var captchaWidgetmpFrmf04c3e317c544c5690d9fdf9f8b4caa1; var mpCurrentScriptmpFrmf04c3e317c544c5690d9fdf9f8b4caa1Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmf04c3e317c544c5690d9fdf9f8b4caa1"; 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); mpFormmpFrmf04c3e317c544c5690d9fdf9f8b4caa1Find(); } })(); function mpFormmpFrmf04c3e317c544c5690d9fdf9f8b4caa1Find() { if(!mpCurrentScriptmpFrmf04c3e317c544c5690d9fdf9f8b4caa1Container) return; if (mpCurrentScriptmpFrmf04c3e317c544c5690d9fdf9f8b4caa1Container && mpCurrentScriptmpFrmf04c3e317c544c5690d9fdf9f8b4caa1Container.nodeName && mpCurrentScriptmpFrmf04c3e317c544c5690d9fdf9f8b4caa1Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmf04c3e317c544c5690d9fdf9f8b4caa1" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmf04c3e317c544c5690d9fdf9f8b4caa1Container.children).forEach(c => { if (c.id === "mpFrmf04c3e317c544c5690d9fdf9f8b4caa1") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptc7530181da964e42b4de47f53c94b736Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmf04c3e317c544c5690d9fdf9f8b4caa1"; } } } } function mpFormc7530181da964e42b4de47f53c94b736Check() { let checkBoxes = document.getElementById("mpform-c7530181da964e42b4de47f53c94b736").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 mpFormc7530181da964e42b4de47f53c94b736Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-c7530181da964e42b4de47f53c94b736").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-c7530181da964e42b4de47f53c94b736").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-c7530181da964e42b4de47f53c94b736").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-c7530181da964e42b4de47f53c94b736')), 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: getTrackingIdc7530181da964e42b4de47f53c94b736() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-c7530181da964e42b4de47f53c94b736").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-c7530181da964e42b4de47f53c94b736").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) { mpFormc7530181da964e42b4de47f53c94b736Check(); 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-c7530181da964e42b4de47f53c94b736').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-c7530181da964e42b4de47f53c94b736").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-c7530181da964e42b4de47f53c94b736').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmf04c3e317c544c5690d9fdf9f8b4caa1); } else { mpFormc7530181da964e42b4de47f53c94b736Check(); 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 mpmRecaptchaLoadedc7530181da964e42b4de47f53c94b736() { captchaWidgetmpFrmf04c3e317c544c5690d9fdf9f8b4caa1 = grecaptcha.render('mpmRecaptchampFrmf04c3e317c544c5690d9fdf9f8b4caa1', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdc7530181da964e42b4de47f53c94b736() { 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 mpmFormInitc7530181da964e42b4de47f53c94b736 () { 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 finishedLoadingc7530181da964e42b4de47f53c94b736() { window.mpFormLoading = false; let container = document.getElementById('mpFrmf04c3e317c544c5690d9fdf9f8b4caa1'); if (!container) { mpFormmpFrmf04c3e317c544c5690d9fdf9f8b4caa1Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmf04c3e317c544c5690d9fdf9f8b4caa1'); return setTimeout(finishedLoadingc7530181da964e42b4de47f53c94b736, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-c7530181da964e42b4de47f53c94b736").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-c7530181da964e42b4de47f53c94b736").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-c7530181da964e42b4de47f53c94b736").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-c7530181da964e42b4de47f53c94b736").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-c7530181da964e42b4de47f53c94b736").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=mpmRecaptchaLoadedc7530181da964e42b4de47f53c94b736&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupc7530181da964e42b4de47f53c94b736() { let popups = document.getElementById("mpform-c7530181da964e42b4de47f53c94b736").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputc7530181da964e42b4de47f53c94b736() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingc7530181da964e42b4de47f53c94b736(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingc7530181da964e42b4de47f53c94b736(); } } 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); mploadTelInputc7530181da964e42b4de47f53c94b736(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitc7530181da964e42b4de47f53c94b736(); } else { function waitForOtherFormsmpFrmf04c3e317c544c5690d9fdf9f8b4caa1() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitc7530181da964e42b4de47f53c94b736(); } else { setTimeout(waitForOtherFormsmpFrmf04c3e317c544c5690d9fdf9f8b4caa1,300); } } waitForOtherFormsmpFrmf04c3e317c544c5690d9fdf9f8b4caa1(); }