var captchaWidgetmpFrmebd2dd4c3de74be7adf1cf4810bd068d; var mpCurrentScriptmpFrmebd2dd4c3de74be7adf1cf4810bd068dContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmebd2dd4c3de74be7adf1cf4810bd068d"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41955"); 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); mpFormmpFrmebd2dd4c3de74be7adf1cf4810bd068dFind(); } })(); function mpFormmpFrmebd2dd4c3de74be7adf1cf4810bd068dFind() { if(!mpCurrentScriptmpFrmebd2dd4c3de74be7adf1cf4810bd068dContainer) return; if (mpCurrentScriptmpFrmebd2dd4c3de74be7adf1cf4810bd068dContainer && mpCurrentScriptmpFrmebd2dd4c3de74be7adf1cf4810bd068dContainer.nodeName && mpCurrentScriptmpFrmebd2dd4c3de74be7adf1cf4810bd068dContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmebd2dd4c3de74be7adf1cf4810bd068d" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmebd2dd4c3de74be7adf1cf4810bd068dContainer.children).forEach(c => { if (c.id === "mpFrmebd2dd4c3de74be7adf1cf4810bd068d") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript7debdc51d77840188dfb71008a3ad830Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmebd2dd4c3de74be7adf1cf4810bd068d"; } } } } function mpForm7debdc51d77840188dfb71008a3ad830Check() { let checkBoxes = document.getElementById("mpform-7debdc51d77840188dfb71008a3ad830").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 mpForm7debdc51d77840188dfb71008a3ad830Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-7debdc51d77840188dfb71008a3ad830").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-7debdc51d77840188dfb71008a3ad830").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-7debdc51d77840188dfb71008a3ad830").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-7debdc51d77840188dfb71008a3ad830')), 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: getTrackingId7debdc51d77840188dfb71008a3ad830() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-7debdc51d77840188dfb71008a3ad830").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-7debdc51d77840188dfb71008a3ad830").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=41955", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm7debdc51d77840188dfb71008a3ad830Check(); 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-7debdc51d77840188dfb71008a3ad830').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-7debdc51d77840188dfb71008a3ad830").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-7debdc51d77840188dfb71008a3ad830').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmebd2dd4c3de74be7adf1cf4810bd068d); } else { mpForm7debdc51d77840188dfb71008a3ad830Check(); 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 mpmRecaptchaLoaded7debdc51d77840188dfb71008a3ad830() { captchaWidgetmpFrmebd2dd4c3de74be7adf1cf4810bd068d = grecaptcha.render('mpmRecaptchampFrmebd2dd4c3de74be7adf1cf4810bd068d', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId7debdc51d77840188dfb71008a3ad830() { 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 mpmFormInit7debdc51d77840188dfb71008a3ad830 () { 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 finishedLoading7debdc51d77840188dfb71008a3ad830() { window.mpFormLoading = false; let container = document.getElementById('mpFrmebd2dd4c3de74be7adf1cf4810bd068d'); if (!container) { mpFormmpFrmebd2dd4c3de74be7adf1cf4810bd068dFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmebd2dd4c3de74be7adf1cf4810bd068d'); return setTimeout(finishedLoading7debdc51d77840188dfb71008a3ad830, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-7debdc51d77840188dfb71008a3ad830").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-7debdc51d77840188dfb71008a3ad830").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-7debdc51d77840188dfb71008a3ad830").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-7debdc51d77840188dfb71008a3ad830").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-7debdc51d77840188dfb71008a3ad830").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=mpmRecaptchaLoaded7debdc51d77840188dfb71008a3ad830&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup7debdc51d77840188dfb71008a3ad830() { let popups = document.getElementById("mpform-7debdc51d77840188dfb71008a3ad830").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput7debdc51d77840188dfb71008a3ad830() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading7debdc51d77840188dfb71008a3ad830(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading7debdc51d77840188dfb71008a3ad830(); } } 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); mploadTelInput7debdc51d77840188dfb71008a3ad830(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit7debdc51d77840188dfb71008a3ad830(); } else { function waitForOtherFormsmpFrmebd2dd4c3de74be7adf1cf4810bd068d() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit7debdc51d77840188dfb71008a3ad830(); } else { setTimeout(waitForOtherFormsmpFrmebd2dd4c3de74be7adf1cf4810bd068d,300); } } waitForOtherFormsmpFrmebd2dd4c3de74be7adf1cf4810bd068d(); }