var captchaWidgetmpFrm6b9ae76762e146e0892aec1d8506b24f; var mpCurrentScriptmpFrm6b9ae76762e146e0892aec1d8506b24fContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm6b9ae76762e146e0892aec1d8506b24f"; 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); mpFormmpFrm6b9ae76762e146e0892aec1d8506b24fFind(); } })(); function mpFormmpFrm6b9ae76762e146e0892aec1d8506b24fFind() { if(!mpCurrentScriptmpFrm6b9ae76762e146e0892aec1d8506b24fContainer) return; if (mpCurrentScriptmpFrm6b9ae76762e146e0892aec1d8506b24fContainer && mpCurrentScriptmpFrm6b9ae76762e146e0892aec1d8506b24fContainer.nodeName && mpCurrentScriptmpFrm6b9ae76762e146e0892aec1d8506b24fContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm6b9ae76762e146e0892aec1d8506b24f" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm6b9ae76762e146e0892aec1d8506b24fContainer.children).forEach(c => { if (c.id === "mpFrm6b9ae76762e146e0892aec1d8506b24f") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript9be0d4a70fd74772bf85f1dd2bfc49bcContainer.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm6b9ae76762e146e0892aec1d8506b24f"; } } } } function mpForm9be0d4a70fd74772bf85f1dd2bfc49bcCheck() { let checkBoxes = document.getElementById("mpform-9be0d4a70fd74772bf85f1dd2bfc49bc").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 mpForm9be0d4a70fd74772bf85f1dd2bfc49bcSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-9be0d4a70fd74772bf85f1dd2bfc49bc").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-9be0d4a70fd74772bf85f1dd2bfc49bc").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-9be0d4a70fd74772bf85f1dd2bfc49bc").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-9be0d4a70fd74772bf85f1dd2bfc49bc')), 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: getTrackingId9be0d4a70fd74772bf85f1dd2bfc49bc() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-9be0d4a70fd74772bf85f1dd2bfc49bc").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-9be0d4a70fd74772bf85f1dd2bfc49bc").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) { mpForm9be0d4a70fd74772bf85f1dd2bfc49bcCheck(); 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-9be0d4a70fd74772bf85f1dd2bfc49bc').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-9be0d4a70fd74772bf85f1dd2bfc49bc").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-9be0d4a70fd74772bf85f1dd2bfc49bc').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm6b9ae76762e146e0892aec1d8506b24f); } else { mpForm9be0d4a70fd74772bf85f1dd2bfc49bcCheck(); 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 mpmRecaptchaLoaded9be0d4a70fd74772bf85f1dd2bfc49bc() { captchaWidgetmpFrm6b9ae76762e146e0892aec1d8506b24f = grecaptcha.render('mpmRecaptchampFrm6b9ae76762e146e0892aec1d8506b24f', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId9be0d4a70fd74772bf85f1dd2bfc49bc() { 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 mpmFormInit9be0d4a70fd74772bf85f1dd2bfc49bc () { 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 finishedLoading9be0d4a70fd74772bf85f1dd2bfc49bc() { window.mpFormLoading = false; let container = document.getElementById('mpFrm6b9ae76762e146e0892aec1d8506b24f'); if (!container) { mpFormmpFrm6b9ae76762e146e0892aec1d8506b24fFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm6b9ae76762e146e0892aec1d8506b24f'); return setTimeout(finishedLoading9be0d4a70fd74772bf85f1dd2bfc49bc, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-9be0d4a70fd74772bf85f1dd2bfc49bc").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-9be0d4a70fd74772bf85f1dd2bfc49bc").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-9be0d4a70fd74772bf85f1dd2bfc49bc").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-9be0d4a70fd74772bf85f1dd2bfc49bc").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-9be0d4a70fd74772bf85f1dd2bfc49bc").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=mpmRecaptchaLoaded9be0d4a70fd74772bf85f1dd2bfc49bc&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup9be0d4a70fd74772bf85f1dd2bfc49bc() { let popups = document.getElementById("mpform-9be0d4a70fd74772bf85f1dd2bfc49bc").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput9be0d4a70fd74772bf85f1dd2bfc49bc() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading9be0d4a70fd74772bf85f1dd2bfc49bc(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading9be0d4a70fd74772bf85f1dd2bfc49bc(); } } 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); mploadTelInput9be0d4a70fd74772bf85f1dd2bfc49bc(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit9be0d4a70fd74772bf85f1dd2bfc49bc(); } else { function waitForOtherFormsmpFrm6b9ae76762e146e0892aec1d8506b24f() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit9be0d4a70fd74772bf85f1dd2bfc49bc(); } else { setTimeout(waitForOtherFormsmpFrm6b9ae76762e146e0892aec1d8506b24f,300); } } waitForOtherFormsmpFrm6b9ae76762e146e0892aec1d8506b24f(); }