var captchaWidgetmpFrmaf9129a5d7f743cab57f0edacf490574; var mpCurrentScriptmpFrmaf9129a5d7f743cab57f0edacf490574Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmaf9129a5d7f743cab57f0edacf490574"; 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); mpFormmpFrmaf9129a5d7f743cab57f0edacf490574Find(); } })(); function mpFormmpFrmaf9129a5d7f743cab57f0edacf490574Find() { if(!mpCurrentScriptmpFrmaf9129a5d7f743cab57f0edacf490574Container) return; if (mpCurrentScriptmpFrmaf9129a5d7f743cab57f0edacf490574Container && mpCurrentScriptmpFrmaf9129a5d7f743cab57f0edacf490574Container.nodeName && mpCurrentScriptmpFrmaf9129a5d7f743cab57f0edacf490574Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmaf9129a5d7f743cab57f0edacf490574" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmaf9129a5d7f743cab57f0edacf490574Container.children).forEach(c => { if (c.id === "mpFrmaf9129a5d7f743cab57f0edacf490574") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript60a3c04c0c9f4ade9956ee0aaf9335eaContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmaf9129a5d7f743cab57f0edacf490574"; } } } } function mpForm60a3c04c0c9f4ade9956ee0aaf9335eaCheck() { let checkBoxes = document.getElementById("mpform-60a3c04c0c9f4ade9956ee0aaf9335ea").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 mpForm60a3c04c0c9f4ade9956ee0aaf9335eaSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-60a3c04c0c9f4ade9956ee0aaf9335ea").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-60a3c04c0c9f4ade9956ee0aaf9335ea").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-60a3c04c0c9f4ade9956ee0aaf9335ea").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-60a3c04c0c9f4ade9956ee0aaf9335ea')), 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: getTrackingId60a3c04c0c9f4ade9956ee0aaf9335ea() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-60a3c04c0c9f4ade9956ee0aaf9335ea").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-60a3c04c0c9f4ade9956ee0aaf9335ea").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) { mpForm60a3c04c0c9f4ade9956ee0aaf9335eaCheck(); 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-60a3c04c0c9f4ade9956ee0aaf9335ea').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-60a3c04c0c9f4ade9956ee0aaf9335ea").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-60a3c04c0c9f4ade9956ee0aaf9335ea').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmaf9129a5d7f743cab57f0edacf490574); } else { mpForm60a3c04c0c9f4ade9956ee0aaf9335eaCheck(); 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 mpmRecaptchaLoaded60a3c04c0c9f4ade9956ee0aaf9335ea() { captchaWidgetmpFrmaf9129a5d7f743cab57f0edacf490574 = grecaptcha.render('mpmRecaptchampFrmaf9129a5d7f743cab57f0edacf490574', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId60a3c04c0c9f4ade9956ee0aaf9335ea() { 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 mpmFormInit60a3c04c0c9f4ade9956ee0aaf9335ea () { 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 finishedLoading60a3c04c0c9f4ade9956ee0aaf9335ea() { window.mpFormLoading = false; let container = document.getElementById('mpFrmaf9129a5d7f743cab57f0edacf490574'); if (!container) { mpFormmpFrmaf9129a5d7f743cab57f0edacf490574Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmaf9129a5d7f743cab57f0edacf490574'); return setTimeout(finishedLoading60a3c04c0c9f4ade9956ee0aaf9335ea, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-60a3c04c0c9f4ade9956ee0aaf9335ea").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-60a3c04c0c9f4ade9956ee0aaf9335ea").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-60a3c04c0c9f4ade9956ee0aaf9335ea").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-60a3c04c0c9f4ade9956ee0aaf9335ea").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-60a3c04c0c9f4ade9956ee0aaf9335ea").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=mpmRecaptchaLoaded60a3c04c0c9f4ade9956ee0aaf9335ea&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup60a3c04c0c9f4ade9956ee0aaf9335ea() { let popups = document.getElementById("mpform-60a3c04c0c9f4ade9956ee0aaf9335ea").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput60a3c04c0c9f4ade9956ee0aaf9335ea() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading60a3c04c0c9f4ade9956ee0aaf9335ea(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading60a3c04c0c9f4ade9956ee0aaf9335ea(); } } 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); mploadTelInput60a3c04c0c9f4ade9956ee0aaf9335ea(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit60a3c04c0c9f4ade9956ee0aaf9335ea(); } else { function waitForOtherFormsmpFrmaf9129a5d7f743cab57f0edacf490574() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit60a3c04c0c9f4ade9956ee0aaf9335ea(); } else { setTimeout(waitForOtherFormsmpFrmaf9129a5d7f743cab57f0edacf490574,300); } } waitForOtherFormsmpFrmaf9129a5d7f743cab57f0edacf490574(); }