var captchaWidgetmpFrmfc90b44044e744f89f08591b8d0c302f; var mpCurrentScriptmpFrmfc90b44044e744f89f08591b8d0c302fContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmfc90b44044e744f89f08591b8d0c302f"; 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); mpFormmpFrmfc90b44044e744f89f08591b8d0c302fFind(); } })(); function mpFormmpFrmfc90b44044e744f89f08591b8d0c302fFind() { if(!mpCurrentScriptmpFrmfc90b44044e744f89f08591b8d0c302fContainer) return; if (mpCurrentScriptmpFrmfc90b44044e744f89f08591b8d0c302fContainer && mpCurrentScriptmpFrmfc90b44044e744f89f08591b8d0c302fContainer.nodeName && mpCurrentScriptmpFrmfc90b44044e744f89f08591b8d0c302fContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmfc90b44044e744f89f08591b8d0c302f" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmfc90b44044e744f89f08591b8d0c302fContainer.children).forEach(c => { if (c.id === "mpFrmfc90b44044e744f89f08591b8d0c302f") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript22c13d8a769c4048b6ff8a61887b2a03Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmfc90b44044e744f89f08591b8d0c302f"; } } } } function mpForm22c13d8a769c4048b6ff8a61887b2a03Check() { let checkBoxes = document.getElementById("mpform-22c13d8a769c4048b6ff8a61887b2a03").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 mpForm22c13d8a769c4048b6ff8a61887b2a03Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-22c13d8a769c4048b6ff8a61887b2a03").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-22c13d8a769c4048b6ff8a61887b2a03").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-22c13d8a769c4048b6ff8a61887b2a03").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-22c13d8a769c4048b6ff8a61887b2a03')), 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: getTrackingId22c13d8a769c4048b6ff8a61887b2a03() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-22c13d8a769c4048b6ff8a61887b2a03").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-22c13d8a769c4048b6ff8a61887b2a03").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) { mpForm22c13d8a769c4048b6ff8a61887b2a03Check(); 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-22c13d8a769c4048b6ff8a61887b2a03').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-22c13d8a769c4048b6ff8a61887b2a03").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-22c13d8a769c4048b6ff8a61887b2a03').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmfc90b44044e744f89f08591b8d0c302f); } else { mpForm22c13d8a769c4048b6ff8a61887b2a03Check(); 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 mpmRecaptchaLoaded22c13d8a769c4048b6ff8a61887b2a03() { captchaWidgetmpFrmfc90b44044e744f89f08591b8d0c302f = grecaptcha.render('mpmRecaptchampFrmfc90b44044e744f89f08591b8d0c302f', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId22c13d8a769c4048b6ff8a61887b2a03() { 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 mpmFormInit22c13d8a769c4048b6ff8a61887b2a03 () { 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 finishedLoading22c13d8a769c4048b6ff8a61887b2a03() { window.mpFormLoading = false; let container = document.getElementById('mpFrmfc90b44044e744f89f08591b8d0c302f'); if (!container) { mpFormmpFrmfc90b44044e744f89f08591b8d0c302fFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmfc90b44044e744f89f08591b8d0c302f'); return setTimeout(finishedLoading22c13d8a769c4048b6ff8a61887b2a03, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-22c13d8a769c4048b6ff8a61887b2a03").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-22c13d8a769c4048b6ff8a61887b2a03").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-22c13d8a769c4048b6ff8a61887b2a03").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-22c13d8a769c4048b6ff8a61887b2a03").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-22c13d8a769c4048b6ff8a61887b2a03").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=mpmRecaptchaLoaded22c13d8a769c4048b6ff8a61887b2a03&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup22c13d8a769c4048b6ff8a61887b2a03() { let popups = document.getElementById("mpform-22c13d8a769c4048b6ff8a61887b2a03").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput22c13d8a769c4048b6ff8a61887b2a03() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading22c13d8a769c4048b6ff8a61887b2a03(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading22c13d8a769c4048b6ff8a61887b2a03(); } } 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); mploadTelInput22c13d8a769c4048b6ff8a61887b2a03(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit22c13d8a769c4048b6ff8a61887b2a03(); } else { function waitForOtherFormsmpFrmfc90b44044e744f89f08591b8d0c302f() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit22c13d8a769c4048b6ff8a61887b2a03(); } else { setTimeout(waitForOtherFormsmpFrmfc90b44044e744f89f08591b8d0c302f,300); } } waitForOtherFormsmpFrmfc90b44044e744f89f08591b8d0c302f(); }