var captchaWidgetmpFrm66504b5d90d040ce84cda19960fa3791; var mpCurrentScriptmpFrm66504b5d90d040ce84cda19960fa3791Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm66504b5d90d040ce84cda19960fa3791"; 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); mpFormmpFrm66504b5d90d040ce84cda19960fa3791Find(); } })(); function mpFormmpFrm66504b5d90d040ce84cda19960fa3791Find() { if(!mpCurrentScriptmpFrm66504b5d90d040ce84cda19960fa3791Container) return; if (mpCurrentScriptmpFrm66504b5d90d040ce84cda19960fa3791Container && mpCurrentScriptmpFrm66504b5d90d040ce84cda19960fa3791Container.nodeName && mpCurrentScriptmpFrm66504b5d90d040ce84cda19960fa3791Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm66504b5d90d040ce84cda19960fa3791" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm66504b5d90d040ce84cda19960fa3791Container.children).forEach(c => { if (c.id === "mpFrm66504b5d90d040ce84cda19960fa3791") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptbb4b6c21fefd453ca9921e11a341baf8Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm66504b5d90d040ce84cda19960fa3791"; } } } } function mpFormbb4b6c21fefd453ca9921e11a341baf8Check() { let checkBoxes = document.getElementById("mpform-bb4b6c21fefd453ca9921e11a341baf8").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 mpFormbb4b6c21fefd453ca9921e11a341baf8Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-bb4b6c21fefd453ca9921e11a341baf8").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-bb4b6c21fefd453ca9921e11a341baf8").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-bb4b6c21fefd453ca9921e11a341baf8").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-bb4b6c21fefd453ca9921e11a341baf8')), 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: getTrackingIdbb4b6c21fefd453ca9921e11a341baf8() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-bb4b6c21fefd453ca9921e11a341baf8").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-bb4b6c21fefd453ca9921e11a341baf8").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) { mpFormbb4b6c21fefd453ca9921e11a341baf8Check(); 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-bb4b6c21fefd453ca9921e11a341baf8').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-bb4b6c21fefd453ca9921e11a341baf8").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-bb4b6c21fefd453ca9921e11a341baf8').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm66504b5d90d040ce84cda19960fa3791); } else { mpFormbb4b6c21fefd453ca9921e11a341baf8Check(); 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 mpmRecaptchaLoadedbb4b6c21fefd453ca9921e11a341baf8() { captchaWidgetmpFrm66504b5d90d040ce84cda19960fa3791 = grecaptcha.render('mpmRecaptchampFrm66504b5d90d040ce84cda19960fa3791', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdbb4b6c21fefd453ca9921e11a341baf8() { 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 mpmFormInitbb4b6c21fefd453ca9921e11a341baf8 () { 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 finishedLoadingbb4b6c21fefd453ca9921e11a341baf8() { window.mpFormLoading = false; let container = document.getElementById('mpFrm66504b5d90d040ce84cda19960fa3791'); if (!container) { mpFormmpFrm66504b5d90d040ce84cda19960fa3791Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm66504b5d90d040ce84cda19960fa3791'); return setTimeout(finishedLoadingbb4b6c21fefd453ca9921e11a341baf8, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-bb4b6c21fefd453ca9921e11a341baf8").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-bb4b6c21fefd453ca9921e11a341baf8").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-bb4b6c21fefd453ca9921e11a341baf8").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-bb4b6c21fefd453ca9921e11a341baf8").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-bb4b6c21fefd453ca9921e11a341baf8").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=mpmRecaptchaLoadedbb4b6c21fefd453ca9921e11a341baf8&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupbb4b6c21fefd453ca9921e11a341baf8() { let popups = document.getElementById("mpform-bb4b6c21fefd453ca9921e11a341baf8").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputbb4b6c21fefd453ca9921e11a341baf8() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingbb4b6c21fefd453ca9921e11a341baf8(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingbb4b6c21fefd453ca9921e11a341baf8(); } } 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); mploadTelInputbb4b6c21fefd453ca9921e11a341baf8(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitbb4b6c21fefd453ca9921e11a341baf8(); } else { function waitForOtherFormsmpFrm66504b5d90d040ce84cda19960fa3791() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitbb4b6c21fefd453ca9921e11a341baf8(); } else { setTimeout(waitForOtherFormsmpFrm66504b5d90d040ce84cda19960fa3791,300); } } waitForOtherFormsmpFrm66504b5d90d040ce84cda19960fa3791(); }