var captchaWidgetmpFrmdb8e134be03b4380a88bc10cfbe4e9e4; var mpCurrentScriptmpFrmdb8e134be03b4380a88bc10cfbe4e9e4Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmdb8e134be03b4380a88bc10cfbe4e9e4"; 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); mpFormmpFrmdb8e134be03b4380a88bc10cfbe4e9e4Find(); } })(); function mpFormmpFrmdb8e134be03b4380a88bc10cfbe4e9e4Find() { if(!mpCurrentScriptmpFrmdb8e134be03b4380a88bc10cfbe4e9e4Container) return; if (mpCurrentScriptmpFrmdb8e134be03b4380a88bc10cfbe4e9e4Container && mpCurrentScriptmpFrmdb8e134be03b4380a88bc10cfbe4e9e4Container.nodeName && mpCurrentScriptmpFrmdb8e134be03b4380a88bc10cfbe4e9e4Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmdb8e134be03b4380a88bc10cfbe4e9e4" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmdb8e134be03b4380a88bc10cfbe4e9e4Container.children).forEach(c => { if (c.id === "mpFrmdb8e134be03b4380a88bc10cfbe4e9e4") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript5003809cf2b34c26af18d92f13bdcf45Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmdb8e134be03b4380a88bc10cfbe4e9e4"; } } } } function mpForm5003809cf2b34c26af18d92f13bdcf45Check() { let checkBoxes = document.getElementById("mpform-5003809cf2b34c26af18d92f13bdcf45").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 mpForm5003809cf2b34c26af18d92f13bdcf45Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-5003809cf2b34c26af18d92f13bdcf45").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-5003809cf2b34c26af18d92f13bdcf45").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-5003809cf2b34c26af18d92f13bdcf45").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-5003809cf2b34c26af18d92f13bdcf45')), 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: getTrackingId5003809cf2b34c26af18d92f13bdcf45() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-5003809cf2b34c26af18d92f13bdcf45").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-5003809cf2b34c26af18d92f13bdcf45").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) { mpForm5003809cf2b34c26af18d92f13bdcf45Check(); 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-5003809cf2b34c26af18d92f13bdcf45').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-5003809cf2b34c26af18d92f13bdcf45").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-5003809cf2b34c26af18d92f13bdcf45').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmdb8e134be03b4380a88bc10cfbe4e9e4); } else { mpForm5003809cf2b34c26af18d92f13bdcf45Check(); 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 mpmRecaptchaLoaded5003809cf2b34c26af18d92f13bdcf45() { captchaWidgetmpFrmdb8e134be03b4380a88bc10cfbe4e9e4 = grecaptcha.render('mpmRecaptchampFrmdb8e134be03b4380a88bc10cfbe4e9e4', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId5003809cf2b34c26af18d92f13bdcf45() { 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 mpmFormInit5003809cf2b34c26af18d92f13bdcf45 () { 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 finishedLoading5003809cf2b34c26af18d92f13bdcf45() { window.mpFormLoading = false; let container = document.getElementById('mpFrmdb8e134be03b4380a88bc10cfbe4e9e4'); if (!container) { mpFormmpFrmdb8e134be03b4380a88bc10cfbe4e9e4Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmdb8e134be03b4380a88bc10cfbe4e9e4'); return setTimeout(finishedLoading5003809cf2b34c26af18d92f13bdcf45, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-5003809cf2b34c26af18d92f13bdcf45").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-5003809cf2b34c26af18d92f13bdcf45").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-5003809cf2b34c26af18d92f13bdcf45").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-5003809cf2b34c26af18d92f13bdcf45").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-5003809cf2b34c26af18d92f13bdcf45").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=mpmRecaptchaLoaded5003809cf2b34c26af18d92f13bdcf45&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup5003809cf2b34c26af18d92f13bdcf45() { let popups = document.getElementById("mpform-5003809cf2b34c26af18d92f13bdcf45").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput5003809cf2b34c26af18d92f13bdcf45() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading5003809cf2b34c26af18d92f13bdcf45(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading5003809cf2b34c26af18d92f13bdcf45(); } } 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); mploadTelInput5003809cf2b34c26af18d92f13bdcf45(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit5003809cf2b34c26af18d92f13bdcf45(); } else { function waitForOtherFormsmpFrmdb8e134be03b4380a88bc10cfbe4e9e4() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit5003809cf2b34c26af18d92f13bdcf45(); } else { setTimeout(waitForOtherFormsmpFrmdb8e134be03b4380a88bc10cfbe4e9e4,300); } } waitForOtherFormsmpFrmdb8e134be03b4380a88bc10cfbe4e9e4(); }