var captchaWidgetmpFrm3a9909c8330f413f8e1761b8a36dfebb; var mpCurrentScriptmpFrm3a9909c8330f413f8e1761b8a36dfebbContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm3a9909c8330f413f8e1761b8a36dfebb"; 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); mpFormmpFrm3a9909c8330f413f8e1761b8a36dfebbFind(); } })(); function mpFormmpFrm3a9909c8330f413f8e1761b8a36dfebbFind() { if(!mpCurrentScriptmpFrm3a9909c8330f413f8e1761b8a36dfebbContainer) return; if (mpCurrentScriptmpFrm3a9909c8330f413f8e1761b8a36dfebbContainer && mpCurrentScriptmpFrm3a9909c8330f413f8e1761b8a36dfebbContainer.nodeName && mpCurrentScriptmpFrm3a9909c8330f413f8e1761b8a36dfebbContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm3a9909c8330f413f8e1761b8a36dfebb" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm3a9909c8330f413f8e1761b8a36dfebbContainer.children).forEach(c => { if (c.id === "mpFrm3a9909c8330f413f8e1761b8a36dfebb") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptb680469b0a7842a7b3ed7c4b9beb9f74Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm3a9909c8330f413f8e1761b8a36dfebb"; } } } } function mpFormb680469b0a7842a7b3ed7c4b9beb9f74Check() { let checkBoxes = document.getElementById("mpform-b680469b0a7842a7b3ed7c4b9beb9f74").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 mpFormb680469b0a7842a7b3ed7c4b9beb9f74Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-b680469b0a7842a7b3ed7c4b9beb9f74").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-b680469b0a7842a7b3ed7c4b9beb9f74").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-b680469b0a7842a7b3ed7c4b9beb9f74").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-b680469b0a7842a7b3ed7c4b9beb9f74')), 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: getTrackingIdb680469b0a7842a7b3ed7c4b9beb9f74() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-b680469b0a7842a7b3ed7c4b9beb9f74").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-b680469b0a7842a7b3ed7c4b9beb9f74").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) { mpFormb680469b0a7842a7b3ed7c4b9beb9f74Check(); 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-b680469b0a7842a7b3ed7c4b9beb9f74').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-b680469b0a7842a7b3ed7c4b9beb9f74").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-b680469b0a7842a7b3ed7c4b9beb9f74').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm3a9909c8330f413f8e1761b8a36dfebb); } else { mpFormb680469b0a7842a7b3ed7c4b9beb9f74Check(); 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 mpmRecaptchaLoadedb680469b0a7842a7b3ed7c4b9beb9f74() { captchaWidgetmpFrm3a9909c8330f413f8e1761b8a36dfebb = grecaptcha.render('mpmRecaptchampFrm3a9909c8330f413f8e1761b8a36dfebb', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdb680469b0a7842a7b3ed7c4b9beb9f74() { 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 mpmFormInitb680469b0a7842a7b3ed7c4b9beb9f74 () { 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 finishedLoadingb680469b0a7842a7b3ed7c4b9beb9f74() { window.mpFormLoading = false; let container = document.getElementById('mpFrm3a9909c8330f413f8e1761b8a36dfebb'); if (!container) { mpFormmpFrm3a9909c8330f413f8e1761b8a36dfebbFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm3a9909c8330f413f8e1761b8a36dfebb'); return setTimeout(finishedLoadingb680469b0a7842a7b3ed7c4b9beb9f74, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-b680469b0a7842a7b3ed7c4b9beb9f74").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-b680469b0a7842a7b3ed7c4b9beb9f74").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-b680469b0a7842a7b3ed7c4b9beb9f74").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-b680469b0a7842a7b3ed7c4b9beb9f74").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-b680469b0a7842a7b3ed7c4b9beb9f74").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=mpmRecaptchaLoadedb680469b0a7842a7b3ed7c4b9beb9f74&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupb680469b0a7842a7b3ed7c4b9beb9f74() { let popups = document.getElementById("mpform-b680469b0a7842a7b3ed7c4b9beb9f74").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputb680469b0a7842a7b3ed7c4b9beb9f74() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingb680469b0a7842a7b3ed7c4b9beb9f74(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingb680469b0a7842a7b3ed7c4b9beb9f74(); } } 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); mploadTelInputb680469b0a7842a7b3ed7c4b9beb9f74(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitb680469b0a7842a7b3ed7c4b9beb9f74(); } else { function waitForOtherFormsmpFrm3a9909c8330f413f8e1761b8a36dfebb() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitb680469b0a7842a7b3ed7c4b9beb9f74(); } else { setTimeout(waitForOtherFormsmpFrm3a9909c8330f413f8e1761b8a36dfebb,300); } } waitForOtherFormsmpFrm3a9909c8330f413f8e1761b8a36dfebb(); }