var captchaWidgetmpFrmf6f1956115c2493a8c303f629d481ae2; var mpCurrentScriptmpFrmf6f1956115c2493a8c303f629d481ae2Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmf6f1956115c2493a8c303f629d481ae2"; 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); mpFormmpFrmf6f1956115c2493a8c303f629d481ae2Find(); } })(); function mpFormmpFrmf6f1956115c2493a8c303f629d481ae2Find() { if(!mpCurrentScriptmpFrmf6f1956115c2493a8c303f629d481ae2Container) return; if (mpCurrentScriptmpFrmf6f1956115c2493a8c303f629d481ae2Container && mpCurrentScriptmpFrmf6f1956115c2493a8c303f629d481ae2Container.nodeName && mpCurrentScriptmpFrmf6f1956115c2493a8c303f629d481ae2Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmf6f1956115c2493a8c303f629d481ae2" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmf6f1956115c2493a8c303f629d481ae2Container.children).forEach(c => { if (c.id === "mpFrmf6f1956115c2493a8c303f629d481ae2") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScripte344a0e14f2749bcbe233bcdd4ce7289Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmf6f1956115c2493a8c303f629d481ae2"; } } } } function mpForme344a0e14f2749bcbe233bcdd4ce7289Check() { let checkBoxes = document.getElementById("mpform-e344a0e14f2749bcbe233bcdd4ce7289").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 mpForme344a0e14f2749bcbe233bcdd4ce7289Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-e344a0e14f2749bcbe233bcdd4ce7289").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-e344a0e14f2749bcbe233bcdd4ce7289").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-e344a0e14f2749bcbe233bcdd4ce7289").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-e344a0e14f2749bcbe233bcdd4ce7289')), 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: getTrackingIde344a0e14f2749bcbe233bcdd4ce7289() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-e344a0e14f2749bcbe233bcdd4ce7289").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-e344a0e14f2749bcbe233bcdd4ce7289").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) { mpForme344a0e14f2749bcbe233bcdd4ce7289Check(); 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-e344a0e14f2749bcbe233bcdd4ce7289').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-e344a0e14f2749bcbe233bcdd4ce7289").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-e344a0e14f2749bcbe233bcdd4ce7289').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmf6f1956115c2493a8c303f629d481ae2); } else { mpForme344a0e14f2749bcbe233bcdd4ce7289Check(); 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 mpmRecaptchaLoadede344a0e14f2749bcbe233bcdd4ce7289() { captchaWidgetmpFrmf6f1956115c2493a8c303f629d481ae2 = grecaptcha.render('mpmRecaptchampFrmf6f1956115c2493a8c303f629d481ae2', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIde344a0e14f2749bcbe233bcdd4ce7289() { 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 mpmFormInite344a0e14f2749bcbe233bcdd4ce7289 () { 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 finishedLoadinge344a0e14f2749bcbe233bcdd4ce7289() { window.mpFormLoading = false; let container = document.getElementById('mpFrmf6f1956115c2493a8c303f629d481ae2'); if (!container) { mpFormmpFrmf6f1956115c2493a8c303f629d481ae2Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmf6f1956115c2493a8c303f629d481ae2'); return setTimeout(finishedLoadinge344a0e14f2749bcbe233bcdd4ce7289, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-e344a0e14f2749bcbe233bcdd4ce7289").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-e344a0e14f2749bcbe233bcdd4ce7289").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-e344a0e14f2749bcbe233bcdd4ce7289").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-e344a0e14f2749bcbe233bcdd4ce7289").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-e344a0e14f2749bcbe233bcdd4ce7289").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=mpmRecaptchaLoadede344a0e14f2749bcbe233bcdd4ce7289&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupe344a0e14f2749bcbe233bcdd4ce7289() { let popups = document.getElementById("mpform-e344a0e14f2749bcbe233bcdd4ce7289").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInpute344a0e14f2749bcbe233bcdd4ce7289() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadinge344a0e14f2749bcbe233bcdd4ce7289(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinge344a0e14f2749bcbe233bcdd4ce7289(); } } 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); mploadTelInpute344a0e14f2749bcbe233bcdd4ce7289(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInite344a0e14f2749bcbe233bcdd4ce7289(); } else { function waitForOtherFormsmpFrmf6f1956115c2493a8c303f629d481ae2() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInite344a0e14f2749bcbe233bcdd4ce7289(); } else { setTimeout(waitForOtherFormsmpFrmf6f1956115c2493a8c303f629d481ae2,300); } } waitForOtherFormsmpFrmf6f1956115c2493a8c303f629d481ae2(); }