var captchaWidgetmpFrm4f6a2455945f4b1db1b4da25e90f995f; var mpCurrentScriptmpFrm4f6a2455945f4b1db1b4da25e90f995fContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm4f6a2455945f4b1db1b4da25e90f995f"; 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); mpFormmpFrm4f6a2455945f4b1db1b4da25e90f995fFind(); } })(); function mpFormmpFrm4f6a2455945f4b1db1b4da25e90f995fFind() { if(!mpCurrentScriptmpFrm4f6a2455945f4b1db1b4da25e90f995fContainer) return; if (mpCurrentScriptmpFrm4f6a2455945f4b1db1b4da25e90f995fContainer && mpCurrentScriptmpFrm4f6a2455945f4b1db1b4da25e90f995fContainer.nodeName && mpCurrentScriptmpFrm4f6a2455945f4b1db1b4da25e90f995fContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm4f6a2455945f4b1db1b4da25e90f995f" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm4f6a2455945f4b1db1b4da25e90f995fContainer.children).forEach(c => { if (c.id === "mpFrm4f6a2455945f4b1db1b4da25e90f995f") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScripta5c05b4f24a14a8bbd2aaca7f4a0cedcContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm4f6a2455945f4b1db1b4da25e90f995f"; } } } } function mpForma5c05b4f24a14a8bbd2aaca7f4a0cedcCheck() { let checkBoxes = document.getElementById("mpform-a5c05b4f24a14a8bbd2aaca7f4a0cedc").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 mpForma5c05b4f24a14a8bbd2aaca7f4a0cedcSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-a5c05b4f24a14a8bbd2aaca7f4a0cedc").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-a5c05b4f24a14a8bbd2aaca7f4a0cedc").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-a5c05b4f24a14a8bbd2aaca7f4a0cedc").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-a5c05b4f24a14a8bbd2aaca7f4a0cedc')), 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: getTrackingIda5c05b4f24a14a8bbd2aaca7f4a0cedc() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-a5c05b4f24a14a8bbd2aaca7f4a0cedc").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-a5c05b4f24a14a8bbd2aaca7f4a0cedc").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) { mpForma5c05b4f24a14a8bbd2aaca7f4a0cedcCheck(); 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-a5c05b4f24a14a8bbd2aaca7f4a0cedc').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-a5c05b4f24a14a8bbd2aaca7f4a0cedc").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-a5c05b4f24a14a8bbd2aaca7f4a0cedc').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm4f6a2455945f4b1db1b4da25e90f995f); } else { mpForma5c05b4f24a14a8bbd2aaca7f4a0cedcCheck(); 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 mpmRecaptchaLoadeda5c05b4f24a14a8bbd2aaca7f4a0cedc() { captchaWidgetmpFrm4f6a2455945f4b1db1b4da25e90f995f = grecaptcha.render('mpmRecaptchampFrm4f6a2455945f4b1db1b4da25e90f995f', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIda5c05b4f24a14a8bbd2aaca7f4a0cedc() { 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 mpmFormInita5c05b4f24a14a8bbd2aaca7f4a0cedc () { 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 finishedLoadinga5c05b4f24a14a8bbd2aaca7f4a0cedc() { window.mpFormLoading = false; let container = document.getElementById('mpFrm4f6a2455945f4b1db1b4da25e90f995f'); if (!container) { mpFormmpFrm4f6a2455945f4b1db1b4da25e90f995fFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm4f6a2455945f4b1db1b4da25e90f995f'); return setTimeout(finishedLoadinga5c05b4f24a14a8bbd2aaca7f4a0cedc, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-a5c05b4f24a14a8bbd2aaca7f4a0cedc").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-a5c05b4f24a14a8bbd2aaca7f4a0cedc").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-a5c05b4f24a14a8bbd2aaca7f4a0cedc").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-a5c05b4f24a14a8bbd2aaca7f4a0cedc").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-a5c05b4f24a14a8bbd2aaca7f4a0cedc").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=mpmRecaptchaLoadeda5c05b4f24a14a8bbd2aaca7f4a0cedc&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupa5c05b4f24a14a8bbd2aaca7f4a0cedc() { let popups = document.getElementById("mpform-a5c05b4f24a14a8bbd2aaca7f4a0cedc").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputa5c05b4f24a14a8bbd2aaca7f4a0cedc() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadinga5c05b4f24a14a8bbd2aaca7f4a0cedc(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinga5c05b4f24a14a8bbd2aaca7f4a0cedc(); } } 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); mploadTelInputa5c05b4f24a14a8bbd2aaca7f4a0cedc(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInita5c05b4f24a14a8bbd2aaca7f4a0cedc(); } else { function waitForOtherFormsmpFrm4f6a2455945f4b1db1b4da25e90f995f() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInita5c05b4f24a14a8bbd2aaca7f4a0cedc(); } else { setTimeout(waitForOtherFormsmpFrm4f6a2455945f4b1db1b4da25e90f995f,300); } } waitForOtherFormsmpFrm4f6a2455945f4b1db1b4da25e90f995f(); }