var captchaWidgetmpFrm76af14ae3a4a412799443b4949d4ce03; var mpCurrentScriptmpFrm76af14ae3a4a412799443b4949d4ce03Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm76af14ae3a4a412799443b4949d4ce03"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41915"); 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); mpFormmpFrm76af14ae3a4a412799443b4949d4ce03Find(); } })(); function mpFormmpFrm76af14ae3a4a412799443b4949d4ce03Find() { if(!mpCurrentScriptmpFrm76af14ae3a4a412799443b4949d4ce03Container) return; if (mpCurrentScriptmpFrm76af14ae3a4a412799443b4949d4ce03Container && mpCurrentScriptmpFrm76af14ae3a4a412799443b4949d4ce03Container.nodeName && mpCurrentScriptmpFrm76af14ae3a4a412799443b4949d4ce03Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41915']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm76af14ae3a4a412799443b4949d4ce03" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm76af14ae3a4a412799443b4949d4ce03Container.children).forEach(c => { if (c.id === "mpFrm76af14ae3a4a412799443b4949d4ce03") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript90ac589e72674ed6b670cdfc7fb8ac5eContainer.children).filter(e => e.dataset && e.dataset.mpid === "41915"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm76af14ae3a4a412799443b4949d4ce03"; } } } } function mpForm90ac589e72674ed6b670cdfc7fb8ac5eCheck() { let checkBoxes = document.getElementById("mpform-90ac589e72674ed6b670cdfc7fb8ac5e").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 mpForm90ac589e72674ed6b670cdfc7fb8ac5eSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-90ac589e72674ed6b670cdfc7fb8ac5e").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-90ac589e72674ed6b670cdfc7fb8ac5e").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-90ac589e72674ed6b670cdfc7fb8ac5e").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-90ac589e72674ed6b670cdfc7fb8ac5e')), 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: getTrackingId90ac589e72674ed6b670cdfc7fb8ac5e() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-90ac589e72674ed6b670cdfc7fb8ac5e").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-90ac589e72674ed6b670cdfc7fb8ac5e").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=41915", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm90ac589e72674ed6b670cdfc7fb8ac5eCheck(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; let response = JSON.parse(xhr.responseText); try { document.getElementById('mpform-90ac589e72674ed6b670cdfc7fb8ac5e').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-90ac589e72674ed6b670cdfc7fb8ac5e").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-90ac589e72674ed6b670cdfc7fb8ac5e').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm76af14ae3a4a412799443b4949d4ce03); } else { mpForm90ac589e72674ed6b670cdfc7fb8ac5eCheck(); 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 mpmRecaptchaLoaded90ac589e72674ed6b670cdfc7fb8ac5e() { captchaWidgetmpFrm76af14ae3a4a412799443b4949d4ce03 = grecaptcha.render('mpmRecaptchampFrm76af14ae3a4a412799443b4949d4ce03', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId90ac589e72674ed6b670cdfc7fb8ac5e() { 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 mpmFormInit90ac589e72674ed6b670cdfc7fb8ac5e () { 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 finishedLoading90ac589e72674ed6b670cdfc7fb8ac5e() { window.mpFormLoading = false; let container = document.getElementById('mpFrm76af14ae3a4a412799443b4949d4ce03'); if (!container) { mpFormmpFrm76af14ae3a4a412799443b4949d4ce03Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm76af14ae3a4a412799443b4949d4ce03'); return setTimeout(finishedLoading90ac589e72674ed6b670cdfc7fb8ac5e, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-90ac589e72674ed6b670cdfc7fb8ac5e").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-90ac589e72674ed6b670cdfc7fb8ac5e").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-90ac589e72674ed6b670cdfc7fb8ac5e").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-90ac589e72674ed6b670cdfc7fb8ac5e").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-90ac589e72674ed6b670cdfc7fb8ac5e").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=mpmRecaptchaLoaded90ac589e72674ed6b670cdfc7fb8ac5e&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup90ac589e72674ed6b670cdfc7fb8ac5e() { let popups = document.getElementById("mpform-90ac589e72674ed6b670cdfc7fb8ac5e").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput90ac589e72674ed6b670cdfc7fb8ac5e() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading90ac589e72674ed6b670cdfc7fb8ac5e(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading90ac589e72674ed6b670cdfc7fb8ac5e(); } } 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); mploadTelInput90ac589e72674ed6b670cdfc7fb8ac5e(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit90ac589e72674ed6b670cdfc7fb8ac5e(); } else { function waitForOtherFormsmpFrm76af14ae3a4a412799443b4949d4ce03() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit90ac589e72674ed6b670cdfc7fb8ac5e(); } else { setTimeout(waitForOtherFormsmpFrm76af14ae3a4a412799443b4949d4ce03,300); } } waitForOtherFormsmpFrm76af14ae3a4a412799443b4949d4ce03(); }