var captchaWidgetmpFrm3d10852f96664738b943950fd1968a65; var mpCurrentScriptmpFrm3d10852f96664738b943950fd1968a65Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm3d10852f96664738b943950fd1968a65"; 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); mpFormmpFrm3d10852f96664738b943950fd1968a65Find(); } })(); function mpFormmpFrm3d10852f96664738b943950fd1968a65Find() { if(!mpCurrentScriptmpFrm3d10852f96664738b943950fd1968a65Container) return; if (mpCurrentScriptmpFrm3d10852f96664738b943950fd1968a65Container && mpCurrentScriptmpFrm3d10852f96664738b943950fd1968a65Container.nodeName && mpCurrentScriptmpFrm3d10852f96664738b943950fd1968a65Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm3d10852f96664738b943950fd1968a65" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm3d10852f96664738b943950fd1968a65Container.children).forEach(c => { if (c.id === "mpFrm3d10852f96664738b943950fd1968a65") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript4cc9ad48a83d4817bb9fef2d5edc9317Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm3d10852f96664738b943950fd1968a65"; } } } } function mpForm4cc9ad48a83d4817bb9fef2d5edc9317Check() { let checkBoxes = document.getElementById("mpform-4cc9ad48a83d4817bb9fef2d5edc9317").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 mpForm4cc9ad48a83d4817bb9fef2d5edc9317Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-4cc9ad48a83d4817bb9fef2d5edc9317").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-4cc9ad48a83d4817bb9fef2d5edc9317").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-4cc9ad48a83d4817bb9fef2d5edc9317").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-4cc9ad48a83d4817bb9fef2d5edc9317')), 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: getTrackingId4cc9ad48a83d4817bb9fef2d5edc9317() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-4cc9ad48a83d4817bb9fef2d5edc9317").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-4cc9ad48a83d4817bb9fef2d5edc9317").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) { mpForm4cc9ad48a83d4817bb9fef2d5edc9317Check(); 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-4cc9ad48a83d4817bb9fef2d5edc9317').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-4cc9ad48a83d4817bb9fef2d5edc9317").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-4cc9ad48a83d4817bb9fef2d5edc9317').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm3d10852f96664738b943950fd1968a65); } else { mpForm4cc9ad48a83d4817bb9fef2d5edc9317Check(); 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 mpmRecaptchaLoaded4cc9ad48a83d4817bb9fef2d5edc9317() { captchaWidgetmpFrm3d10852f96664738b943950fd1968a65 = grecaptcha.render('mpmRecaptchampFrm3d10852f96664738b943950fd1968a65', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId4cc9ad48a83d4817bb9fef2d5edc9317() { 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 mpmFormInit4cc9ad48a83d4817bb9fef2d5edc9317 () { 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 finishedLoading4cc9ad48a83d4817bb9fef2d5edc9317() { window.mpFormLoading = false; let container = document.getElementById('mpFrm3d10852f96664738b943950fd1968a65'); if (!container) { mpFormmpFrm3d10852f96664738b943950fd1968a65Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm3d10852f96664738b943950fd1968a65'); return setTimeout(finishedLoading4cc9ad48a83d4817bb9fef2d5edc9317, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-4cc9ad48a83d4817bb9fef2d5edc9317").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-4cc9ad48a83d4817bb9fef2d5edc9317").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-4cc9ad48a83d4817bb9fef2d5edc9317").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-4cc9ad48a83d4817bb9fef2d5edc9317").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-4cc9ad48a83d4817bb9fef2d5edc9317").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=mpmRecaptchaLoaded4cc9ad48a83d4817bb9fef2d5edc9317&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup4cc9ad48a83d4817bb9fef2d5edc9317() { let popups = document.getElementById("mpform-4cc9ad48a83d4817bb9fef2d5edc9317").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput4cc9ad48a83d4817bb9fef2d5edc9317() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading4cc9ad48a83d4817bb9fef2d5edc9317(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading4cc9ad48a83d4817bb9fef2d5edc9317(); } } 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); mploadTelInput4cc9ad48a83d4817bb9fef2d5edc9317(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit4cc9ad48a83d4817bb9fef2d5edc9317(); } else { function waitForOtherFormsmpFrm3d10852f96664738b943950fd1968a65() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit4cc9ad48a83d4817bb9fef2d5edc9317(); } else { setTimeout(waitForOtherFormsmpFrm3d10852f96664738b943950fd1968a65,300); } } waitForOtherFormsmpFrm3d10852f96664738b943950fd1968a65(); }