var captchaWidgetmpFrm9df963f331d94eaebf55bd9507fb1f5f; var mpCurrentScriptmpFrm9df963f331d94eaebf55bd9507fb1f5fContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm9df963f331d94eaebf55bd9507fb1f5f"; 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); mpFormmpFrm9df963f331d94eaebf55bd9507fb1f5fFind(); } })(); function mpFormmpFrm9df963f331d94eaebf55bd9507fb1f5fFind() { if(!mpCurrentScriptmpFrm9df963f331d94eaebf55bd9507fb1f5fContainer) return; if (mpCurrentScriptmpFrm9df963f331d94eaebf55bd9507fb1f5fContainer && mpCurrentScriptmpFrm9df963f331d94eaebf55bd9507fb1f5fContainer.nodeName && mpCurrentScriptmpFrm9df963f331d94eaebf55bd9507fb1f5fContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm9df963f331d94eaebf55bd9507fb1f5f" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm9df963f331d94eaebf55bd9507fb1f5fContainer.children).forEach(c => { if (c.id === "mpFrm9df963f331d94eaebf55bd9507fb1f5f") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript1b4e58c5b2224d868d4a61a876b6c99fContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm9df963f331d94eaebf55bd9507fb1f5f"; } } } } function mpForm1b4e58c5b2224d868d4a61a876b6c99fCheck() { let checkBoxes = document.getElementById("mpform-1b4e58c5b2224d868d4a61a876b6c99f").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 mpForm1b4e58c5b2224d868d4a61a876b6c99fSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-1b4e58c5b2224d868d4a61a876b6c99f").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-1b4e58c5b2224d868d4a61a876b6c99f").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-1b4e58c5b2224d868d4a61a876b6c99f").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-1b4e58c5b2224d868d4a61a876b6c99f')), 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: getTrackingId1b4e58c5b2224d868d4a61a876b6c99f() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-1b4e58c5b2224d868d4a61a876b6c99f").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-1b4e58c5b2224d868d4a61a876b6c99f").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) { mpForm1b4e58c5b2224d868d4a61a876b6c99fCheck(); 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-1b4e58c5b2224d868d4a61a876b6c99f').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-1b4e58c5b2224d868d4a61a876b6c99f").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-1b4e58c5b2224d868d4a61a876b6c99f').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm9df963f331d94eaebf55bd9507fb1f5f); } else { mpForm1b4e58c5b2224d868d4a61a876b6c99fCheck(); 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 mpmRecaptchaLoaded1b4e58c5b2224d868d4a61a876b6c99f() { captchaWidgetmpFrm9df963f331d94eaebf55bd9507fb1f5f = grecaptcha.render('mpmRecaptchampFrm9df963f331d94eaebf55bd9507fb1f5f', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId1b4e58c5b2224d868d4a61a876b6c99f() { 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 mpmFormInit1b4e58c5b2224d868d4a61a876b6c99f () { 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 finishedLoading1b4e58c5b2224d868d4a61a876b6c99f() { window.mpFormLoading = false; let container = document.getElementById('mpFrm9df963f331d94eaebf55bd9507fb1f5f'); if (!container) { mpFormmpFrm9df963f331d94eaebf55bd9507fb1f5fFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm9df963f331d94eaebf55bd9507fb1f5f'); return setTimeout(finishedLoading1b4e58c5b2224d868d4a61a876b6c99f, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-1b4e58c5b2224d868d4a61a876b6c99f").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-1b4e58c5b2224d868d4a61a876b6c99f").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-1b4e58c5b2224d868d4a61a876b6c99f").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-1b4e58c5b2224d868d4a61a876b6c99f").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-1b4e58c5b2224d868d4a61a876b6c99f").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=mpmRecaptchaLoaded1b4e58c5b2224d868d4a61a876b6c99f&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup1b4e58c5b2224d868d4a61a876b6c99f() { let popups = document.getElementById("mpform-1b4e58c5b2224d868d4a61a876b6c99f").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput1b4e58c5b2224d868d4a61a876b6c99f() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading1b4e58c5b2224d868d4a61a876b6c99f(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading1b4e58c5b2224d868d4a61a876b6c99f(); } } 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); mploadTelInput1b4e58c5b2224d868d4a61a876b6c99f(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit1b4e58c5b2224d868d4a61a876b6c99f(); } else { function waitForOtherFormsmpFrm9df963f331d94eaebf55bd9507fb1f5f() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit1b4e58c5b2224d868d4a61a876b6c99f(); } else { setTimeout(waitForOtherFormsmpFrm9df963f331d94eaebf55bd9507fb1f5f,300); } } waitForOtherFormsmpFrm9df963f331d94eaebf55bd9507fb1f5f(); }