var captchaWidgetmpFrmca34fa474c6b49609416931ba0dff16e; var mpCurrentScriptmpFrmca34fa474c6b49609416931ba0dff16eContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmca34fa474c6b49609416931ba0dff16e"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41783"); 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); mpFormmpFrmca34fa474c6b49609416931ba0dff16eFind(); } })(); function mpFormmpFrmca34fa474c6b49609416931ba0dff16eFind() { if(!mpCurrentScriptmpFrmca34fa474c6b49609416931ba0dff16eContainer) return; if (mpCurrentScriptmpFrmca34fa474c6b49609416931ba0dff16eContainer && mpCurrentScriptmpFrmca34fa474c6b49609416931ba0dff16eContainer.nodeName && mpCurrentScriptmpFrmca34fa474c6b49609416931ba0dff16eContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmca34fa474c6b49609416931ba0dff16e" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmca34fa474c6b49609416931ba0dff16eContainer.children).forEach(c => { if (c.id === "mpFrmca34fa474c6b49609416931ba0dff16e") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript6919ed6ffbcc48279eb2bdf155d646a7Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmca34fa474c6b49609416931ba0dff16e"; } } } } function mpForm6919ed6ffbcc48279eb2bdf155d646a7Check() { let checkBoxes = document.getElementById("mpform-6919ed6ffbcc48279eb2bdf155d646a7").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 mpForm6919ed6ffbcc48279eb2bdf155d646a7Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-6919ed6ffbcc48279eb2bdf155d646a7").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-6919ed6ffbcc48279eb2bdf155d646a7").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-6919ed6ffbcc48279eb2bdf155d646a7").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-6919ed6ffbcc48279eb2bdf155d646a7')), 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: getTrackingId6919ed6ffbcc48279eb2bdf155d646a7() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-6919ed6ffbcc48279eb2bdf155d646a7").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-6919ed6ffbcc48279eb2bdf155d646a7").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=41783", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm6919ed6ffbcc48279eb2bdf155d646a7Check(); 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-6919ed6ffbcc48279eb2bdf155d646a7').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-6919ed6ffbcc48279eb2bdf155d646a7").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-6919ed6ffbcc48279eb2bdf155d646a7').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmca34fa474c6b49609416931ba0dff16e); } else { mpForm6919ed6ffbcc48279eb2bdf155d646a7Check(); 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 mpmRecaptchaLoaded6919ed6ffbcc48279eb2bdf155d646a7() { captchaWidgetmpFrmca34fa474c6b49609416931ba0dff16e = grecaptcha.render('mpmRecaptchampFrmca34fa474c6b49609416931ba0dff16e', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId6919ed6ffbcc48279eb2bdf155d646a7() { 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 mpmFormInit6919ed6ffbcc48279eb2bdf155d646a7 () { 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 finishedLoading6919ed6ffbcc48279eb2bdf155d646a7() { window.mpFormLoading = false; let container = document.getElementById('mpFrmca34fa474c6b49609416931ba0dff16e'); if (!container) { mpFormmpFrmca34fa474c6b49609416931ba0dff16eFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmca34fa474c6b49609416931ba0dff16e'); return setTimeout(finishedLoading6919ed6ffbcc48279eb2bdf155d646a7, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-6919ed6ffbcc48279eb2bdf155d646a7").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-6919ed6ffbcc48279eb2bdf155d646a7").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-6919ed6ffbcc48279eb2bdf155d646a7").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-6919ed6ffbcc48279eb2bdf155d646a7").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-6919ed6ffbcc48279eb2bdf155d646a7").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=mpmRecaptchaLoaded6919ed6ffbcc48279eb2bdf155d646a7&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup6919ed6ffbcc48279eb2bdf155d646a7() { let popups = document.getElementById("mpform-6919ed6ffbcc48279eb2bdf155d646a7").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput6919ed6ffbcc48279eb2bdf155d646a7() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading6919ed6ffbcc48279eb2bdf155d646a7(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading6919ed6ffbcc48279eb2bdf155d646a7(); } } 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); mploadTelInput6919ed6ffbcc48279eb2bdf155d646a7(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit6919ed6ffbcc48279eb2bdf155d646a7(); } else { function waitForOtherFormsmpFrmca34fa474c6b49609416931ba0dff16e() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit6919ed6ffbcc48279eb2bdf155d646a7(); } else { setTimeout(waitForOtherFormsmpFrmca34fa474c6b49609416931ba0dff16e,300); } } waitForOtherFormsmpFrmca34fa474c6b49609416931ba0dff16e(); }