var captchaWidgetmpFrmda0b224a295a469691e87d7604377458; var mpCurrentScriptmpFrmda0b224a295a469691e87d7604377458Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmda0b224a295a469691e87d7604377458"; 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); mpFormmpFrmda0b224a295a469691e87d7604377458Find(); } })(); function mpFormmpFrmda0b224a295a469691e87d7604377458Find() { if(!mpCurrentScriptmpFrmda0b224a295a469691e87d7604377458Container) return; if (mpCurrentScriptmpFrmda0b224a295a469691e87d7604377458Container && mpCurrentScriptmpFrmda0b224a295a469691e87d7604377458Container.nodeName && mpCurrentScriptmpFrmda0b224a295a469691e87d7604377458Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41847']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmda0b224a295a469691e87d7604377458" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmda0b224a295a469691e87d7604377458Container.children).forEach(c => { if (c.id === "mpFrmda0b224a295a469691e87d7604377458") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScripte3aedc4ce5394ecb8a396b66abb32743Container.children).filter(e => e.dataset && e.dataset.mpid === "41847"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmda0b224a295a469691e87d7604377458"; } } } } function mpForme3aedc4ce5394ecb8a396b66abb32743Check() { let checkBoxes = document.getElementById("mpform-e3aedc4ce5394ecb8a396b66abb32743").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 mpForme3aedc4ce5394ecb8a396b66abb32743Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-e3aedc4ce5394ecb8a396b66abb32743").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-e3aedc4ce5394ecb8a396b66abb32743").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-e3aedc4ce5394ecb8a396b66abb32743").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-e3aedc4ce5394ecb8a396b66abb32743')), 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: getTrackingIde3aedc4ce5394ecb8a396b66abb32743() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-e3aedc4ce5394ecb8a396b66abb32743").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-e3aedc4ce5394ecb8a396b66abb32743").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) { mpForme3aedc4ce5394ecb8a396b66abb32743Check(); 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-e3aedc4ce5394ecb8a396b66abb32743').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-e3aedc4ce5394ecb8a396b66abb32743").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-e3aedc4ce5394ecb8a396b66abb32743').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmda0b224a295a469691e87d7604377458); } else { mpForme3aedc4ce5394ecb8a396b66abb32743Check(); 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 mpmRecaptchaLoadede3aedc4ce5394ecb8a396b66abb32743() { captchaWidgetmpFrmda0b224a295a469691e87d7604377458 = grecaptcha.render('mpmRecaptchampFrmda0b224a295a469691e87d7604377458', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIde3aedc4ce5394ecb8a396b66abb32743() { 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 mpmFormInite3aedc4ce5394ecb8a396b66abb32743 () { 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 finishedLoadinge3aedc4ce5394ecb8a396b66abb32743() { window.mpFormLoading = false; let container = document.getElementById('mpFrmda0b224a295a469691e87d7604377458'); if (!container) { mpFormmpFrmda0b224a295a469691e87d7604377458Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmda0b224a295a469691e87d7604377458'); return setTimeout(finishedLoadinge3aedc4ce5394ecb8a396b66abb32743, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-e3aedc4ce5394ecb8a396b66abb32743").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-e3aedc4ce5394ecb8a396b66abb32743").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-e3aedc4ce5394ecb8a396b66abb32743").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-e3aedc4ce5394ecb8a396b66abb32743").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-e3aedc4ce5394ecb8a396b66abb32743").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=mpmRecaptchaLoadede3aedc4ce5394ecb8a396b66abb32743&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupe3aedc4ce5394ecb8a396b66abb32743() { let popups = document.getElementById("mpform-e3aedc4ce5394ecb8a396b66abb32743").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInpute3aedc4ce5394ecb8a396b66abb32743() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadinge3aedc4ce5394ecb8a396b66abb32743(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinge3aedc4ce5394ecb8a396b66abb32743(); } } 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); mploadTelInpute3aedc4ce5394ecb8a396b66abb32743(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInite3aedc4ce5394ecb8a396b66abb32743(); } else { function waitForOtherFormsmpFrmda0b224a295a469691e87d7604377458() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInite3aedc4ce5394ecb8a396b66abb32743(); } else { setTimeout(waitForOtherFormsmpFrmda0b224a295a469691e87d7604377458,300); } } waitForOtherFormsmpFrmda0b224a295a469691e87d7604377458(); }