var captchaWidgetmpFrm6f57f46ffe8648ceb025f21f41d1b783; var mpCurrentScriptmpFrm6f57f46ffe8648ceb025f21f41d1b783Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm6f57f46ffe8648ceb025f21f41d1b783"; 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); mpFormmpFrm6f57f46ffe8648ceb025f21f41d1b783Find(); } })(); function mpFormmpFrm6f57f46ffe8648ceb025f21f41d1b783Find() { if(!mpCurrentScriptmpFrm6f57f46ffe8648ceb025f21f41d1b783Container) return; if (mpCurrentScriptmpFrm6f57f46ffe8648ceb025f21f41d1b783Container && mpCurrentScriptmpFrm6f57f46ffe8648ceb025f21f41d1b783Container.nodeName && mpCurrentScriptmpFrm6f57f46ffe8648ceb025f21f41d1b783Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm6f57f46ffe8648ceb025f21f41d1b783" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm6f57f46ffe8648ceb025f21f41d1b783Container.children).forEach(c => { if (c.id === "mpFrm6f57f46ffe8648ceb025f21f41d1b783") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript444718873bff4176a3ccab76eeda1e84Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm6f57f46ffe8648ceb025f21f41d1b783"; } } } } function mpForm444718873bff4176a3ccab76eeda1e84Check() { let checkBoxes = document.getElementById("mpform-444718873bff4176a3ccab76eeda1e84").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 mpForm444718873bff4176a3ccab76eeda1e84Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-444718873bff4176a3ccab76eeda1e84").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-444718873bff4176a3ccab76eeda1e84").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-444718873bff4176a3ccab76eeda1e84").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-444718873bff4176a3ccab76eeda1e84')), 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: getTrackingId444718873bff4176a3ccab76eeda1e84() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-444718873bff4176a3ccab76eeda1e84").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-444718873bff4176a3ccab76eeda1e84").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) { mpForm444718873bff4176a3ccab76eeda1e84Check(); 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-444718873bff4176a3ccab76eeda1e84').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-444718873bff4176a3ccab76eeda1e84").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-444718873bff4176a3ccab76eeda1e84').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm6f57f46ffe8648ceb025f21f41d1b783); } else { mpForm444718873bff4176a3ccab76eeda1e84Check(); 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 mpmRecaptchaLoaded444718873bff4176a3ccab76eeda1e84() { captchaWidgetmpFrm6f57f46ffe8648ceb025f21f41d1b783 = grecaptcha.render('mpmRecaptchampFrm6f57f46ffe8648ceb025f21f41d1b783', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId444718873bff4176a3ccab76eeda1e84() { 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 mpmFormInit444718873bff4176a3ccab76eeda1e84 () { 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 finishedLoading444718873bff4176a3ccab76eeda1e84() { window.mpFormLoading = false; let container = document.getElementById('mpFrm6f57f46ffe8648ceb025f21f41d1b783'); if (!container) { mpFormmpFrm6f57f46ffe8648ceb025f21f41d1b783Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm6f57f46ffe8648ceb025f21f41d1b783'); return setTimeout(finishedLoading444718873bff4176a3ccab76eeda1e84, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-444718873bff4176a3ccab76eeda1e84").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-444718873bff4176a3ccab76eeda1e84").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-444718873bff4176a3ccab76eeda1e84").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-444718873bff4176a3ccab76eeda1e84").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-444718873bff4176a3ccab76eeda1e84").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=mpmRecaptchaLoaded444718873bff4176a3ccab76eeda1e84&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup444718873bff4176a3ccab76eeda1e84() { let popups = document.getElementById("mpform-444718873bff4176a3ccab76eeda1e84").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput444718873bff4176a3ccab76eeda1e84() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading444718873bff4176a3ccab76eeda1e84(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading444718873bff4176a3ccab76eeda1e84(); } } 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); mploadTelInput444718873bff4176a3ccab76eeda1e84(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit444718873bff4176a3ccab76eeda1e84(); } else { function waitForOtherFormsmpFrm6f57f46ffe8648ceb025f21f41d1b783() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit444718873bff4176a3ccab76eeda1e84(); } else { setTimeout(waitForOtherFormsmpFrm6f57f46ffe8648ceb025f21f41d1b783,300); } } waitForOtherFormsmpFrm6f57f46ffe8648ceb025f21f41d1b783(); }