var captchaWidgetmpFrmad33c39c8b2c45feba05412f8bcffa21; var mpCurrentScriptmpFrmad33c39c8b2c45feba05412f8bcffa21Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmad33c39c8b2c45feba05412f8bcffa21"; 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); mpFormmpFrmad33c39c8b2c45feba05412f8bcffa21Find(); } })(); function mpFormmpFrmad33c39c8b2c45feba05412f8bcffa21Find() { if(!mpCurrentScriptmpFrmad33c39c8b2c45feba05412f8bcffa21Container) return; if (mpCurrentScriptmpFrmad33c39c8b2c45feba05412f8bcffa21Container && mpCurrentScriptmpFrmad33c39c8b2c45feba05412f8bcffa21Container.nodeName && mpCurrentScriptmpFrmad33c39c8b2c45feba05412f8bcffa21Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmad33c39c8b2c45feba05412f8bcffa21" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmad33c39c8b2c45feba05412f8bcffa21Container.children).forEach(c => { if (c.id === "mpFrmad33c39c8b2c45feba05412f8bcffa21") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript5c6dc714c43e47bfa6b1f51bbe0083feContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmad33c39c8b2c45feba05412f8bcffa21"; } } } } function mpForm5c6dc714c43e47bfa6b1f51bbe0083feCheck() { let checkBoxes = document.getElementById("mpform-5c6dc714c43e47bfa6b1f51bbe0083fe").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 mpForm5c6dc714c43e47bfa6b1f51bbe0083feSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-5c6dc714c43e47bfa6b1f51bbe0083fe").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-5c6dc714c43e47bfa6b1f51bbe0083fe").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-5c6dc714c43e47bfa6b1f51bbe0083fe").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-5c6dc714c43e47bfa6b1f51bbe0083fe')), 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: getTrackingId5c6dc714c43e47bfa6b1f51bbe0083fe() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-5c6dc714c43e47bfa6b1f51bbe0083fe").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-5c6dc714c43e47bfa6b1f51bbe0083fe").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) { mpForm5c6dc714c43e47bfa6b1f51bbe0083feCheck(); 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-5c6dc714c43e47bfa6b1f51bbe0083fe').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-5c6dc714c43e47bfa6b1f51bbe0083fe").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-5c6dc714c43e47bfa6b1f51bbe0083fe').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmad33c39c8b2c45feba05412f8bcffa21); } else { mpForm5c6dc714c43e47bfa6b1f51bbe0083feCheck(); 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 mpmRecaptchaLoaded5c6dc714c43e47bfa6b1f51bbe0083fe() { captchaWidgetmpFrmad33c39c8b2c45feba05412f8bcffa21 = grecaptcha.render('mpmRecaptchampFrmad33c39c8b2c45feba05412f8bcffa21', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId5c6dc714c43e47bfa6b1f51bbe0083fe() { 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 mpmFormInit5c6dc714c43e47bfa6b1f51bbe0083fe () { 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 finishedLoading5c6dc714c43e47bfa6b1f51bbe0083fe() { window.mpFormLoading = false; let container = document.getElementById('mpFrmad33c39c8b2c45feba05412f8bcffa21'); if (!container) { mpFormmpFrmad33c39c8b2c45feba05412f8bcffa21Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmad33c39c8b2c45feba05412f8bcffa21'); return setTimeout(finishedLoading5c6dc714c43e47bfa6b1f51bbe0083fe, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-5c6dc714c43e47bfa6b1f51bbe0083fe").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-5c6dc714c43e47bfa6b1f51bbe0083fe").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-5c6dc714c43e47bfa6b1f51bbe0083fe").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-5c6dc714c43e47bfa6b1f51bbe0083fe").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-5c6dc714c43e47bfa6b1f51bbe0083fe").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=mpmRecaptchaLoaded5c6dc714c43e47bfa6b1f51bbe0083fe&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup5c6dc714c43e47bfa6b1f51bbe0083fe() { let popups = document.getElementById("mpform-5c6dc714c43e47bfa6b1f51bbe0083fe").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput5c6dc714c43e47bfa6b1f51bbe0083fe() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading5c6dc714c43e47bfa6b1f51bbe0083fe(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading5c6dc714c43e47bfa6b1f51bbe0083fe(); } } 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); mploadTelInput5c6dc714c43e47bfa6b1f51bbe0083fe(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit5c6dc714c43e47bfa6b1f51bbe0083fe(); } else { function waitForOtherFormsmpFrmad33c39c8b2c45feba05412f8bcffa21() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit5c6dc714c43e47bfa6b1f51bbe0083fe(); } else { setTimeout(waitForOtherFormsmpFrmad33c39c8b2c45feba05412f8bcffa21,300); } } waitForOtherFormsmpFrmad33c39c8b2c45feba05412f8bcffa21(); }