var captchaWidgetmpFrm1a3a0d355f114c0ba2d5940f83be92a7; var mpCurrentScriptmpFrm1a3a0d355f114c0ba2d5940f83be92a7Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm1a3a0d355f114c0ba2d5940f83be92a7"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41847"); 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); mpFormmpFrm1a3a0d355f114c0ba2d5940f83be92a7Find(); } })(); function mpFormmpFrm1a3a0d355f114c0ba2d5940f83be92a7Find() { if(!mpCurrentScriptmpFrm1a3a0d355f114c0ba2d5940f83be92a7Container) return; if (mpCurrentScriptmpFrm1a3a0d355f114c0ba2d5940f83be92a7Container && mpCurrentScriptmpFrm1a3a0d355f114c0ba2d5940f83be92a7Container.nodeName && mpCurrentScriptmpFrm1a3a0d355f114c0ba2d5940f83be92a7Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41847']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm1a3a0d355f114c0ba2d5940f83be92a7" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm1a3a0d355f114c0ba2d5940f83be92a7Container.children).forEach(c => { if (c.id === "mpFrm1a3a0d355f114c0ba2d5940f83be92a7") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScripta623ae8cc77d4a76aad3e7e98d654baeContainer.children).filter(e => e.dataset && e.dataset.mpid === "41847"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm1a3a0d355f114c0ba2d5940f83be92a7"; } } } } function mpForma623ae8cc77d4a76aad3e7e98d654baeCheck() { let checkBoxes = document.getElementById("mpform-a623ae8cc77d4a76aad3e7e98d654bae").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 mpForma623ae8cc77d4a76aad3e7e98d654baeSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-a623ae8cc77d4a76aad3e7e98d654bae").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-a623ae8cc77d4a76aad3e7e98d654bae").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-a623ae8cc77d4a76aad3e7e98d654bae").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-a623ae8cc77d4a76aad3e7e98d654bae')), 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: getTrackingIda623ae8cc77d4a76aad3e7e98d654bae() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-a623ae8cc77d4a76aad3e7e98d654bae").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-a623ae8cc77d4a76aad3e7e98d654bae").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=41847", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForma623ae8cc77d4a76aad3e7e98d654baeCheck(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; let response = JSON.parse(xhr.responseText); try { document.getElementById('mpform-a623ae8cc77d4a76aad3e7e98d654bae').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-a623ae8cc77d4a76aad3e7e98d654bae").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-a623ae8cc77d4a76aad3e7e98d654bae').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm1a3a0d355f114c0ba2d5940f83be92a7); } else { mpForma623ae8cc77d4a76aad3e7e98d654baeCheck(); 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 mpmRecaptchaLoadeda623ae8cc77d4a76aad3e7e98d654bae() { captchaWidgetmpFrm1a3a0d355f114c0ba2d5940f83be92a7 = grecaptcha.render('mpmRecaptchampFrm1a3a0d355f114c0ba2d5940f83be92a7', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIda623ae8cc77d4a76aad3e7e98d654bae() { 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 mpmFormInita623ae8cc77d4a76aad3e7e98d654bae () { 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 finishedLoadinga623ae8cc77d4a76aad3e7e98d654bae() { window.mpFormLoading = false; let container = document.getElementById('mpFrm1a3a0d355f114c0ba2d5940f83be92a7'); if (!container) { mpFormmpFrm1a3a0d355f114c0ba2d5940f83be92a7Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm1a3a0d355f114c0ba2d5940f83be92a7'); return setTimeout(finishedLoadinga623ae8cc77d4a76aad3e7e98d654bae, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-a623ae8cc77d4a76aad3e7e98d654bae").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-a623ae8cc77d4a76aad3e7e98d654bae").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-a623ae8cc77d4a76aad3e7e98d654bae").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-a623ae8cc77d4a76aad3e7e98d654bae").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-a623ae8cc77d4a76aad3e7e98d654bae").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=mpmRecaptchaLoadeda623ae8cc77d4a76aad3e7e98d654bae&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupa623ae8cc77d4a76aad3e7e98d654bae() { let popups = document.getElementById("mpform-a623ae8cc77d4a76aad3e7e98d654bae").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputa623ae8cc77d4a76aad3e7e98d654bae() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadinga623ae8cc77d4a76aad3e7e98d654bae(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinga623ae8cc77d4a76aad3e7e98d654bae(); } } 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); mploadTelInputa623ae8cc77d4a76aad3e7e98d654bae(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInita623ae8cc77d4a76aad3e7e98d654bae(); } else { function waitForOtherFormsmpFrm1a3a0d355f114c0ba2d5940f83be92a7() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInita623ae8cc77d4a76aad3e7e98d654bae(); } else { setTimeout(waitForOtherFormsmpFrm1a3a0d355f114c0ba2d5940f83be92a7,300); } } waitForOtherFormsmpFrm1a3a0d355f114c0ba2d5940f83be92a7(); }