var captchaWidgetmpFrm79014c2e8d2d4d0d99573eb7398f9cf5; var mpCurrentScriptmpFrm79014c2e8d2d4d0d99573eb7398f9cf5Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm79014c2e8d2d4d0d99573eb7398f9cf5"; 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); mpFormmpFrm79014c2e8d2d4d0d99573eb7398f9cf5Find(); } })(); function mpFormmpFrm79014c2e8d2d4d0d99573eb7398f9cf5Find() { if(!mpCurrentScriptmpFrm79014c2e8d2d4d0d99573eb7398f9cf5Container) return; if (mpCurrentScriptmpFrm79014c2e8d2d4d0d99573eb7398f9cf5Container && mpCurrentScriptmpFrm79014c2e8d2d4d0d99573eb7398f9cf5Container.nodeName && mpCurrentScriptmpFrm79014c2e8d2d4d0d99573eb7398f9cf5Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm79014c2e8d2d4d0d99573eb7398f9cf5" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm79014c2e8d2d4d0d99573eb7398f9cf5Container.children).forEach(c => { if (c.id === "mpFrm79014c2e8d2d4d0d99573eb7398f9cf5") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript9ba92aa473cf4045aa76fe768b6b9ba4Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm79014c2e8d2d4d0d99573eb7398f9cf5"; } } } } function mpForm9ba92aa473cf4045aa76fe768b6b9ba4Check() { let checkBoxes = document.getElementById("mpform-9ba92aa473cf4045aa76fe768b6b9ba4").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 mpForm9ba92aa473cf4045aa76fe768b6b9ba4Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-9ba92aa473cf4045aa76fe768b6b9ba4").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-9ba92aa473cf4045aa76fe768b6b9ba4").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-9ba92aa473cf4045aa76fe768b6b9ba4").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-9ba92aa473cf4045aa76fe768b6b9ba4')), 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: getTrackingId9ba92aa473cf4045aa76fe768b6b9ba4() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-9ba92aa473cf4045aa76fe768b6b9ba4").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-9ba92aa473cf4045aa76fe768b6b9ba4").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) { mpForm9ba92aa473cf4045aa76fe768b6b9ba4Check(); 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-9ba92aa473cf4045aa76fe768b6b9ba4').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-9ba92aa473cf4045aa76fe768b6b9ba4").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-9ba92aa473cf4045aa76fe768b6b9ba4').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm79014c2e8d2d4d0d99573eb7398f9cf5); } else { mpForm9ba92aa473cf4045aa76fe768b6b9ba4Check(); 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 mpmRecaptchaLoaded9ba92aa473cf4045aa76fe768b6b9ba4() { captchaWidgetmpFrm79014c2e8d2d4d0d99573eb7398f9cf5 = grecaptcha.render('mpmRecaptchampFrm79014c2e8d2d4d0d99573eb7398f9cf5', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId9ba92aa473cf4045aa76fe768b6b9ba4() { 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 mpmFormInit9ba92aa473cf4045aa76fe768b6b9ba4 () { 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 finishedLoading9ba92aa473cf4045aa76fe768b6b9ba4() { window.mpFormLoading = false; let container = document.getElementById('mpFrm79014c2e8d2d4d0d99573eb7398f9cf5'); if (!container) { mpFormmpFrm79014c2e8d2d4d0d99573eb7398f9cf5Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm79014c2e8d2d4d0d99573eb7398f9cf5'); return setTimeout(finishedLoading9ba92aa473cf4045aa76fe768b6b9ba4, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-9ba92aa473cf4045aa76fe768b6b9ba4").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-9ba92aa473cf4045aa76fe768b6b9ba4").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-9ba92aa473cf4045aa76fe768b6b9ba4").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-9ba92aa473cf4045aa76fe768b6b9ba4").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-9ba92aa473cf4045aa76fe768b6b9ba4").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=mpmRecaptchaLoaded9ba92aa473cf4045aa76fe768b6b9ba4&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup9ba92aa473cf4045aa76fe768b6b9ba4() { let popups = document.getElementById("mpform-9ba92aa473cf4045aa76fe768b6b9ba4").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput9ba92aa473cf4045aa76fe768b6b9ba4() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading9ba92aa473cf4045aa76fe768b6b9ba4(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading9ba92aa473cf4045aa76fe768b6b9ba4(); } } 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); mploadTelInput9ba92aa473cf4045aa76fe768b6b9ba4(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit9ba92aa473cf4045aa76fe768b6b9ba4(); } else { function waitForOtherFormsmpFrm79014c2e8d2d4d0d99573eb7398f9cf5() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit9ba92aa473cf4045aa76fe768b6b9ba4(); } else { setTimeout(waitForOtherFormsmpFrm79014c2e8d2d4d0d99573eb7398f9cf5,300); } } waitForOtherFormsmpFrm79014c2e8d2d4d0d99573eb7398f9cf5(); }