var captchaWidgetmpFrm776e7bf85b1447739d3baed57b0b8cd3; var mpCurrentScriptmpFrm776e7bf85b1447739d3baed57b0b8cd3Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm776e7bf85b1447739d3baed57b0b8cd3"; 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); mpFormmpFrm776e7bf85b1447739d3baed57b0b8cd3Find(); } })(); function mpFormmpFrm776e7bf85b1447739d3baed57b0b8cd3Find() { if(!mpCurrentScriptmpFrm776e7bf85b1447739d3baed57b0b8cd3Container) return; if (mpCurrentScriptmpFrm776e7bf85b1447739d3baed57b0b8cd3Container && mpCurrentScriptmpFrm776e7bf85b1447739d3baed57b0b8cd3Container.nodeName && mpCurrentScriptmpFrm776e7bf85b1447739d3baed57b0b8cd3Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm776e7bf85b1447739d3baed57b0b8cd3" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm776e7bf85b1447739d3baed57b0b8cd3Container.children).forEach(c => { if (c.id === "mpFrm776e7bf85b1447739d3baed57b0b8cd3") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript9509211d2c1249f59fa30f3590a453cbContainer.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm776e7bf85b1447739d3baed57b0b8cd3"; } } } } function mpForm9509211d2c1249f59fa30f3590a453cbCheck() { let checkBoxes = document.getElementById("mpform-9509211d2c1249f59fa30f3590a453cb").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 mpForm9509211d2c1249f59fa30f3590a453cbSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-9509211d2c1249f59fa30f3590a453cb").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-9509211d2c1249f59fa30f3590a453cb").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-9509211d2c1249f59fa30f3590a453cb").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-9509211d2c1249f59fa30f3590a453cb')), 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: getTrackingId9509211d2c1249f59fa30f3590a453cb() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-9509211d2c1249f59fa30f3590a453cb").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-9509211d2c1249f59fa30f3590a453cb").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) { mpForm9509211d2c1249f59fa30f3590a453cbCheck(); 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-9509211d2c1249f59fa30f3590a453cb').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-9509211d2c1249f59fa30f3590a453cb").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-9509211d2c1249f59fa30f3590a453cb').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm776e7bf85b1447739d3baed57b0b8cd3); } else { mpForm9509211d2c1249f59fa30f3590a453cbCheck(); 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 mpmRecaptchaLoaded9509211d2c1249f59fa30f3590a453cb() { captchaWidgetmpFrm776e7bf85b1447739d3baed57b0b8cd3 = grecaptcha.render('mpmRecaptchampFrm776e7bf85b1447739d3baed57b0b8cd3', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId9509211d2c1249f59fa30f3590a453cb() { 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 mpmFormInit9509211d2c1249f59fa30f3590a453cb () { 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 finishedLoading9509211d2c1249f59fa30f3590a453cb() { window.mpFormLoading = false; let container = document.getElementById('mpFrm776e7bf85b1447739d3baed57b0b8cd3'); if (!container) { mpFormmpFrm776e7bf85b1447739d3baed57b0b8cd3Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm776e7bf85b1447739d3baed57b0b8cd3'); return setTimeout(finishedLoading9509211d2c1249f59fa30f3590a453cb, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-9509211d2c1249f59fa30f3590a453cb").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-9509211d2c1249f59fa30f3590a453cb").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-9509211d2c1249f59fa30f3590a453cb").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-9509211d2c1249f59fa30f3590a453cb").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-9509211d2c1249f59fa30f3590a453cb").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=mpmRecaptchaLoaded9509211d2c1249f59fa30f3590a453cb&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup9509211d2c1249f59fa30f3590a453cb() { let popups = document.getElementById("mpform-9509211d2c1249f59fa30f3590a453cb").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput9509211d2c1249f59fa30f3590a453cb() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading9509211d2c1249f59fa30f3590a453cb(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading9509211d2c1249f59fa30f3590a453cb(); } } 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); mploadTelInput9509211d2c1249f59fa30f3590a453cb(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit9509211d2c1249f59fa30f3590a453cb(); } else { function waitForOtherFormsmpFrm776e7bf85b1447739d3baed57b0b8cd3() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit9509211d2c1249f59fa30f3590a453cb(); } else { setTimeout(waitForOtherFormsmpFrm776e7bf85b1447739d3baed57b0b8cd3,300); } } waitForOtherFormsmpFrm776e7bf85b1447739d3baed57b0b8cd3(); }