var captchaWidgetmpFrm6ac0df86e39449e7b128e3090a5031cb; var mpCurrentScriptmpFrm6ac0df86e39449e7b128e3090a5031cbContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm6ac0df86e39449e7b128e3090a5031cb"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41939"); 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); mpFormmpFrm6ac0df86e39449e7b128e3090a5031cbFind(); } })(); function mpFormmpFrm6ac0df86e39449e7b128e3090a5031cbFind() { if(!mpCurrentScriptmpFrm6ac0df86e39449e7b128e3090a5031cbContainer) return; if (mpCurrentScriptmpFrm6ac0df86e39449e7b128e3090a5031cbContainer && mpCurrentScriptmpFrm6ac0df86e39449e7b128e3090a5031cbContainer.nodeName && mpCurrentScriptmpFrm6ac0df86e39449e7b128e3090a5031cbContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm6ac0df86e39449e7b128e3090a5031cb" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm6ac0df86e39449e7b128e3090a5031cbContainer.children).forEach(c => { if (c.id === "mpFrm6ac0df86e39449e7b128e3090a5031cb") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript84e726576c6b44939f972fdaf95b05adContainer.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm6ac0df86e39449e7b128e3090a5031cb"; } } } } function mpForm84e726576c6b44939f972fdaf95b05adCheck() { let checkBoxes = document.getElementById("mpform-84e726576c6b44939f972fdaf95b05ad").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 mpForm84e726576c6b44939f972fdaf95b05adSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-84e726576c6b44939f972fdaf95b05ad").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-84e726576c6b44939f972fdaf95b05ad").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-84e726576c6b44939f972fdaf95b05ad").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-84e726576c6b44939f972fdaf95b05ad')), 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: getTrackingId84e726576c6b44939f972fdaf95b05ad() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-84e726576c6b44939f972fdaf95b05ad").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-84e726576c6b44939f972fdaf95b05ad").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=41939", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm84e726576c6b44939f972fdaf95b05adCheck(); 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-84e726576c6b44939f972fdaf95b05ad').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-84e726576c6b44939f972fdaf95b05ad").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-84e726576c6b44939f972fdaf95b05ad').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm6ac0df86e39449e7b128e3090a5031cb); } else { mpForm84e726576c6b44939f972fdaf95b05adCheck(); 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 mpmRecaptchaLoaded84e726576c6b44939f972fdaf95b05ad() { captchaWidgetmpFrm6ac0df86e39449e7b128e3090a5031cb = grecaptcha.render('mpmRecaptchampFrm6ac0df86e39449e7b128e3090a5031cb', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId84e726576c6b44939f972fdaf95b05ad() { 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 mpmFormInit84e726576c6b44939f972fdaf95b05ad () { 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 finishedLoading84e726576c6b44939f972fdaf95b05ad() { window.mpFormLoading = false; let container = document.getElementById('mpFrm6ac0df86e39449e7b128e3090a5031cb'); if (!container) { mpFormmpFrm6ac0df86e39449e7b128e3090a5031cbFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm6ac0df86e39449e7b128e3090a5031cb'); return setTimeout(finishedLoading84e726576c6b44939f972fdaf95b05ad, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-84e726576c6b44939f972fdaf95b05ad").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-84e726576c6b44939f972fdaf95b05ad").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-84e726576c6b44939f972fdaf95b05ad").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-84e726576c6b44939f972fdaf95b05ad").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-84e726576c6b44939f972fdaf95b05ad").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=mpmRecaptchaLoaded84e726576c6b44939f972fdaf95b05ad&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup84e726576c6b44939f972fdaf95b05ad() { let popups = document.getElementById("mpform-84e726576c6b44939f972fdaf95b05ad").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput84e726576c6b44939f972fdaf95b05ad() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading84e726576c6b44939f972fdaf95b05ad(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading84e726576c6b44939f972fdaf95b05ad(); } } 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); mploadTelInput84e726576c6b44939f972fdaf95b05ad(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit84e726576c6b44939f972fdaf95b05ad(); } else { function waitForOtherFormsmpFrm6ac0df86e39449e7b128e3090a5031cb() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit84e726576c6b44939f972fdaf95b05ad(); } else { setTimeout(waitForOtherFormsmpFrm6ac0df86e39449e7b128e3090a5031cb,300); } } waitForOtherFormsmpFrm6ac0df86e39449e7b128e3090a5031cb(); }