var captchaWidgetmpFrm0007504e8ce942ad9ddfc4a91e5d5110; var mpCurrentScriptmpFrm0007504e8ce942ad9ddfc4a91e5d5110Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm0007504e8ce942ad9ddfc4a91e5d5110"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41863"); 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); mpFormmpFrm0007504e8ce942ad9ddfc4a91e5d5110Find(); } })(); function mpFormmpFrm0007504e8ce942ad9ddfc4a91e5d5110Find() { if(!mpCurrentScriptmpFrm0007504e8ce942ad9ddfc4a91e5d5110Container) return; if (mpCurrentScriptmpFrm0007504e8ce942ad9ddfc4a91e5d5110Container && mpCurrentScriptmpFrm0007504e8ce942ad9ddfc4a91e5d5110Container.nodeName && mpCurrentScriptmpFrm0007504e8ce942ad9ddfc4a91e5d5110Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41863']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm0007504e8ce942ad9ddfc4a91e5d5110" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm0007504e8ce942ad9ddfc4a91e5d5110Container.children).forEach(c => { if (c.id === "mpFrm0007504e8ce942ad9ddfc4a91e5d5110") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptaa2d34ded77343a588e389831ef5436cContainer.children).filter(e => e.dataset && e.dataset.mpid === "41863"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm0007504e8ce942ad9ddfc4a91e5d5110"; } } } } function mpFormaa2d34ded77343a588e389831ef5436cCheck() { let checkBoxes = document.getElementById("mpform-aa2d34ded77343a588e389831ef5436c").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 mpFormaa2d34ded77343a588e389831ef5436cSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-aa2d34ded77343a588e389831ef5436c").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-aa2d34ded77343a588e389831ef5436c").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-aa2d34ded77343a588e389831ef5436c").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-aa2d34ded77343a588e389831ef5436c')), 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: getTrackingIdaa2d34ded77343a588e389831ef5436c() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-aa2d34ded77343a588e389831ef5436c").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-aa2d34ded77343a588e389831ef5436c").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=41863", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpFormaa2d34ded77343a588e389831ef5436cCheck(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; let response = JSON.parse(xhr.responseText); try { document.getElementById('mpform-aa2d34ded77343a588e389831ef5436c').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-aa2d34ded77343a588e389831ef5436c").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-aa2d34ded77343a588e389831ef5436c').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm0007504e8ce942ad9ddfc4a91e5d5110); } else { mpFormaa2d34ded77343a588e389831ef5436cCheck(); 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 mpmRecaptchaLoadedaa2d34ded77343a588e389831ef5436c() { captchaWidgetmpFrm0007504e8ce942ad9ddfc4a91e5d5110 = grecaptcha.render('mpmRecaptchampFrm0007504e8ce942ad9ddfc4a91e5d5110', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdaa2d34ded77343a588e389831ef5436c() { 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 mpmFormInitaa2d34ded77343a588e389831ef5436c () { 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 finishedLoadingaa2d34ded77343a588e389831ef5436c() { window.mpFormLoading = false; let container = document.getElementById('mpFrm0007504e8ce942ad9ddfc4a91e5d5110'); if (!container) { mpFormmpFrm0007504e8ce942ad9ddfc4a91e5d5110Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm0007504e8ce942ad9ddfc4a91e5d5110'); return setTimeout(finishedLoadingaa2d34ded77343a588e389831ef5436c, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-aa2d34ded77343a588e389831ef5436c").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-aa2d34ded77343a588e389831ef5436c").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-aa2d34ded77343a588e389831ef5436c").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-aa2d34ded77343a588e389831ef5436c").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-aa2d34ded77343a588e389831ef5436c").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=mpmRecaptchaLoadedaa2d34ded77343a588e389831ef5436c&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupaa2d34ded77343a588e389831ef5436c() { let popups = document.getElementById("mpform-aa2d34ded77343a588e389831ef5436c").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputaa2d34ded77343a588e389831ef5436c() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingaa2d34ded77343a588e389831ef5436c(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingaa2d34ded77343a588e389831ef5436c(); } } 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); mploadTelInputaa2d34ded77343a588e389831ef5436c(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitaa2d34ded77343a588e389831ef5436c(); } else { function waitForOtherFormsmpFrm0007504e8ce942ad9ddfc4a91e5d5110() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitaa2d34ded77343a588e389831ef5436c(); } else { setTimeout(waitForOtherFormsmpFrm0007504e8ce942ad9ddfc4a91e5d5110,300); } } waitForOtherFormsmpFrm0007504e8ce942ad9ddfc4a91e5d5110(); }