var captchaWidgetmpFrmcec6ccca2a2949e9a0da1df35baa03c2; var mpCurrentScriptmpFrmcec6ccca2a2949e9a0da1df35baa03c2Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmcec6ccca2a2949e9a0da1df35baa03c2"; 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); mpFormmpFrmcec6ccca2a2949e9a0da1df35baa03c2Find(); } })(); function mpFormmpFrmcec6ccca2a2949e9a0da1df35baa03c2Find() { if(!mpCurrentScriptmpFrmcec6ccca2a2949e9a0da1df35baa03c2Container) return; if (mpCurrentScriptmpFrmcec6ccca2a2949e9a0da1df35baa03c2Container && mpCurrentScriptmpFrmcec6ccca2a2949e9a0da1df35baa03c2Container.nodeName && mpCurrentScriptmpFrmcec6ccca2a2949e9a0da1df35baa03c2Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmcec6ccca2a2949e9a0da1df35baa03c2" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmcec6ccca2a2949e9a0da1df35baa03c2Container.children).forEach(c => { if (c.id === "mpFrmcec6ccca2a2949e9a0da1df35baa03c2") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript8c7f4f301fa04bb3b58748891919a43bContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmcec6ccca2a2949e9a0da1df35baa03c2"; } } } } function mpForm8c7f4f301fa04bb3b58748891919a43bCheck() { let checkBoxes = document.getElementById("mpform-8c7f4f301fa04bb3b58748891919a43b").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 mpForm8c7f4f301fa04bb3b58748891919a43bSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-8c7f4f301fa04bb3b58748891919a43b").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-8c7f4f301fa04bb3b58748891919a43b").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-8c7f4f301fa04bb3b58748891919a43b").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-8c7f4f301fa04bb3b58748891919a43b')), 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: getTrackingId8c7f4f301fa04bb3b58748891919a43b() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-8c7f4f301fa04bb3b58748891919a43b").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-8c7f4f301fa04bb3b58748891919a43b").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) { mpForm8c7f4f301fa04bb3b58748891919a43bCheck(); 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-8c7f4f301fa04bb3b58748891919a43b').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-8c7f4f301fa04bb3b58748891919a43b").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-8c7f4f301fa04bb3b58748891919a43b').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmcec6ccca2a2949e9a0da1df35baa03c2); } else { mpForm8c7f4f301fa04bb3b58748891919a43bCheck(); 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 mpmRecaptchaLoaded8c7f4f301fa04bb3b58748891919a43b() { captchaWidgetmpFrmcec6ccca2a2949e9a0da1df35baa03c2 = grecaptcha.render('mpmRecaptchampFrmcec6ccca2a2949e9a0da1df35baa03c2', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId8c7f4f301fa04bb3b58748891919a43b() { 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 mpmFormInit8c7f4f301fa04bb3b58748891919a43b () { 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 finishedLoading8c7f4f301fa04bb3b58748891919a43b() { window.mpFormLoading = false; let container = document.getElementById('mpFrmcec6ccca2a2949e9a0da1df35baa03c2'); if (!container) { mpFormmpFrmcec6ccca2a2949e9a0da1df35baa03c2Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmcec6ccca2a2949e9a0da1df35baa03c2'); return setTimeout(finishedLoading8c7f4f301fa04bb3b58748891919a43b, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-8c7f4f301fa04bb3b58748891919a43b").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-8c7f4f301fa04bb3b58748891919a43b").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-8c7f4f301fa04bb3b58748891919a43b").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-8c7f4f301fa04bb3b58748891919a43b").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-8c7f4f301fa04bb3b58748891919a43b").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=mpmRecaptchaLoaded8c7f4f301fa04bb3b58748891919a43b&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup8c7f4f301fa04bb3b58748891919a43b() { let popups = document.getElementById("mpform-8c7f4f301fa04bb3b58748891919a43b").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput8c7f4f301fa04bb3b58748891919a43b() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading8c7f4f301fa04bb3b58748891919a43b(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading8c7f4f301fa04bb3b58748891919a43b(); } } 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); mploadTelInput8c7f4f301fa04bb3b58748891919a43b(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit8c7f4f301fa04bb3b58748891919a43b(); } else { function waitForOtherFormsmpFrmcec6ccca2a2949e9a0da1df35baa03c2() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit8c7f4f301fa04bb3b58748891919a43b(); } else { setTimeout(waitForOtherFormsmpFrmcec6ccca2a2949e9a0da1df35baa03c2,300); } } waitForOtherFormsmpFrmcec6ccca2a2949e9a0da1df35baa03c2(); }