var captchaWidgetmpFrm48ae27c8193c4090a4666cf97b0afc27; var mpCurrentScriptmpFrm48ae27c8193c4090a4666cf97b0afc27Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm48ae27c8193c4090a4666cf97b0afc27"; 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); mpFormmpFrm48ae27c8193c4090a4666cf97b0afc27Find(); } })(); function mpFormmpFrm48ae27c8193c4090a4666cf97b0afc27Find() { if(!mpCurrentScriptmpFrm48ae27c8193c4090a4666cf97b0afc27Container) return; if (mpCurrentScriptmpFrm48ae27c8193c4090a4666cf97b0afc27Container && mpCurrentScriptmpFrm48ae27c8193c4090a4666cf97b0afc27Container.nodeName && mpCurrentScriptmpFrm48ae27c8193c4090a4666cf97b0afc27Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm48ae27c8193c4090a4666cf97b0afc27" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm48ae27c8193c4090a4666cf97b0afc27Container.children).forEach(c => { if (c.id === "mpFrm48ae27c8193c4090a4666cf97b0afc27") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript1ac8f90ef4524d839ea6c84f85ea4a3fContainer.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm48ae27c8193c4090a4666cf97b0afc27"; } } } } function mpForm1ac8f90ef4524d839ea6c84f85ea4a3fCheck() { let checkBoxes = document.getElementById("mpform-1ac8f90ef4524d839ea6c84f85ea4a3f").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 mpForm1ac8f90ef4524d839ea6c84f85ea4a3fSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-1ac8f90ef4524d839ea6c84f85ea4a3f").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-1ac8f90ef4524d839ea6c84f85ea4a3f").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-1ac8f90ef4524d839ea6c84f85ea4a3f").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-1ac8f90ef4524d839ea6c84f85ea4a3f')), 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: getTrackingId1ac8f90ef4524d839ea6c84f85ea4a3f() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-1ac8f90ef4524d839ea6c84f85ea4a3f").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-1ac8f90ef4524d839ea6c84f85ea4a3f").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) { mpForm1ac8f90ef4524d839ea6c84f85ea4a3fCheck(); 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-1ac8f90ef4524d839ea6c84f85ea4a3f').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-1ac8f90ef4524d839ea6c84f85ea4a3f").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-1ac8f90ef4524d839ea6c84f85ea4a3f').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm48ae27c8193c4090a4666cf97b0afc27); } else { mpForm1ac8f90ef4524d839ea6c84f85ea4a3fCheck(); 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 mpmRecaptchaLoaded1ac8f90ef4524d839ea6c84f85ea4a3f() { captchaWidgetmpFrm48ae27c8193c4090a4666cf97b0afc27 = grecaptcha.render('mpmRecaptchampFrm48ae27c8193c4090a4666cf97b0afc27', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId1ac8f90ef4524d839ea6c84f85ea4a3f() { 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 mpmFormInit1ac8f90ef4524d839ea6c84f85ea4a3f () { 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 finishedLoading1ac8f90ef4524d839ea6c84f85ea4a3f() { window.mpFormLoading = false; let container = document.getElementById('mpFrm48ae27c8193c4090a4666cf97b0afc27'); if (!container) { mpFormmpFrm48ae27c8193c4090a4666cf97b0afc27Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm48ae27c8193c4090a4666cf97b0afc27'); return setTimeout(finishedLoading1ac8f90ef4524d839ea6c84f85ea4a3f, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-1ac8f90ef4524d839ea6c84f85ea4a3f").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-1ac8f90ef4524d839ea6c84f85ea4a3f").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-1ac8f90ef4524d839ea6c84f85ea4a3f").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-1ac8f90ef4524d839ea6c84f85ea4a3f").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-1ac8f90ef4524d839ea6c84f85ea4a3f").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=mpmRecaptchaLoaded1ac8f90ef4524d839ea6c84f85ea4a3f&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup1ac8f90ef4524d839ea6c84f85ea4a3f() { let popups = document.getElementById("mpform-1ac8f90ef4524d839ea6c84f85ea4a3f").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput1ac8f90ef4524d839ea6c84f85ea4a3f() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading1ac8f90ef4524d839ea6c84f85ea4a3f(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading1ac8f90ef4524d839ea6c84f85ea4a3f(); } } 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); mploadTelInput1ac8f90ef4524d839ea6c84f85ea4a3f(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit1ac8f90ef4524d839ea6c84f85ea4a3f(); } else { function waitForOtherFormsmpFrm48ae27c8193c4090a4666cf97b0afc27() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit1ac8f90ef4524d839ea6c84f85ea4a3f(); } else { setTimeout(waitForOtherFormsmpFrm48ae27c8193c4090a4666cf97b0afc27,300); } } waitForOtherFormsmpFrm48ae27c8193c4090a4666cf97b0afc27(); }