var captchaWidgetmpFrmab4953ce25d2474b92336bf84fa7f51a; var mpCurrentScriptmpFrmab4953ce25d2474b92336bf84fa7f51aContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmab4953ce25d2474b92336bf84fa7f51a"; 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); mpFormmpFrmab4953ce25d2474b92336bf84fa7f51aFind(); } })(); function mpFormmpFrmab4953ce25d2474b92336bf84fa7f51aFind() { if(!mpCurrentScriptmpFrmab4953ce25d2474b92336bf84fa7f51aContainer) return; if (mpCurrentScriptmpFrmab4953ce25d2474b92336bf84fa7f51aContainer && mpCurrentScriptmpFrmab4953ce25d2474b92336bf84fa7f51aContainer.nodeName && mpCurrentScriptmpFrmab4953ce25d2474b92336bf84fa7f51aContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmab4953ce25d2474b92336bf84fa7f51a" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmab4953ce25d2474b92336bf84fa7f51aContainer.children).forEach(c => { if (c.id === "mpFrmab4953ce25d2474b92336bf84fa7f51a") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript5124f6b8b86448cfa3ee8008e4dbaedbContainer.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmab4953ce25d2474b92336bf84fa7f51a"; } } } } function mpForm5124f6b8b86448cfa3ee8008e4dbaedbCheck() { let checkBoxes = document.getElementById("mpform-5124f6b8b86448cfa3ee8008e4dbaedb").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 mpForm5124f6b8b86448cfa3ee8008e4dbaedbSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-5124f6b8b86448cfa3ee8008e4dbaedb").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-5124f6b8b86448cfa3ee8008e4dbaedb").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-5124f6b8b86448cfa3ee8008e4dbaedb").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-5124f6b8b86448cfa3ee8008e4dbaedb')), 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: getTrackingId5124f6b8b86448cfa3ee8008e4dbaedb() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-5124f6b8b86448cfa3ee8008e4dbaedb").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-5124f6b8b86448cfa3ee8008e4dbaedb").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) { mpForm5124f6b8b86448cfa3ee8008e4dbaedbCheck(); 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-5124f6b8b86448cfa3ee8008e4dbaedb').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-5124f6b8b86448cfa3ee8008e4dbaedb").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-5124f6b8b86448cfa3ee8008e4dbaedb').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmab4953ce25d2474b92336bf84fa7f51a); } else { mpForm5124f6b8b86448cfa3ee8008e4dbaedbCheck(); 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 mpmRecaptchaLoaded5124f6b8b86448cfa3ee8008e4dbaedb() { captchaWidgetmpFrmab4953ce25d2474b92336bf84fa7f51a = grecaptcha.render('mpmRecaptchampFrmab4953ce25d2474b92336bf84fa7f51a', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId5124f6b8b86448cfa3ee8008e4dbaedb() { 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 mpmFormInit5124f6b8b86448cfa3ee8008e4dbaedb () { 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 finishedLoading5124f6b8b86448cfa3ee8008e4dbaedb() { window.mpFormLoading = false; let container = document.getElementById('mpFrmab4953ce25d2474b92336bf84fa7f51a'); if (!container) { mpFormmpFrmab4953ce25d2474b92336bf84fa7f51aFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmab4953ce25d2474b92336bf84fa7f51a'); return setTimeout(finishedLoading5124f6b8b86448cfa3ee8008e4dbaedb, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-5124f6b8b86448cfa3ee8008e4dbaedb").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-5124f6b8b86448cfa3ee8008e4dbaedb").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-5124f6b8b86448cfa3ee8008e4dbaedb").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-5124f6b8b86448cfa3ee8008e4dbaedb").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-5124f6b8b86448cfa3ee8008e4dbaedb").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=mpmRecaptchaLoaded5124f6b8b86448cfa3ee8008e4dbaedb&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup5124f6b8b86448cfa3ee8008e4dbaedb() { let popups = document.getElementById("mpform-5124f6b8b86448cfa3ee8008e4dbaedb").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput5124f6b8b86448cfa3ee8008e4dbaedb() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading5124f6b8b86448cfa3ee8008e4dbaedb(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading5124f6b8b86448cfa3ee8008e4dbaedb(); } } 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); mploadTelInput5124f6b8b86448cfa3ee8008e4dbaedb(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit5124f6b8b86448cfa3ee8008e4dbaedb(); } else { function waitForOtherFormsmpFrmab4953ce25d2474b92336bf84fa7f51a() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit5124f6b8b86448cfa3ee8008e4dbaedb(); } else { setTimeout(waitForOtherFormsmpFrmab4953ce25d2474b92336bf84fa7f51a,300); } } waitForOtherFormsmpFrmab4953ce25d2474b92336bf84fa7f51a(); }