var captchaWidgetmpFrm7a2e092ab3584f14834e73aef9c9fd63; var mpCurrentScriptmpFrm7a2e092ab3584f14834e73aef9c9fd63Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm7a2e092ab3584f14834e73aef9c9fd63"; 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); mpFormmpFrm7a2e092ab3584f14834e73aef9c9fd63Find(); } })(); function mpFormmpFrm7a2e092ab3584f14834e73aef9c9fd63Find() { if(!mpCurrentScriptmpFrm7a2e092ab3584f14834e73aef9c9fd63Container) return; if (mpCurrentScriptmpFrm7a2e092ab3584f14834e73aef9c9fd63Container && mpCurrentScriptmpFrm7a2e092ab3584f14834e73aef9c9fd63Container.nodeName && mpCurrentScriptmpFrm7a2e092ab3584f14834e73aef9c9fd63Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm7a2e092ab3584f14834e73aef9c9fd63" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm7a2e092ab3584f14834e73aef9c9fd63Container.children).forEach(c => { if (c.id === "mpFrm7a2e092ab3584f14834e73aef9c9fd63") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript4709b49deed9419ab61ee508e0dd157fContainer.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm7a2e092ab3584f14834e73aef9c9fd63"; } } } } function mpForm4709b49deed9419ab61ee508e0dd157fCheck() { let checkBoxes = document.getElementById("mpform-4709b49deed9419ab61ee508e0dd157f").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 mpForm4709b49deed9419ab61ee508e0dd157fSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-4709b49deed9419ab61ee508e0dd157f").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-4709b49deed9419ab61ee508e0dd157f").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-4709b49deed9419ab61ee508e0dd157f").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-4709b49deed9419ab61ee508e0dd157f')), 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: getTrackingId4709b49deed9419ab61ee508e0dd157f() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-4709b49deed9419ab61ee508e0dd157f").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-4709b49deed9419ab61ee508e0dd157f").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) { mpForm4709b49deed9419ab61ee508e0dd157fCheck(); 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-4709b49deed9419ab61ee508e0dd157f').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-4709b49deed9419ab61ee508e0dd157f").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-4709b49deed9419ab61ee508e0dd157f').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm7a2e092ab3584f14834e73aef9c9fd63); } else { mpForm4709b49deed9419ab61ee508e0dd157fCheck(); 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 mpmRecaptchaLoaded4709b49deed9419ab61ee508e0dd157f() { captchaWidgetmpFrm7a2e092ab3584f14834e73aef9c9fd63 = grecaptcha.render('mpmRecaptchampFrm7a2e092ab3584f14834e73aef9c9fd63', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId4709b49deed9419ab61ee508e0dd157f() { 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 mpmFormInit4709b49deed9419ab61ee508e0dd157f () { 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 finishedLoading4709b49deed9419ab61ee508e0dd157f() { window.mpFormLoading = false; let container = document.getElementById('mpFrm7a2e092ab3584f14834e73aef9c9fd63'); if (!container) { mpFormmpFrm7a2e092ab3584f14834e73aef9c9fd63Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm7a2e092ab3584f14834e73aef9c9fd63'); return setTimeout(finishedLoading4709b49deed9419ab61ee508e0dd157f, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-4709b49deed9419ab61ee508e0dd157f").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-4709b49deed9419ab61ee508e0dd157f").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-4709b49deed9419ab61ee508e0dd157f").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-4709b49deed9419ab61ee508e0dd157f").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-4709b49deed9419ab61ee508e0dd157f").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=mpmRecaptchaLoaded4709b49deed9419ab61ee508e0dd157f&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup4709b49deed9419ab61ee508e0dd157f() { let popups = document.getElementById("mpform-4709b49deed9419ab61ee508e0dd157f").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput4709b49deed9419ab61ee508e0dd157f() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading4709b49deed9419ab61ee508e0dd157f(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading4709b49deed9419ab61ee508e0dd157f(); } } 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); mploadTelInput4709b49deed9419ab61ee508e0dd157f(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit4709b49deed9419ab61ee508e0dd157f(); } else { function waitForOtherFormsmpFrm7a2e092ab3584f14834e73aef9c9fd63() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit4709b49deed9419ab61ee508e0dd157f(); } else { setTimeout(waitForOtherFormsmpFrm7a2e092ab3584f14834e73aef9c9fd63,300); } } waitForOtherFormsmpFrm7a2e092ab3584f14834e73aef9c9fd63(); }