var captchaWidgetmpFrm9d95b8cb3657473e9118192f17ddee28; var mpCurrentScriptmpFrm9d95b8cb3657473e9118192f17ddee28Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm9d95b8cb3657473e9118192f17ddee28"; 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); mpFormmpFrm9d95b8cb3657473e9118192f17ddee28Find(); } })(); function mpFormmpFrm9d95b8cb3657473e9118192f17ddee28Find() { if(!mpCurrentScriptmpFrm9d95b8cb3657473e9118192f17ddee28Container) return; if (mpCurrentScriptmpFrm9d95b8cb3657473e9118192f17ddee28Container && mpCurrentScriptmpFrm9d95b8cb3657473e9118192f17ddee28Container.nodeName && mpCurrentScriptmpFrm9d95b8cb3657473e9118192f17ddee28Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm9d95b8cb3657473e9118192f17ddee28" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm9d95b8cb3657473e9118192f17ddee28Container.children).forEach(c => { if (c.id === "mpFrm9d95b8cb3657473e9118192f17ddee28") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript669e30f98f484d6cb39cc771c5bd413cContainer.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm9d95b8cb3657473e9118192f17ddee28"; } } } } function mpForm669e30f98f484d6cb39cc771c5bd413cCheck() { let checkBoxes = document.getElementById("mpform-669e30f98f484d6cb39cc771c5bd413c").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 mpForm669e30f98f484d6cb39cc771c5bd413cSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-669e30f98f484d6cb39cc771c5bd413c").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-669e30f98f484d6cb39cc771c5bd413c").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-669e30f98f484d6cb39cc771c5bd413c").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-669e30f98f484d6cb39cc771c5bd413c')), 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: getTrackingId669e30f98f484d6cb39cc771c5bd413c() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-669e30f98f484d6cb39cc771c5bd413c").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-669e30f98f484d6cb39cc771c5bd413c").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) { mpForm669e30f98f484d6cb39cc771c5bd413cCheck(); 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-669e30f98f484d6cb39cc771c5bd413c').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-669e30f98f484d6cb39cc771c5bd413c").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-669e30f98f484d6cb39cc771c5bd413c').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm9d95b8cb3657473e9118192f17ddee28); } else { mpForm669e30f98f484d6cb39cc771c5bd413cCheck(); 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 mpmRecaptchaLoaded669e30f98f484d6cb39cc771c5bd413c() { captchaWidgetmpFrm9d95b8cb3657473e9118192f17ddee28 = grecaptcha.render('mpmRecaptchampFrm9d95b8cb3657473e9118192f17ddee28', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId669e30f98f484d6cb39cc771c5bd413c() { 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 mpmFormInit669e30f98f484d6cb39cc771c5bd413c () { 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 finishedLoading669e30f98f484d6cb39cc771c5bd413c() { window.mpFormLoading = false; let container = document.getElementById('mpFrm9d95b8cb3657473e9118192f17ddee28'); if (!container) { mpFormmpFrm9d95b8cb3657473e9118192f17ddee28Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm9d95b8cb3657473e9118192f17ddee28'); return setTimeout(finishedLoading669e30f98f484d6cb39cc771c5bd413c, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-669e30f98f484d6cb39cc771c5bd413c").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-669e30f98f484d6cb39cc771c5bd413c").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-669e30f98f484d6cb39cc771c5bd413c").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-669e30f98f484d6cb39cc771c5bd413c").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-669e30f98f484d6cb39cc771c5bd413c").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=mpmRecaptchaLoaded669e30f98f484d6cb39cc771c5bd413c&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup669e30f98f484d6cb39cc771c5bd413c() { let popups = document.getElementById("mpform-669e30f98f484d6cb39cc771c5bd413c").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput669e30f98f484d6cb39cc771c5bd413c() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading669e30f98f484d6cb39cc771c5bd413c(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading669e30f98f484d6cb39cc771c5bd413c(); } } 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); mploadTelInput669e30f98f484d6cb39cc771c5bd413c(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit669e30f98f484d6cb39cc771c5bd413c(); } else { function waitForOtherFormsmpFrm9d95b8cb3657473e9118192f17ddee28() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit669e30f98f484d6cb39cc771c5bd413c(); } else { setTimeout(waitForOtherFormsmpFrm9d95b8cb3657473e9118192f17ddee28,300); } } waitForOtherFormsmpFrm9d95b8cb3657473e9118192f17ddee28(); }