var captchaWidgetmpFrmc503637c0b694b8897b68e81160451d3; var mpCurrentScriptmpFrmc503637c0b694b8897b68e81160451d3Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmc503637c0b694b8897b68e81160451d3"; 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); mpFormmpFrmc503637c0b694b8897b68e81160451d3Find(); } })(); function mpFormmpFrmc503637c0b694b8897b68e81160451d3Find() { if(!mpCurrentScriptmpFrmc503637c0b694b8897b68e81160451d3Container) return; if (mpCurrentScriptmpFrmc503637c0b694b8897b68e81160451d3Container && mpCurrentScriptmpFrmc503637c0b694b8897b68e81160451d3Container.nodeName && mpCurrentScriptmpFrmc503637c0b694b8897b68e81160451d3Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmc503637c0b694b8897b68e81160451d3" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmc503637c0b694b8897b68e81160451d3Container.children).forEach(c => { if (c.id === "mpFrmc503637c0b694b8897b68e81160451d3") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript69779028522b4bdcaf6c5e1ba2f1ba7aContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmc503637c0b694b8897b68e81160451d3"; } } } } function mpForm69779028522b4bdcaf6c5e1ba2f1ba7aCheck() { let checkBoxes = document.getElementById("mpform-69779028522b4bdcaf6c5e1ba2f1ba7a").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 mpForm69779028522b4bdcaf6c5e1ba2f1ba7aSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-69779028522b4bdcaf6c5e1ba2f1ba7a").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-69779028522b4bdcaf6c5e1ba2f1ba7a").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-69779028522b4bdcaf6c5e1ba2f1ba7a").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-69779028522b4bdcaf6c5e1ba2f1ba7a')), 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: getTrackingId69779028522b4bdcaf6c5e1ba2f1ba7a() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-69779028522b4bdcaf6c5e1ba2f1ba7a").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-69779028522b4bdcaf6c5e1ba2f1ba7a").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) { mpForm69779028522b4bdcaf6c5e1ba2f1ba7aCheck(); 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-69779028522b4bdcaf6c5e1ba2f1ba7a').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-69779028522b4bdcaf6c5e1ba2f1ba7a").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-69779028522b4bdcaf6c5e1ba2f1ba7a').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmc503637c0b694b8897b68e81160451d3); } else { mpForm69779028522b4bdcaf6c5e1ba2f1ba7aCheck(); 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 mpmRecaptchaLoaded69779028522b4bdcaf6c5e1ba2f1ba7a() { captchaWidgetmpFrmc503637c0b694b8897b68e81160451d3 = grecaptcha.render('mpmRecaptchampFrmc503637c0b694b8897b68e81160451d3', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId69779028522b4bdcaf6c5e1ba2f1ba7a() { 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 mpmFormInit69779028522b4bdcaf6c5e1ba2f1ba7a () { 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 finishedLoading69779028522b4bdcaf6c5e1ba2f1ba7a() { window.mpFormLoading = false; let container = document.getElementById('mpFrmc503637c0b694b8897b68e81160451d3'); if (!container) { mpFormmpFrmc503637c0b694b8897b68e81160451d3Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmc503637c0b694b8897b68e81160451d3'); return setTimeout(finishedLoading69779028522b4bdcaf6c5e1ba2f1ba7a, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-69779028522b4bdcaf6c5e1ba2f1ba7a").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-69779028522b4bdcaf6c5e1ba2f1ba7a").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-69779028522b4bdcaf6c5e1ba2f1ba7a").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-69779028522b4bdcaf6c5e1ba2f1ba7a").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-69779028522b4bdcaf6c5e1ba2f1ba7a").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=mpmRecaptchaLoaded69779028522b4bdcaf6c5e1ba2f1ba7a&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup69779028522b4bdcaf6c5e1ba2f1ba7a() { let popups = document.getElementById("mpform-69779028522b4bdcaf6c5e1ba2f1ba7a").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput69779028522b4bdcaf6c5e1ba2f1ba7a() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading69779028522b4bdcaf6c5e1ba2f1ba7a(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading69779028522b4bdcaf6c5e1ba2f1ba7a(); } } 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); mploadTelInput69779028522b4bdcaf6c5e1ba2f1ba7a(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit69779028522b4bdcaf6c5e1ba2f1ba7a(); } else { function waitForOtherFormsmpFrmc503637c0b694b8897b68e81160451d3() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit69779028522b4bdcaf6c5e1ba2f1ba7a(); } else { setTimeout(waitForOtherFormsmpFrmc503637c0b694b8897b68e81160451d3,300); } } waitForOtherFormsmpFrmc503637c0b694b8897b68e81160451d3(); }