var captchaWidgetmpFrmdb96dc84f7f54c74b51eda4f023613db; var mpCurrentScriptmpFrmdb96dc84f7f54c74b51eda4f023613dbContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmdb96dc84f7f54c74b51eda4f023613db"; 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); mpFormmpFrmdb96dc84f7f54c74b51eda4f023613dbFind(); } })(); function mpFormmpFrmdb96dc84f7f54c74b51eda4f023613dbFind() { if(!mpCurrentScriptmpFrmdb96dc84f7f54c74b51eda4f023613dbContainer) return; if (mpCurrentScriptmpFrmdb96dc84f7f54c74b51eda4f023613dbContainer && mpCurrentScriptmpFrmdb96dc84f7f54c74b51eda4f023613dbContainer.nodeName && mpCurrentScriptmpFrmdb96dc84f7f54c74b51eda4f023613dbContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmdb96dc84f7f54c74b51eda4f023613db" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmdb96dc84f7f54c74b51eda4f023613dbContainer.children).forEach(c => { if (c.id === "mpFrmdb96dc84f7f54c74b51eda4f023613db") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript3e3ec9e1e88a44a08f819569a9cbc26fContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmdb96dc84f7f54c74b51eda4f023613db"; } } } } function mpForm3e3ec9e1e88a44a08f819569a9cbc26fCheck() { let checkBoxes = document.getElementById("mpform-3e3ec9e1e88a44a08f819569a9cbc26f").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 mpForm3e3ec9e1e88a44a08f819569a9cbc26fSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-3e3ec9e1e88a44a08f819569a9cbc26f").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-3e3ec9e1e88a44a08f819569a9cbc26f").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-3e3ec9e1e88a44a08f819569a9cbc26f").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-3e3ec9e1e88a44a08f819569a9cbc26f')), 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: getTrackingId3e3ec9e1e88a44a08f819569a9cbc26f() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-3e3ec9e1e88a44a08f819569a9cbc26f").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-3e3ec9e1e88a44a08f819569a9cbc26f").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) { mpForm3e3ec9e1e88a44a08f819569a9cbc26fCheck(); 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-3e3ec9e1e88a44a08f819569a9cbc26f').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-3e3ec9e1e88a44a08f819569a9cbc26f").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-3e3ec9e1e88a44a08f819569a9cbc26f').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmdb96dc84f7f54c74b51eda4f023613db); } else { mpForm3e3ec9e1e88a44a08f819569a9cbc26fCheck(); 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 mpmRecaptchaLoaded3e3ec9e1e88a44a08f819569a9cbc26f() { captchaWidgetmpFrmdb96dc84f7f54c74b51eda4f023613db = grecaptcha.render('mpmRecaptchampFrmdb96dc84f7f54c74b51eda4f023613db', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId3e3ec9e1e88a44a08f819569a9cbc26f() { 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 mpmFormInit3e3ec9e1e88a44a08f819569a9cbc26f () { 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 finishedLoading3e3ec9e1e88a44a08f819569a9cbc26f() { window.mpFormLoading = false; let container = document.getElementById('mpFrmdb96dc84f7f54c74b51eda4f023613db'); if (!container) { mpFormmpFrmdb96dc84f7f54c74b51eda4f023613dbFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmdb96dc84f7f54c74b51eda4f023613db'); return setTimeout(finishedLoading3e3ec9e1e88a44a08f819569a9cbc26f, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-3e3ec9e1e88a44a08f819569a9cbc26f").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-3e3ec9e1e88a44a08f819569a9cbc26f").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-3e3ec9e1e88a44a08f819569a9cbc26f").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-3e3ec9e1e88a44a08f819569a9cbc26f").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-3e3ec9e1e88a44a08f819569a9cbc26f").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=mpmRecaptchaLoaded3e3ec9e1e88a44a08f819569a9cbc26f&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup3e3ec9e1e88a44a08f819569a9cbc26f() { let popups = document.getElementById("mpform-3e3ec9e1e88a44a08f819569a9cbc26f").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput3e3ec9e1e88a44a08f819569a9cbc26f() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading3e3ec9e1e88a44a08f819569a9cbc26f(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading3e3ec9e1e88a44a08f819569a9cbc26f(); } } 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); mploadTelInput3e3ec9e1e88a44a08f819569a9cbc26f(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit3e3ec9e1e88a44a08f819569a9cbc26f(); } else { function waitForOtherFormsmpFrmdb96dc84f7f54c74b51eda4f023613db() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit3e3ec9e1e88a44a08f819569a9cbc26f(); } else { setTimeout(waitForOtherFormsmpFrmdb96dc84f7f54c74b51eda4f023613db,300); } } waitForOtherFormsmpFrmdb96dc84f7f54c74b51eda4f023613db(); }