var captchaWidgetmpFrm83fc2b72a3f944aaa2788c5f97f69790; var mpCurrentScriptmpFrm83fc2b72a3f944aaa2788c5f97f69790Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm83fc2b72a3f944aaa2788c5f97f69790"; 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); mpFormmpFrm83fc2b72a3f944aaa2788c5f97f69790Find(); } })(); function mpFormmpFrm83fc2b72a3f944aaa2788c5f97f69790Find() { if(!mpCurrentScriptmpFrm83fc2b72a3f944aaa2788c5f97f69790Container) return; if (mpCurrentScriptmpFrm83fc2b72a3f944aaa2788c5f97f69790Container && mpCurrentScriptmpFrm83fc2b72a3f944aaa2788c5f97f69790Container.nodeName && mpCurrentScriptmpFrm83fc2b72a3f944aaa2788c5f97f69790Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm83fc2b72a3f944aaa2788c5f97f69790" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm83fc2b72a3f944aaa2788c5f97f69790Container.children).forEach(c => { if (c.id === "mpFrm83fc2b72a3f944aaa2788c5f97f69790") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScripta74aee3d7478466cb6cf5b7d7385da6bContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm83fc2b72a3f944aaa2788c5f97f69790"; } } } } function mpForma74aee3d7478466cb6cf5b7d7385da6bCheck() { let checkBoxes = document.getElementById("mpform-a74aee3d7478466cb6cf5b7d7385da6b").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 mpForma74aee3d7478466cb6cf5b7d7385da6bSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-a74aee3d7478466cb6cf5b7d7385da6b").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-a74aee3d7478466cb6cf5b7d7385da6b").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-a74aee3d7478466cb6cf5b7d7385da6b").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-a74aee3d7478466cb6cf5b7d7385da6b')), 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: getTrackingIda74aee3d7478466cb6cf5b7d7385da6b() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-a74aee3d7478466cb6cf5b7d7385da6b").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-a74aee3d7478466cb6cf5b7d7385da6b").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) { mpForma74aee3d7478466cb6cf5b7d7385da6bCheck(); 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-a74aee3d7478466cb6cf5b7d7385da6b').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-a74aee3d7478466cb6cf5b7d7385da6b").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-a74aee3d7478466cb6cf5b7d7385da6b').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm83fc2b72a3f944aaa2788c5f97f69790); } else { mpForma74aee3d7478466cb6cf5b7d7385da6bCheck(); 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 mpmRecaptchaLoadeda74aee3d7478466cb6cf5b7d7385da6b() { captchaWidgetmpFrm83fc2b72a3f944aaa2788c5f97f69790 = grecaptcha.render('mpmRecaptchampFrm83fc2b72a3f944aaa2788c5f97f69790', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIda74aee3d7478466cb6cf5b7d7385da6b() { 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 mpmFormInita74aee3d7478466cb6cf5b7d7385da6b () { 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 finishedLoadinga74aee3d7478466cb6cf5b7d7385da6b() { window.mpFormLoading = false; let container = document.getElementById('mpFrm83fc2b72a3f944aaa2788c5f97f69790'); if (!container) { mpFormmpFrm83fc2b72a3f944aaa2788c5f97f69790Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm83fc2b72a3f944aaa2788c5f97f69790'); return setTimeout(finishedLoadinga74aee3d7478466cb6cf5b7d7385da6b, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-a74aee3d7478466cb6cf5b7d7385da6b").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-a74aee3d7478466cb6cf5b7d7385da6b").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-a74aee3d7478466cb6cf5b7d7385da6b").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-a74aee3d7478466cb6cf5b7d7385da6b").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-a74aee3d7478466cb6cf5b7d7385da6b").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=mpmRecaptchaLoadeda74aee3d7478466cb6cf5b7d7385da6b&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupa74aee3d7478466cb6cf5b7d7385da6b() { let popups = document.getElementById("mpform-a74aee3d7478466cb6cf5b7d7385da6b").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputa74aee3d7478466cb6cf5b7d7385da6b() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadinga74aee3d7478466cb6cf5b7d7385da6b(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinga74aee3d7478466cb6cf5b7d7385da6b(); } } 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); mploadTelInputa74aee3d7478466cb6cf5b7d7385da6b(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInita74aee3d7478466cb6cf5b7d7385da6b(); } else { function waitForOtherFormsmpFrm83fc2b72a3f944aaa2788c5f97f69790() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInita74aee3d7478466cb6cf5b7d7385da6b(); } else { setTimeout(waitForOtherFormsmpFrm83fc2b72a3f944aaa2788c5f97f69790,300); } } waitForOtherFormsmpFrm83fc2b72a3f944aaa2788c5f97f69790(); }