var captchaWidgetmpFrm52f3175c6de84a3c990248fc1335c321; var mpCurrentScriptmpFrm52f3175c6de84a3c990248fc1335c321Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm52f3175c6de84a3c990248fc1335c321"; 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); mpFormmpFrm52f3175c6de84a3c990248fc1335c321Find(); } })(); function mpFormmpFrm52f3175c6de84a3c990248fc1335c321Find() { if(!mpCurrentScriptmpFrm52f3175c6de84a3c990248fc1335c321Container) return; if (mpCurrentScriptmpFrm52f3175c6de84a3c990248fc1335c321Container && mpCurrentScriptmpFrm52f3175c6de84a3c990248fc1335c321Container.nodeName && mpCurrentScriptmpFrm52f3175c6de84a3c990248fc1335c321Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm52f3175c6de84a3c990248fc1335c321" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm52f3175c6de84a3c990248fc1335c321Container.children).forEach(c => { if (c.id === "mpFrm52f3175c6de84a3c990248fc1335c321") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScripte9bb343d2fe14c86ad7478f9ec178055Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm52f3175c6de84a3c990248fc1335c321"; } } } } function mpForme9bb343d2fe14c86ad7478f9ec178055Check() { let checkBoxes = document.getElementById("mpform-e9bb343d2fe14c86ad7478f9ec178055").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 mpForme9bb343d2fe14c86ad7478f9ec178055Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-e9bb343d2fe14c86ad7478f9ec178055").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-e9bb343d2fe14c86ad7478f9ec178055").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-e9bb343d2fe14c86ad7478f9ec178055").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-e9bb343d2fe14c86ad7478f9ec178055')), 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: getTrackingIde9bb343d2fe14c86ad7478f9ec178055() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-e9bb343d2fe14c86ad7478f9ec178055").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-e9bb343d2fe14c86ad7478f9ec178055").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) { mpForme9bb343d2fe14c86ad7478f9ec178055Check(); 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-e9bb343d2fe14c86ad7478f9ec178055').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-e9bb343d2fe14c86ad7478f9ec178055").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-e9bb343d2fe14c86ad7478f9ec178055').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm52f3175c6de84a3c990248fc1335c321); } else { mpForme9bb343d2fe14c86ad7478f9ec178055Check(); 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 mpmRecaptchaLoadede9bb343d2fe14c86ad7478f9ec178055() { captchaWidgetmpFrm52f3175c6de84a3c990248fc1335c321 = grecaptcha.render('mpmRecaptchampFrm52f3175c6de84a3c990248fc1335c321', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIde9bb343d2fe14c86ad7478f9ec178055() { 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 mpmFormInite9bb343d2fe14c86ad7478f9ec178055 () { 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 finishedLoadinge9bb343d2fe14c86ad7478f9ec178055() { window.mpFormLoading = false; let container = document.getElementById('mpFrm52f3175c6de84a3c990248fc1335c321'); if (!container) { mpFormmpFrm52f3175c6de84a3c990248fc1335c321Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm52f3175c6de84a3c990248fc1335c321'); return setTimeout(finishedLoadinge9bb343d2fe14c86ad7478f9ec178055, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-e9bb343d2fe14c86ad7478f9ec178055").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-e9bb343d2fe14c86ad7478f9ec178055").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-e9bb343d2fe14c86ad7478f9ec178055").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-e9bb343d2fe14c86ad7478f9ec178055").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-e9bb343d2fe14c86ad7478f9ec178055").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=mpmRecaptchaLoadede9bb343d2fe14c86ad7478f9ec178055&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupe9bb343d2fe14c86ad7478f9ec178055() { let popups = document.getElementById("mpform-e9bb343d2fe14c86ad7478f9ec178055").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInpute9bb343d2fe14c86ad7478f9ec178055() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadinge9bb343d2fe14c86ad7478f9ec178055(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinge9bb343d2fe14c86ad7478f9ec178055(); } } 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); mploadTelInpute9bb343d2fe14c86ad7478f9ec178055(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInite9bb343d2fe14c86ad7478f9ec178055(); } else { function waitForOtherFormsmpFrm52f3175c6de84a3c990248fc1335c321() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInite9bb343d2fe14c86ad7478f9ec178055(); } else { setTimeout(waitForOtherFormsmpFrm52f3175c6de84a3c990248fc1335c321,300); } } waitForOtherFormsmpFrm52f3175c6de84a3c990248fc1335c321(); }