=mpmRecaptchaLoaded4ca968bc3ab94ecb8ae62c04cea70e05&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup4ca968bc3ab94ecb8ae62c04cea70e05() { let popups = document.getElementById("mpform-4ca968bc3ab94ecb8ae62c04cea70e05").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput4ca968bc3ab94ecb8ae62c04cea70e05() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading4ca968bc3ab94ecb8ae62c04cea70e05(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading4ca968bc3ab94ecb8ae62c04cea70e05(); } } 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); mploadTelInput4ca968bc3ab94ecb8ae62c04cea70e05(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit4ca968bc3ab94ecb8ae62c04cea70e05(); } else { function waitForOtherFormsmpFrm88bf16870c5a4bfc8da5a5c34b8e1f7a() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit4ca968bc3ab94ecb8ae62c04cea70e05(); } else { setTimeout(waitForOtherFormsmpFrm88bf16870c5a4bfc8da5a5c34b8e1f7a,300); } } waitForOtherFormsmpFrm88bf16870c5a4bfc8da5a5c34b8e1f7a(); }