var captchaWidgetmpFrm128c9d6a4e70411891e1e693865e6f13; var mpCurrentScriptmpFrm128c9d6a4e70411891e1e693865e6f13Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm128c9d6a4e70411891e1e693865e6f13"; 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); mpFormmpFrm128c9d6a4e70411891e1e693865e6f13Find(); } })(); function mpFormmpFrm128c9d6a4e70411891e1e693865e6f13Find() { if(!mpCurrentScriptmpFrm128c9d6a4e70411891e1e693865e6f13Container) return; if (mpCurrentScriptmpFrm128c9d6a4e70411891e1e693865e6f13Container && mpCurrentScriptmpFrm128c9d6a4e70411891e1e693865e6f13Container.nodeName && mpCurrentScriptmpFrm128c9d6a4e70411891e1e693865e6f13Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm128c9d6a4e70411891e1e693865e6f13" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm128c9d6a4e70411891e1e693865e6f13Container.children).forEach(c => { if (c.id === "mpFrm128c9d6a4e70411891e1e693865e6f13") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript59c0401260ca4308b0d8dbe3524065e2Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm128c9d6a4e70411891e1e693865e6f13"; } } } } function mpForm59c0401260ca4308b0d8dbe3524065e2Check() { let checkBoxes = document.getElementById("mpform-59c0401260ca4308b0d8dbe3524065e2").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 mpForm59c0401260ca4308b0d8dbe3524065e2Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-59c0401260ca4308b0d8dbe3524065e2").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-59c0401260ca4308b0d8dbe3524065e2").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-59c0401260ca4308b0d8dbe3524065e2").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-59c0401260ca4308b0d8dbe3524065e2')), 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: getTrackingId59c0401260ca4308b0d8dbe3524065e2() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-59c0401260ca4308b0d8dbe3524065e2").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-59c0401260ca4308b0d8dbe3524065e2").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) { mpForm59c0401260ca4308b0d8dbe3524065e2Check(); 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-59c0401260ca4308b0d8dbe3524065e2').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-59c0401260ca4308b0d8dbe3524065e2").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-59c0401260ca4308b0d8dbe3524065e2').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm128c9d6a4e70411891e1e693865e6f13); } else { mpForm59c0401260ca4308b0d8dbe3524065e2Check(); 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 mpmRecaptchaLoaded59c0401260ca4308b0d8dbe3524065e2() { captchaWidgetmpFrm128c9d6a4e70411891e1e693865e6f13 = grecaptcha.render('mpmRecaptchampFrm128c9d6a4e70411891e1e693865e6f13', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId59c0401260ca4308b0d8dbe3524065e2() { 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 mpmFormInit59c0401260ca4308b0d8dbe3524065e2 () { 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 finishedLoading59c0401260ca4308b0d8dbe3524065e2() { window.mpFormLoading = false; let container = document.getElementById('mpFrm128c9d6a4e70411891e1e693865e6f13'); if (!container) { mpFormmpFrm128c9d6a4e70411891e1e693865e6f13Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm128c9d6a4e70411891e1e693865e6f13'); return setTimeout(finishedLoading59c0401260ca4308b0d8dbe3524065e2, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-59c0401260ca4308b0d8dbe3524065e2").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-59c0401260ca4308b0d8dbe3524065e2").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-59c0401260ca4308b0d8dbe3524065e2").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-59c0401260ca4308b0d8dbe3524065e2").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-59c0401260ca4308b0d8dbe3524065e2").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=mpmRecaptchaLoaded59c0401260ca4308b0d8dbe3524065e2&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup59c0401260ca4308b0d8dbe3524065e2() { let popups = document.getElementById("mpform-59c0401260ca4308b0d8dbe3524065e2").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput59c0401260ca4308b0d8dbe3524065e2() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading59c0401260ca4308b0d8dbe3524065e2(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading59c0401260ca4308b0d8dbe3524065e2(); } } 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); mploadTelInput59c0401260ca4308b0d8dbe3524065e2(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit59c0401260ca4308b0d8dbe3524065e2(); } else { function waitForOtherFormsmpFrm128c9d6a4e70411891e1e693865e6f13() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit59c0401260ca4308b0d8dbe3524065e2(); } else { setTimeout(waitForOtherFormsmpFrm128c9d6a4e70411891e1e693865e6f13,300); } } waitForOtherFormsmpFrm128c9d6a4e70411891e1e693865e6f13(); }