var captchaWidgetmpFrmdad040e5c2074aa98d5deecdffc272fe; var mpCurrentScriptmpFrmdad040e5c2074aa98d5deecdffc272feContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmdad040e5c2074aa98d5deecdffc272fe"; 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); mpFormmpFrmdad040e5c2074aa98d5deecdffc272feFind(); } })(); function mpFormmpFrmdad040e5c2074aa98d5deecdffc272feFind() { if(!mpCurrentScriptmpFrmdad040e5c2074aa98d5deecdffc272feContainer) return; if (mpCurrentScriptmpFrmdad040e5c2074aa98d5deecdffc272feContainer && mpCurrentScriptmpFrmdad040e5c2074aa98d5deecdffc272feContainer.nodeName && mpCurrentScriptmpFrmdad040e5c2074aa98d5deecdffc272feContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmdad040e5c2074aa98d5deecdffc272fe" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmdad040e5c2074aa98d5deecdffc272feContainer.children).forEach(c => { if (c.id === "mpFrmdad040e5c2074aa98d5deecdffc272fe") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript151f7a66cbbb4366bf6093a6555955ccContainer.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmdad040e5c2074aa98d5deecdffc272fe"; } } } } function mpForm151f7a66cbbb4366bf6093a6555955ccCheck() { let checkBoxes = document.getElementById("mpform-151f7a66cbbb4366bf6093a6555955cc").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 mpForm151f7a66cbbb4366bf6093a6555955ccSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-151f7a66cbbb4366bf6093a6555955cc").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-151f7a66cbbb4366bf6093a6555955cc").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-151f7a66cbbb4366bf6093a6555955cc").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-151f7a66cbbb4366bf6093a6555955cc')), 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: getTrackingId151f7a66cbbb4366bf6093a6555955cc() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-151f7a66cbbb4366bf6093a6555955cc").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-151f7a66cbbb4366bf6093a6555955cc").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) { mpForm151f7a66cbbb4366bf6093a6555955ccCheck(); 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-151f7a66cbbb4366bf6093a6555955cc').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-151f7a66cbbb4366bf6093a6555955cc").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-151f7a66cbbb4366bf6093a6555955cc').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmdad040e5c2074aa98d5deecdffc272fe); } else { mpForm151f7a66cbbb4366bf6093a6555955ccCheck(); 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 mpmRecaptchaLoaded151f7a66cbbb4366bf6093a6555955cc() { captchaWidgetmpFrmdad040e5c2074aa98d5deecdffc272fe = grecaptcha.render('mpmRecaptchampFrmdad040e5c2074aa98d5deecdffc272fe', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId151f7a66cbbb4366bf6093a6555955cc() { 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 mpmFormInit151f7a66cbbb4366bf6093a6555955cc () { 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 finishedLoading151f7a66cbbb4366bf6093a6555955cc() { window.mpFormLoading = false; let container = document.getElementById('mpFrmdad040e5c2074aa98d5deecdffc272fe'); if (!container) { mpFormmpFrmdad040e5c2074aa98d5deecdffc272feFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmdad040e5c2074aa98d5deecdffc272fe'); return setTimeout(finishedLoading151f7a66cbbb4366bf6093a6555955cc, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-151f7a66cbbb4366bf6093a6555955cc").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-151f7a66cbbb4366bf6093a6555955cc").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-151f7a66cbbb4366bf6093a6555955cc").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-151f7a66cbbb4366bf6093a6555955cc").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-151f7a66cbbb4366bf6093a6555955cc").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=mpmRecaptchaLoaded151f7a66cbbb4366bf6093a6555955cc&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup151f7a66cbbb4366bf6093a6555955cc() { let popups = document.getElementById("mpform-151f7a66cbbb4366bf6093a6555955cc").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput151f7a66cbbb4366bf6093a6555955cc() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading151f7a66cbbb4366bf6093a6555955cc(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading151f7a66cbbb4366bf6093a6555955cc(); } } 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); mploadTelInput151f7a66cbbb4366bf6093a6555955cc(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit151f7a66cbbb4366bf6093a6555955cc(); } else { function waitForOtherFormsmpFrmdad040e5c2074aa98d5deecdffc272fe() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit151f7a66cbbb4366bf6093a6555955cc(); } else { setTimeout(waitForOtherFormsmpFrmdad040e5c2074aa98d5deecdffc272fe,300); } } waitForOtherFormsmpFrmdad040e5c2074aa98d5deecdffc272fe(); }