var captchaWidgetmpFrmc023189841b248e6b4268e3c0bbdb4b0; var mpCurrentScriptmpFrmc023189841b248e6b4268e3c0bbdb4b0Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmc023189841b248e6b4268e3c0bbdb4b0"; 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); mpFormmpFrmc023189841b248e6b4268e3c0bbdb4b0Find(); } })(); function mpFormmpFrmc023189841b248e6b4268e3c0bbdb4b0Find() { if(!mpCurrentScriptmpFrmc023189841b248e6b4268e3c0bbdb4b0Container) return; if (mpCurrentScriptmpFrmc023189841b248e6b4268e3c0bbdb4b0Container && mpCurrentScriptmpFrmc023189841b248e6b4268e3c0bbdb4b0Container.nodeName && mpCurrentScriptmpFrmc023189841b248e6b4268e3c0bbdb4b0Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmc023189841b248e6b4268e3c0bbdb4b0" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmc023189841b248e6b4268e3c0bbdb4b0Container.children).forEach(c => { if (c.id === "mpFrmc023189841b248e6b4268e3c0bbdb4b0") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript1a4a7569d8884ca8a4c790a1592de7f0Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmc023189841b248e6b4268e3c0bbdb4b0"; } } } } function mpForm1a4a7569d8884ca8a4c790a1592de7f0Check() { let checkBoxes = document.getElementById("mpform-1a4a7569d8884ca8a4c790a1592de7f0").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 mpForm1a4a7569d8884ca8a4c790a1592de7f0Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-1a4a7569d8884ca8a4c790a1592de7f0").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-1a4a7569d8884ca8a4c790a1592de7f0").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-1a4a7569d8884ca8a4c790a1592de7f0").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-1a4a7569d8884ca8a4c790a1592de7f0')), 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: getTrackingId1a4a7569d8884ca8a4c790a1592de7f0() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-1a4a7569d8884ca8a4c790a1592de7f0").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-1a4a7569d8884ca8a4c790a1592de7f0").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) { mpForm1a4a7569d8884ca8a4c790a1592de7f0Check(); 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-1a4a7569d8884ca8a4c790a1592de7f0').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-1a4a7569d8884ca8a4c790a1592de7f0").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-1a4a7569d8884ca8a4c790a1592de7f0').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmc023189841b248e6b4268e3c0bbdb4b0); } else { mpForm1a4a7569d8884ca8a4c790a1592de7f0Check(); 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 mpmRecaptchaLoaded1a4a7569d8884ca8a4c790a1592de7f0() { captchaWidgetmpFrmc023189841b248e6b4268e3c0bbdb4b0 = grecaptcha.render('mpmRecaptchampFrmc023189841b248e6b4268e3c0bbdb4b0', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId1a4a7569d8884ca8a4c790a1592de7f0() { 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 mpmFormInit1a4a7569d8884ca8a4c790a1592de7f0 () { 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 finishedLoading1a4a7569d8884ca8a4c790a1592de7f0() { window.mpFormLoading = false; let container = document.getElementById('mpFrmc023189841b248e6b4268e3c0bbdb4b0'); if (!container) { mpFormmpFrmc023189841b248e6b4268e3c0bbdb4b0Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmc023189841b248e6b4268e3c0bbdb4b0'); return setTimeout(finishedLoading1a4a7569d8884ca8a4c790a1592de7f0, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-1a4a7569d8884ca8a4c790a1592de7f0").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-1a4a7569d8884ca8a4c790a1592de7f0").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-1a4a7569d8884ca8a4c790a1592de7f0").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-1a4a7569d8884ca8a4c790a1592de7f0").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-1a4a7569d8884ca8a4c790a1592de7f0").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=mpmRecaptchaLoaded1a4a7569d8884ca8a4c790a1592de7f0&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup1a4a7569d8884ca8a4c790a1592de7f0() { let popups = document.getElementById("mpform-1a4a7569d8884ca8a4c790a1592de7f0").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput1a4a7569d8884ca8a4c790a1592de7f0() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading1a4a7569d8884ca8a4c790a1592de7f0(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading1a4a7569d8884ca8a4c790a1592de7f0(); } } 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); mploadTelInput1a4a7569d8884ca8a4c790a1592de7f0(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit1a4a7569d8884ca8a4c790a1592de7f0(); } else { function waitForOtherFormsmpFrmc023189841b248e6b4268e3c0bbdb4b0() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit1a4a7569d8884ca8a4c790a1592de7f0(); } else { setTimeout(waitForOtherFormsmpFrmc023189841b248e6b4268e3c0bbdb4b0,300); } } waitForOtherFormsmpFrmc023189841b248e6b4268e3c0bbdb4b0(); }