var captchaWidgetmpFrm7f5eaa8ad5b44833b82174bb255a5175; var mpCurrentScriptmpFrm7f5eaa8ad5b44833b82174bb255a5175Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm7f5eaa8ad5b44833b82174bb255a5175"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41955"); 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); mpFormmpFrm7f5eaa8ad5b44833b82174bb255a5175Find(); } })(); function mpFormmpFrm7f5eaa8ad5b44833b82174bb255a5175Find() { if(!mpCurrentScriptmpFrm7f5eaa8ad5b44833b82174bb255a5175Container) return; if (mpCurrentScriptmpFrm7f5eaa8ad5b44833b82174bb255a5175Container && mpCurrentScriptmpFrm7f5eaa8ad5b44833b82174bb255a5175Container.nodeName && mpCurrentScriptmpFrm7f5eaa8ad5b44833b82174bb255a5175Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm7f5eaa8ad5b44833b82174bb255a5175" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm7f5eaa8ad5b44833b82174bb255a5175Container.children).forEach(c => { if (c.id === "mpFrm7f5eaa8ad5b44833b82174bb255a5175") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript6e8d678117f94e95afee4498a95b5b8cContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm7f5eaa8ad5b44833b82174bb255a5175"; } } } } function mpForm6e8d678117f94e95afee4498a95b5b8cCheck() { let checkBoxes = document.getElementById("mpform-6e8d678117f94e95afee4498a95b5b8c").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 mpForm6e8d678117f94e95afee4498a95b5b8cSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-6e8d678117f94e95afee4498a95b5b8c").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-6e8d678117f94e95afee4498a95b5b8c").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-6e8d678117f94e95afee4498a95b5b8c").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-6e8d678117f94e95afee4498a95b5b8c')), 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: getTrackingId6e8d678117f94e95afee4498a95b5b8c() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-6e8d678117f94e95afee4498a95b5b8c").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-6e8d678117f94e95afee4498a95b5b8c").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=41955", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm6e8d678117f94e95afee4498a95b5b8cCheck(); 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-6e8d678117f94e95afee4498a95b5b8c').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-6e8d678117f94e95afee4498a95b5b8c").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-6e8d678117f94e95afee4498a95b5b8c').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm7f5eaa8ad5b44833b82174bb255a5175); } else { mpForm6e8d678117f94e95afee4498a95b5b8cCheck(); 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 mpmRecaptchaLoaded6e8d678117f94e95afee4498a95b5b8c() { captchaWidgetmpFrm7f5eaa8ad5b44833b82174bb255a5175 = grecaptcha.render('mpmRecaptchampFrm7f5eaa8ad5b44833b82174bb255a5175', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId6e8d678117f94e95afee4498a95b5b8c() { 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 mpmFormInit6e8d678117f94e95afee4498a95b5b8c () { 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 finishedLoading6e8d678117f94e95afee4498a95b5b8c() { window.mpFormLoading = false; let container = document.getElementById('mpFrm7f5eaa8ad5b44833b82174bb255a5175'); if (!container) { mpFormmpFrm7f5eaa8ad5b44833b82174bb255a5175Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm7f5eaa8ad5b44833b82174bb255a5175'); return setTimeout(finishedLoading6e8d678117f94e95afee4498a95b5b8c, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-6e8d678117f94e95afee4498a95b5b8c").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-6e8d678117f94e95afee4498a95b5b8c").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-6e8d678117f94e95afee4498a95b5b8c").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-6e8d678117f94e95afee4498a95b5b8c").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-6e8d678117f94e95afee4498a95b5b8c").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=mpmRecaptchaLoaded6e8d678117f94e95afee4498a95b5b8c&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup6e8d678117f94e95afee4498a95b5b8c() { let popups = document.getElementById("mpform-6e8d678117f94e95afee4498a95b5b8c").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput6e8d678117f94e95afee4498a95b5b8c() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading6e8d678117f94e95afee4498a95b5b8c(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading6e8d678117f94e95afee4498a95b5b8c(); } } 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); mploadTelInput6e8d678117f94e95afee4498a95b5b8c(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit6e8d678117f94e95afee4498a95b5b8c(); } else { function waitForOtherFormsmpFrm7f5eaa8ad5b44833b82174bb255a5175() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit6e8d678117f94e95afee4498a95b5b8c(); } else { setTimeout(waitForOtherFormsmpFrm7f5eaa8ad5b44833b82174bb255a5175,300); } } waitForOtherFormsmpFrm7f5eaa8ad5b44833b82174bb255a5175(); }