var captchaWidgetmpFrma00195655b5448c7bd8b13aceb9b5cdf; var mpCurrentScriptmpFrma00195655b5448c7bd8b13aceb9b5cdfContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrma00195655b5448c7bd8b13aceb9b5cdf"; 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); mpFormmpFrma00195655b5448c7bd8b13aceb9b5cdfFind(); } })(); function mpFormmpFrma00195655b5448c7bd8b13aceb9b5cdfFind() { if(!mpCurrentScriptmpFrma00195655b5448c7bd8b13aceb9b5cdfContainer) return; if (mpCurrentScriptmpFrma00195655b5448c7bd8b13aceb9b5cdfContainer && mpCurrentScriptmpFrma00195655b5448c7bd8b13aceb9b5cdfContainer.nodeName && mpCurrentScriptmpFrma00195655b5448c7bd8b13aceb9b5cdfContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrma00195655b5448c7bd8b13aceb9b5cdf" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrma00195655b5448c7bd8b13aceb9b5cdfContainer.children).forEach(c => { if (c.id === "mpFrma00195655b5448c7bd8b13aceb9b5cdf") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript6f7a4717b91d41c4a1f0dd7ebd305af5Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrma00195655b5448c7bd8b13aceb9b5cdf"; } } } } function mpForm6f7a4717b91d41c4a1f0dd7ebd305af5Check() { let checkBoxes = document.getElementById("mpform-6f7a4717b91d41c4a1f0dd7ebd305af5").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 mpForm6f7a4717b91d41c4a1f0dd7ebd305af5Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-6f7a4717b91d41c4a1f0dd7ebd305af5").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-6f7a4717b91d41c4a1f0dd7ebd305af5").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-6f7a4717b91d41c4a1f0dd7ebd305af5").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-6f7a4717b91d41c4a1f0dd7ebd305af5')), 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: getTrackingId6f7a4717b91d41c4a1f0dd7ebd305af5() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-6f7a4717b91d41c4a1f0dd7ebd305af5").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-6f7a4717b91d41c4a1f0dd7ebd305af5").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) { mpForm6f7a4717b91d41c4a1f0dd7ebd305af5Check(); 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-6f7a4717b91d41c4a1f0dd7ebd305af5').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-6f7a4717b91d41c4a1f0dd7ebd305af5").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-6f7a4717b91d41c4a1f0dd7ebd305af5').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrma00195655b5448c7bd8b13aceb9b5cdf); } else { mpForm6f7a4717b91d41c4a1f0dd7ebd305af5Check(); 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 mpmRecaptchaLoaded6f7a4717b91d41c4a1f0dd7ebd305af5() { captchaWidgetmpFrma00195655b5448c7bd8b13aceb9b5cdf = grecaptcha.render('mpmRecaptchampFrma00195655b5448c7bd8b13aceb9b5cdf', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId6f7a4717b91d41c4a1f0dd7ebd305af5() { 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 mpmFormInit6f7a4717b91d41c4a1f0dd7ebd305af5 () { 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 finishedLoading6f7a4717b91d41c4a1f0dd7ebd305af5() { window.mpFormLoading = false; let container = document.getElementById('mpFrma00195655b5448c7bd8b13aceb9b5cdf'); if (!container) { mpFormmpFrma00195655b5448c7bd8b13aceb9b5cdfFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrma00195655b5448c7bd8b13aceb9b5cdf'); return setTimeout(finishedLoading6f7a4717b91d41c4a1f0dd7ebd305af5, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-6f7a4717b91d41c4a1f0dd7ebd305af5").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-6f7a4717b91d41c4a1f0dd7ebd305af5").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-6f7a4717b91d41c4a1f0dd7ebd305af5").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-6f7a4717b91d41c4a1f0dd7ebd305af5").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-6f7a4717b91d41c4a1f0dd7ebd305af5").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=mpmRecaptchaLoaded6f7a4717b91d41c4a1f0dd7ebd305af5&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup6f7a4717b91d41c4a1f0dd7ebd305af5() { let popups = document.getElementById("mpform-6f7a4717b91d41c4a1f0dd7ebd305af5").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput6f7a4717b91d41c4a1f0dd7ebd305af5() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading6f7a4717b91d41c4a1f0dd7ebd305af5(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading6f7a4717b91d41c4a1f0dd7ebd305af5(); } } 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); mploadTelInput6f7a4717b91d41c4a1f0dd7ebd305af5(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit6f7a4717b91d41c4a1f0dd7ebd305af5(); } else { function waitForOtherFormsmpFrma00195655b5448c7bd8b13aceb9b5cdf() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit6f7a4717b91d41c4a1f0dd7ebd305af5(); } else { setTimeout(waitForOtherFormsmpFrma00195655b5448c7bd8b13aceb9b5cdf,300); } } waitForOtherFormsmpFrma00195655b5448c7bd8b13aceb9b5cdf(); }