var captchaWidgetmpFrmfbdb82ab927e42e6b54eb1de206cf4fc; var mpCurrentScriptmpFrmfbdb82ab927e42e6b54eb1de206cf4fcContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmfbdb82ab927e42e6b54eb1de206cf4fc"; 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); mpFormmpFrmfbdb82ab927e42e6b54eb1de206cf4fcFind(); } })(); function mpFormmpFrmfbdb82ab927e42e6b54eb1de206cf4fcFind() { if(!mpCurrentScriptmpFrmfbdb82ab927e42e6b54eb1de206cf4fcContainer) return; if (mpCurrentScriptmpFrmfbdb82ab927e42e6b54eb1de206cf4fcContainer && mpCurrentScriptmpFrmfbdb82ab927e42e6b54eb1de206cf4fcContainer.nodeName && mpCurrentScriptmpFrmfbdb82ab927e42e6b54eb1de206cf4fcContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmfbdb82ab927e42e6b54eb1de206cf4fc" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmfbdb82ab927e42e6b54eb1de206cf4fcContainer.children).forEach(c => { if (c.id === "mpFrmfbdb82ab927e42e6b54eb1de206cf4fc") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptd6ab5d2177ea4a8e8e16eaff91073936Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmfbdb82ab927e42e6b54eb1de206cf4fc"; } } } } function mpFormd6ab5d2177ea4a8e8e16eaff91073936Check() { let checkBoxes = document.getElementById("mpform-d6ab5d2177ea4a8e8e16eaff91073936").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 mpFormd6ab5d2177ea4a8e8e16eaff91073936Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-d6ab5d2177ea4a8e8e16eaff91073936").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-d6ab5d2177ea4a8e8e16eaff91073936").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-d6ab5d2177ea4a8e8e16eaff91073936").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-d6ab5d2177ea4a8e8e16eaff91073936')), 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: getTrackingIdd6ab5d2177ea4a8e8e16eaff91073936() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-d6ab5d2177ea4a8e8e16eaff91073936").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-d6ab5d2177ea4a8e8e16eaff91073936").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) { mpFormd6ab5d2177ea4a8e8e16eaff91073936Check(); 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-d6ab5d2177ea4a8e8e16eaff91073936').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-d6ab5d2177ea4a8e8e16eaff91073936").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-d6ab5d2177ea4a8e8e16eaff91073936').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmfbdb82ab927e42e6b54eb1de206cf4fc); } else { mpFormd6ab5d2177ea4a8e8e16eaff91073936Check(); 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 mpmRecaptchaLoadedd6ab5d2177ea4a8e8e16eaff91073936() { captchaWidgetmpFrmfbdb82ab927e42e6b54eb1de206cf4fc = grecaptcha.render('mpmRecaptchampFrmfbdb82ab927e42e6b54eb1de206cf4fc', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdd6ab5d2177ea4a8e8e16eaff91073936() { 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 mpmFormInitd6ab5d2177ea4a8e8e16eaff91073936 () { 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 finishedLoadingd6ab5d2177ea4a8e8e16eaff91073936() { window.mpFormLoading = false; let container = document.getElementById('mpFrmfbdb82ab927e42e6b54eb1de206cf4fc'); if (!container) { mpFormmpFrmfbdb82ab927e42e6b54eb1de206cf4fcFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmfbdb82ab927e42e6b54eb1de206cf4fc'); return setTimeout(finishedLoadingd6ab5d2177ea4a8e8e16eaff91073936, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-d6ab5d2177ea4a8e8e16eaff91073936").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-d6ab5d2177ea4a8e8e16eaff91073936").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-d6ab5d2177ea4a8e8e16eaff91073936").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-d6ab5d2177ea4a8e8e16eaff91073936").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-d6ab5d2177ea4a8e8e16eaff91073936").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=mpmRecaptchaLoadedd6ab5d2177ea4a8e8e16eaff91073936&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupd6ab5d2177ea4a8e8e16eaff91073936() { let popups = document.getElementById("mpform-d6ab5d2177ea4a8e8e16eaff91073936").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputd6ab5d2177ea4a8e8e16eaff91073936() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingd6ab5d2177ea4a8e8e16eaff91073936(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingd6ab5d2177ea4a8e8e16eaff91073936(); } } 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); mploadTelInputd6ab5d2177ea4a8e8e16eaff91073936(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitd6ab5d2177ea4a8e8e16eaff91073936(); } else { function waitForOtherFormsmpFrmfbdb82ab927e42e6b54eb1de206cf4fc() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitd6ab5d2177ea4a8e8e16eaff91073936(); } else { setTimeout(waitForOtherFormsmpFrmfbdb82ab927e42e6b54eb1de206cf4fc,300); } } waitForOtherFormsmpFrmfbdb82ab927e42e6b54eb1de206cf4fc(); }