var captchaWidgetmpFrmca9f4935c84440e29e9735f582ff5af8; var mpCurrentScriptmpFrmca9f4935c84440e29e9735f582ff5af8Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmca9f4935c84440e29e9735f582ff5af8"; 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); mpFormmpFrmca9f4935c84440e29e9735f582ff5af8Find(); } })(); function mpFormmpFrmca9f4935c84440e29e9735f582ff5af8Find() { if(!mpCurrentScriptmpFrmca9f4935c84440e29e9735f582ff5af8Container) return; if (mpCurrentScriptmpFrmca9f4935c84440e29e9735f582ff5af8Container && mpCurrentScriptmpFrmca9f4935c84440e29e9735f582ff5af8Container.nodeName && mpCurrentScriptmpFrmca9f4935c84440e29e9735f582ff5af8Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmca9f4935c84440e29e9735f582ff5af8" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmca9f4935c84440e29e9735f582ff5af8Container.children).forEach(c => { if (c.id === "mpFrmca9f4935c84440e29e9735f582ff5af8") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript794b7bc30d564e4e80405f3d268cd732Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmca9f4935c84440e29e9735f582ff5af8"; } } } } function mpForm794b7bc30d564e4e80405f3d268cd732Check() { let checkBoxes = document.getElementById("mpform-794b7bc30d564e4e80405f3d268cd732").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 mpForm794b7bc30d564e4e80405f3d268cd732Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-794b7bc30d564e4e80405f3d268cd732").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-794b7bc30d564e4e80405f3d268cd732").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-794b7bc30d564e4e80405f3d268cd732").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-794b7bc30d564e4e80405f3d268cd732')), 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: getTrackingId794b7bc30d564e4e80405f3d268cd732() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-794b7bc30d564e4e80405f3d268cd732").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-794b7bc30d564e4e80405f3d268cd732").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) { mpForm794b7bc30d564e4e80405f3d268cd732Check(); 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-794b7bc30d564e4e80405f3d268cd732').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-794b7bc30d564e4e80405f3d268cd732").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-794b7bc30d564e4e80405f3d268cd732').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmca9f4935c84440e29e9735f582ff5af8); } else { mpForm794b7bc30d564e4e80405f3d268cd732Check(); 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 mpmRecaptchaLoaded794b7bc30d564e4e80405f3d268cd732() { captchaWidgetmpFrmca9f4935c84440e29e9735f582ff5af8 = grecaptcha.render('mpmRecaptchampFrmca9f4935c84440e29e9735f582ff5af8', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId794b7bc30d564e4e80405f3d268cd732() { 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 mpmFormInit794b7bc30d564e4e80405f3d268cd732 () { 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 finishedLoading794b7bc30d564e4e80405f3d268cd732() { window.mpFormLoading = false; let container = document.getElementById('mpFrmca9f4935c84440e29e9735f582ff5af8'); if (!container) { mpFormmpFrmca9f4935c84440e29e9735f582ff5af8Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmca9f4935c84440e29e9735f582ff5af8'); return setTimeout(finishedLoading794b7bc30d564e4e80405f3d268cd732, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-794b7bc30d564e4e80405f3d268cd732").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-794b7bc30d564e4e80405f3d268cd732").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-794b7bc30d564e4e80405f3d268cd732").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-794b7bc30d564e4e80405f3d268cd732").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-794b7bc30d564e4e80405f3d268cd732").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=mpmRecaptchaLoaded794b7bc30d564e4e80405f3d268cd732&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup794b7bc30d564e4e80405f3d268cd732() { let popups = document.getElementById("mpform-794b7bc30d564e4e80405f3d268cd732").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput794b7bc30d564e4e80405f3d268cd732() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading794b7bc30d564e4e80405f3d268cd732(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading794b7bc30d564e4e80405f3d268cd732(); } } 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); mploadTelInput794b7bc30d564e4e80405f3d268cd732(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit794b7bc30d564e4e80405f3d268cd732(); } else { function waitForOtherFormsmpFrmca9f4935c84440e29e9735f582ff5af8() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit794b7bc30d564e4e80405f3d268cd732(); } else { setTimeout(waitForOtherFormsmpFrmca9f4935c84440e29e9735f582ff5af8,300); } } waitForOtherFormsmpFrmca9f4935c84440e29e9735f582ff5af8(); }