var captchaWidgetmpFrm9675b8d64d0740ba8faa84d5ca4fd5e1; var mpCurrentScriptmpFrm9675b8d64d0740ba8faa84d5ca4fd5e1Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm9675b8d64d0740ba8faa84d5ca4fd5e1"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41911"); 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); mpFormmpFrm9675b8d64d0740ba8faa84d5ca4fd5e1Find(); } })(); function mpFormmpFrm9675b8d64d0740ba8faa84d5ca4fd5e1Find() { if(!mpCurrentScriptmpFrm9675b8d64d0740ba8faa84d5ca4fd5e1Container) return; if (mpCurrentScriptmpFrm9675b8d64d0740ba8faa84d5ca4fd5e1Container && mpCurrentScriptmpFrm9675b8d64d0740ba8faa84d5ca4fd5e1Container.nodeName && mpCurrentScriptmpFrm9675b8d64d0740ba8faa84d5ca4fd5e1Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm9675b8d64d0740ba8faa84d5ca4fd5e1" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm9675b8d64d0740ba8faa84d5ca4fd5e1Container.children).forEach(c => { if (c.id === "mpFrm9675b8d64d0740ba8faa84d5ca4fd5e1") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptda66e941a104445bbab7f7fa7e931929Container.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm9675b8d64d0740ba8faa84d5ca4fd5e1"; } } } } function mpFormda66e941a104445bbab7f7fa7e931929Check() { let checkBoxes = document.getElementById("mpform-da66e941a104445bbab7f7fa7e931929").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 mpFormda66e941a104445bbab7f7fa7e931929Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-da66e941a104445bbab7f7fa7e931929").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-da66e941a104445bbab7f7fa7e931929").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-da66e941a104445bbab7f7fa7e931929").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-da66e941a104445bbab7f7fa7e931929')), 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: getTrackingIdda66e941a104445bbab7f7fa7e931929() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-da66e941a104445bbab7f7fa7e931929").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-da66e941a104445bbab7f7fa7e931929").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=41911", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpFormda66e941a104445bbab7f7fa7e931929Check(); 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-da66e941a104445bbab7f7fa7e931929').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-da66e941a104445bbab7f7fa7e931929").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-da66e941a104445bbab7f7fa7e931929').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm9675b8d64d0740ba8faa84d5ca4fd5e1); } else { mpFormda66e941a104445bbab7f7fa7e931929Check(); 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 mpmRecaptchaLoadedda66e941a104445bbab7f7fa7e931929() { captchaWidgetmpFrm9675b8d64d0740ba8faa84d5ca4fd5e1 = grecaptcha.render('mpmRecaptchampFrm9675b8d64d0740ba8faa84d5ca4fd5e1', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdda66e941a104445bbab7f7fa7e931929() { 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 mpmFormInitda66e941a104445bbab7f7fa7e931929 () { 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 finishedLoadingda66e941a104445bbab7f7fa7e931929() { window.mpFormLoading = false; let container = document.getElementById('mpFrm9675b8d64d0740ba8faa84d5ca4fd5e1'); if (!container) { mpFormmpFrm9675b8d64d0740ba8faa84d5ca4fd5e1Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm9675b8d64d0740ba8faa84d5ca4fd5e1'); return setTimeout(finishedLoadingda66e941a104445bbab7f7fa7e931929, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-da66e941a104445bbab7f7fa7e931929").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-da66e941a104445bbab7f7fa7e931929").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-da66e941a104445bbab7f7fa7e931929").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-da66e941a104445bbab7f7fa7e931929").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-da66e941a104445bbab7f7fa7e931929").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=mpmRecaptchaLoadedda66e941a104445bbab7f7fa7e931929&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupda66e941a104445bbab7f7fa7e931929() { let popups = document.getElementById("mpform-da66e941a104445bbab7f7fa7e931929").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputda66e941a104445bbab7f7fa7e931929() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingda66e941a104445bbab7f7fa7e931929(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingda66e941a104445bbab7f7fa7e931929(); } } 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); mploadTelInputda66e941a104445bbab7f7fa7e931929(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitda66e941a104445bbab7f7fa7e931929(); } else { function waitForOtherFormsmpFrm9675b8d64d0740ba8faa84d5ca4fd5e1() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitda66e941a104445bbab7f7fa7e931929(); } else { setTimeout(waitForOtherFormsmpFrm9675b8d64d0740ba8faa84d5ca4fd5e1,300); } } waitForOtherFormsmpFrm9675b8d64d0740ba8faa84d5ca4fd5e1(); }