var captchaWidgetmpFrm0f8302b8436f46c88c80ece78c296fb1; var mpCurrentScriptmpFrm0f8302b8436f46c88c80ece78c296fb1Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm0f8302b8436f46c88c80ece78c296fb1"; 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); mpFormmpFrm0f8302b8436f46c88c80ece78c296fb1Find(); } })(); function mpFormmpFrm0f8302b8436f46c88c80ece78c296fb1Find() { if(!mpCurrentScriptmpFrm0f8302b8436f46c88c80ece78c296fb1Container) return; if (mpCurrentScriptmpFrm0f8302b8436f46c88c80ece78c296fb1Container && mpCurrentScriptmpFrm0f8302b8436f46c88c80ece78c296fb1Container.nodeName && mpCurrentScriptmpFrm0f8302b8436f46c88c80ece78c296fb1Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm0f8302b8436f46c88c80ece78c296fb1" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm0f8302b8436f46c88c80ece78c296fb1Container.children).forEach(c => { if (c.id === "mpFrm0f8302b8436f46c88c80ece78c296fb1") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript1755683098644bf181fbd09b3b6d8afbContainer.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm0f8302b8436f46c88c80ece78c296fb1"; } } } } function mpForm1755683098644bf181fbd09b3b6d8afbCheck() { let checkBoxes = document.getElementById("mpform-1755683098644bf181fbd09b3b6d8afb").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 mpForm1755683098644bf181fbd09b3b6d8afbSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-1755683098644bf181fbd09b3b6d8afb").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-1755683098644bf181fbd09b3b6d8afb").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-1755683098644bf181fbd09b3b6d8afb").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-1755683098644bf181fbd09b3b6d8afb')), 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: getTrackingId1755683098644bf181fbd09b3b6d8afb() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-1755683098644bf181fbd09b3b6d8afb").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-1755683098644bf181fbd09b3b6d8afb").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) { mpForm1755683098644bf181fbd09b3b6d8afbCheck(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; let response = JSON.parse(xhr.responseText); try { document.getElementById('mpform-1755683098644bf181fbd09b3b6d8afb').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-1755683098644bf181fbd09b3b6d8afb").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-1755683098644bf181fbd09b3b6d8afb').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm0f8302b8436f46c88c80ece78c296fb1); } else { mpForm1755683098644bf181fbd09b3b6d8afbCheck(); 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 mpmRecaptchaLoaded1755683098644bf181fbd09b3b6d8afb() { captchaWidgetmpFrm0f8302b8436f46c88c80ece78c296fb1 = grecaptcha.render('mpmRecaptchampFrm0f8302b8436f46c88c80ece78c296fb1', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId1755683098644bf181fbd09b3b6d8afb() { 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 mpmFormInit1755683098644bf181fbd09b3b6d8afb () { 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 finishedLoading1755683098644bf181fbd09b3b6d8afb() { window.mpFormLoading = false; let container = document.getElementById('mpFrm0f8302b8436f46c88c80ece78c296fb1'); if (!container) { mpFormmpFrm0f8302b8436f46c88c80ece78c296fb1Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm0f8302b8436f46c88c80ece78c296fb1'); return setTimeout(finishedLoading1755683098644bf181fbd09b3b6d8afb, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-1755683098644bf181fbd09b3b6d8afb").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-1755683098644bf181fbd09b3b6d8afb").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-1755683098644bf181fbd09b3b6d8afb").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-1755683098644bf181fbd09b3b6d8afb").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-1755683098644bf181fbd09b3b6d8afb").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=mpmRecaptchaLoaded1755683098644bf181fbd09b3b6d8afb&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup1755683098644bf181fbd09b3b6d8afb() { let popups = document.getElementById("mpform-1755683098644bf181fbd09b3b6d8afb").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput1755683098644bf181fbd09b3b6d8afb() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading1755683098644bf181fbd09b3b6d8afb(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading1755683098644bf181fbd09b3b6d8afb(); } } 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); mploadTelInput1755683098644bf181fbd09b3b6d8afb(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit1755683098644bf181fbd09b3b6d8afb(); } else { function waitForOtherFormsmpFrm0f8302b8436f46c88c80ece78c296fb1() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit1755683098644bf181fbd09b3b6d8afb(); } else { setTimeout(waitForOtherFormsmpFrm0f8302b8436f46c88c80ece78c296fb1,300); } } waitForOtherFormsmpFrm0f8302b8436f46c88c80ece78c296fb1(); }