var captchaWidgetmpFrm6a4fc3b0b6874677854574d0c1d248ae; var mpCurrentScriptmpFrm6a4fc3b0b6874677854574d0c1d248aeContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm6a4fc3b0b6874677854574d0c1d248ae"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41943"); 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); mpFormmpFrm6a4fc3b0b6874677854574d0c1d248aeFind(); } })(); function mpFormmpFrm6a4fc3b0b6874677854574d0c1d248aeFind() { if(!mpCurrentScriptmpFrm6a4fc3b0b6874677854574d0c1d248aeContainer) return; if (mpCurrentScriptmpFrm6a4fc3b0b6874677854574d0c1d248aeContainer && mpCurrentScriptmpFrm6a4fc3b0b6874677854574d0c1d248aeContainer.nodeName && mpCurrentScriptmpFrm6a4fc3b0b6874677854574d0c1d248aeContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm6a4fc3b0b6874677854574d0c1d248ae" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm6a4fc3b0b6874677854574d0c1d248aeContainer.children).forEach(c => { if (c.id === "mpFrm6a4fc3b0b6874677854574d0c1d248ae") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript00b9e899a9bb469f93746e10b9701716Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm6a4fc3b0b6874677854574d0c1d248ae"; } } } } function mpForm00b9e899a9bb469f93746e10b9701716Check() { let checkBoxes = document.getElementById("mpform-00b9e899a9bb469f93746e10b9701716").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 mpForm00b9e899a9bb469f93746e10b9701716Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-00b9e899a9bb469f93746e10b9701716").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-00b9e899a9bb469f93746e10b9701716").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-00b9e899a9bb469f93746e10b9701716").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-00b9e899a9bb469f93746e10b9701716')), 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: getTrackingId00b9e899a9bb469f93746e10b9701716() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-00b9e899a9bb469f93746e10b9701716").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-00b9e899a9bb469f93746e10b9701716").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=41943", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm00b9e899a9bb469f93746e10b9701716Check(); 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-00b9e899a9bb469f93746e10b9701716').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-00b9e899a9bb469f93746e10b9701716").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-00b9e899a9bb469f93746e10b9701716').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm6a4fc3b0b6874677854574d0c1d248ae); } else { mpForm00b9e899a9bb469f93746e10b9701716Check(); 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 mpmRecaptchaLoaded00b9e899a9bb469f93746e10b9701716() { captchaWidgetmpFrm6a4fc3b0b6874677854574d0c1d248ae = grecaptcha.render('mpmRecaptchampFrm6a4fc3b0b6874677854574d0c1d248ae', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId00b9e899a9bb469f93746e10b9701716() { 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 mpmFormInit00b9e899a9bb469f93746e10b9701716 () { 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 finishedLoading00b9e899a9bb469f93746e10b9701716() { window.mpFormLoading = false; let container = document.getElementById('mpFrm6a4fc3b0b6874677854574d0c1d248ae'); if (!container) { mpFormmpFrm6a4fc3b0b6874677854574d0c1d248aeFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm6a4fc3b0b6874677854574d0c1d248ae'); return setTimeout(finishedLoading00b9e899a9bb469f93746e10b9701716, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-00b9e899a9bb469f93746e10b9701716").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-00b9e899a9bb469f93746e10b9701716").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-00b9e899a9bb469f93746e10b9701716").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-00b9e899a9bb469f93746e10b9701716").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-00b9e899a9bb469f93746e10b9701716").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=mpmRecaptchaLoaded00b9e899a9bb469f93746e10b9701716&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup00b9e899a9bb469f93746e10b9701716() { let popups = document.getElementById("mpform-00b9e899a9bb469f93746e10b9701716").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput00b9e899a9bb469f93746e10b9701716() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading00b9e899a9bb469f93746e10b9701716(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading00b9e899a9bb469f93746e10b9701716(); } } 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); mploadTelInput00b9e899a9bb469f93746e10b9701716(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit00b9e899a9bb469f93746e10b9701716(); } else { function waitForOtherFormsmpFrm6a4fc3b0b6874677854574d0c1d248ae() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit00b9e899a9bb469f93746e10b9701716(); } else { setTimeout(waitForOtherFormsmpFrm6a4fc3b0b6874677854574d0c1d248ae,300); } } waitForOtherFormsmpFrm6a4fc3b0b6874677854574d0c1d248ae(); }