var captchaWidgetmpFrm76dda71bd44046bbbc9df1b4c7f0a314; var mpCurrentScriptmpFrm76dda71bd44046bbbc9df1b4c7f0a314Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm76dda71bd44046bbbc9df1b4c7f0a314"; 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); mpFormmpFrm76dda71bd44046bbbc9df1b4c7f0a314Find(); } })(); function mpFormmpFrm76dda71bd44046bbbc9df1b4c7f0a314Find() { if(!mpCurrentScriptmpFrm76dda71bd44046bbbc9df1b4c7f0a314Container) return; if (mpCurrentScriptmpFrm76dda71bd44046bbbc9df1b4c7f0a314Container && mpCurrentScriptmpFrm76dda71bd44046bbbc9df1b4c7f0a314Container.nodeName && mpCurrentScriptmpFrm76dda71bd44046bbbc9df1b4c7f0a314Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm76dda71bd44046bbbc9df1b4c7f0a314" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm76dda71bd44046bbbc9df1b4c7f0a314Container.children).forEach(c => { if (c.id === "mpFrm76dda71bd44046bbbc9df1b4c7f0a314") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptb93461c923e44000a830a967cc58b9ceContainer.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm76dda71bd44046bbbc9df1b4c7f0a314"; } } } } function mpFormb93461c923e44000a830a967cc58b9ceCheck() { let checkBoxes = document.getElementById("mpform-b93461c923e44000a830a967cc58b9ce").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 mpFormb93461c923e44000a830a967cc58b9ceSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-b93461c923e44000a830a967cc58b9ce").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-b93461c923e44000a830a967cc58b9ce").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-b93461c923e44000a830a967cc58b9ce").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-b93461c923e44000a830a967cc58b9ce')), 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: getTrackingIdb93461c923e44000a830a967cc58b9ce() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-b93461c923e44000a830a967cc58b9ce").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-b93461c923e44000a830a967cc58b9ce").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) { mpFormb93461c923e44000a830a967cc58b9ceCheck(); 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-b93461c923e44000a830a967cc58b9ce').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-b93461c923e44000a830a967cc58b9ce").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-b93461c923e44000a830a967cc58b9ce').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm76dda71bd44046bbbc9df1b4c7f0a314); } else { mpFormb93461c923e44000a830a967cc58b9ceCheck(); 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 mpmRecaptchaLoadedb93461c923e44000a830a967cc58b9ce() { captchaWidgetmpFrm76dda71bd44046bbbc9df1b4c7f0a314 = grecaptcha.render('mpmRecaptchampFrm76dda71bd44046bbbc9df1b4c7f0a314', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdb93461c923e44000a830a967cc58b9ce() { 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 mpmFormInitb93461c923e44000a830a967cc58b9ce () { 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 finishedLoadingb93461c923e44000a830a967cc58b9ce() { window.mpFormLoading = false; let container = document.getElementById('mpFrm76dda71bd44046bbbc9df1b4c7f0a314'); if (!container) { mpFormmpFrm76dda71bd44046bbbc9df1b4c7f0a314Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm76dda71bd44046bbbc9df1b4c7f0a314'); return setTimeout(finishedLoadingb93461c923e44000a830a967cc58b9ce, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-b93461c923e44000a830a967cc58b9ce").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-b93461c923e44000a830a967cc58b9ce").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-b93461c923e44000a830a967cc58b9ce").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-b93461c923e44000a830a967cc58b9ce").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-b93461c923e44000a830a967cc58b9ce").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=mpmRecaptchaLoadedb93461c923e44000a830a967cc58b9ce&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupb93461c923e44000a830a967cc58b9ce() { let popups = document.getElementById("mpform-b93461c923e44000a830a967cc58b9ce").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputb93461c923e44000a830a967cc58b9ce() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingb93461c923e44000a830a967cc58b9ce(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingb93461c923e44000a830a967cc58b9ce(); } } 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); mploadTelInputb93461c923e44000a830a967cc58b9ce(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitb93461c923e44000a830a967cc58b9ce(); } else { function waitForOtherFormsmpFrm76dda71bd44046bbbc9df1b4c7f0a314() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitb93461c923e44000a830a967cc58b9ce(); } else { setTimeout(waitForOtherFormsmpFrm76dda71bd44046bbbc9df1b4c7f0a314,300); } } waitForOtherFormsmpFrm76dda71bd44046bbbc9df1b4c7f0a314(); }