var captchaWidgetmpFrm6184294fd22f4ccc9352d336fe773670; var mpCurrentScriptmpFrm6184294fd22f4ccc9352d336fe773670Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm6184294fd22f4ccc9352d336fe773670"; 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); mpFormmpFrm6184294fd22f4ccc9352d336fe773670Find(); } })(); function mpFormmpFrm6184294fd22f4ccc9352d336fe773670Find() { if(!mpCurrentScriptmpFrm6184294fd22f4ccc9352d336fe773670Container) return; if (mpCurrentScriptmpFrm6184294fd22f4ccc9352d336fe773670Container && mpCurrentScriptmpFrm6184294fd22f4ccc9352d336fe773670Container.nodeName && mpCurrentScriptmpFrm6184294fd22f4ccc9352d336fe773670Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm6184294fd22f4ccc9352d336fe773670" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm6184294fd22f4ccc9352d336fe773670Container.children).forEach(c => { if (c.id === "mpFrm6184294fd22f4ccc9352d336fe773670") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScripte5b1f3dd319c4dbf8ff5d361659c3ea3Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm6184294fd22f4ccc9352d336fe773670"; } } } } function mpForme5b1f3dd319c4dbf8ff5d361659c3ea3Check() { let checkBoxes = document.getElementById("mpform-e5b1f3dd319c4dbf8ff5d361659c3ea3").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 mpForme5b1f3dd319c4dbf8ff5d361659c3ea3Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-e5b1f3dd319c4dbf8ff5d361659c3ea3").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-e5b1f3dd319c4dbf8ff5d361659c3ea3").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-e5b1f3dd319c4dbf8ff5d361659c3ea3").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-e5b1f3dd319c4dbf8ff5d361659c3ea3')), 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: getTrackingIde5b1f3dd319c4dbf8ff5d361659c3ea3() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-e5b1f3dd319c4dbf8ff5d361659c3ea3").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-e5b1f3dd319c4dbf8ff5d361659c3ea3").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) { mpForme5b1f3dd319c4dbf8ff5d361659c3ea3Check(); 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-e5b1f3dd319c4dbf8ff5d361659c3ea3').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-e5b1f3dd319c4dbf8ff5d361659c3ea3").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-e5b1f3dd319c4dbf8ff5d361659c3ea3').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm6184294fd22f4ccc9352d336fe773670); } else { mpForme5b1f3dd319c4dbf8ff5d361659c3ea3Check(); 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 mpmRecaptchaLoadede5b1f3dd319c4dbf8ff5d361659c3ea3() { captchaWidgetmpFrm6184294fd22f4ccc9352d336fe773670 = grecaptcha.render('mpmRecaptchampFrm6184294fd22f4ccc9352d336fe773670', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIde5b1f3dd319c4dbf8ff5d361659c3ea3() { 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 mpmFormInite5b1f3dd319c4dbf8ff5d361659c3ea3 () { 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 finishedLoadinge5b1f3dd319c4dbf8ff5d361659c3ea3() { window.mpFormLoading = false; let container = document.getElementById('mpFrm6184294fd22f4ccc9352d336fe773670'); if (!container) { mpFormmpFrm6184294fd22f4ccc9352d336fe773670Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm6184294fd22f4ccc9352d336fe773670'); return setTimeout(finishedLoadinge5b1f3dd319c4dbf8ff5d361659c3ea3, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-e5b1f3dd319c4dbf8ff5d361659c3ea3").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-e5b1f3dd319c4dbf8ff5d361659c3ea3").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-e5b1f3dd319c4dbf8ff5d361659c3ea3").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-e5b1f3dd319c4dbf8ff5d361659c3ea3").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-e5b1f3dd319c4dbf8ff5d361659c3ea3").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=mpmRecaptchaLoadede5b1f3dd319c4dbf8ff5d361659c3ea3&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupe5b1f3dd319c4dbf8ff5d361659c3ea3() { let popups = document.getElementById("mpform-e5b1f3dd319c4dbf8ff5d361659c3ea3").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInpute5b1f3dd319c4dbf8ff5d361659c3ea3() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadinge5b1f3dd319c4dbf8ff5d361659c3ea3(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinge5b1f3dd319c4dbf8ff5d361659c3ea3(); } } 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); mploadTelInpute5b1f3dd319c4dbf8ff5d361659c3ea3(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInite5b1f3dd319c4dbf8ff5d361659c3ea3(); } else { function waitForOtherFormsmpFrm6184294fd22f4ccc9352d336fe773670() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInite5b1f3dd319c4dbf8ff5d361659c3ea3(); } else { setTimeout(waitForOtherFormsmpFrm6184294fd22f4ccc9352d336fe773670,300); } } waitForOtherFormsmpFrm6184294fd22f4ccc9352d336fe773670(); }