var captchaWidgetmpFrm1d1ecb531b81437081a9fa8583751fcc; var mpCurrentScriptmpFrm1d1ecb531b81437081a9fa8583751fccContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm1d1ecb531b81437081a9fa8583751fcc"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41939"); 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); mpFormmpFrm1d1ecb531b81437081a9fa8583751fccFind(); } })(); function mpFormmpFrm1d1ecb531b81437081a9fa8583751fccFind() { if(!mpCurrentScriptmpFrm1d1ecb531b81437081a9fa8583751fccContainer) return; if (mpCurrentScriptmpFrm1d1ecb531b81437081a9fa8583751fccContainer && mpCurrentScriptmpFrm1d1ecb531b81437081a9fa8583751fccContainer.nodeName && mpCurrentScriptmpFrm1d1ecb531b81437081a9fa8583751fccContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm1d1ecb531b81437081a9fa8583751fcc" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm1d1ecb531b81437081a9fa8583751fccContainer.children).forEach(c => { if (c.id === "mpFrm1d1ecb531b81437081a9fa8583751fcc") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptd026ed7e9041427793b286b43d14a298Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm1d1ecb531b81437081a9fa8583751fcc"; } } } } function mpFormd026ed7e9041427793b286b43d14a298Check() { let checkBoxes = document.getElementById("mpform-d026ed7e9041427793b286b43d14a298").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 mpFormd026ed7e9041427793b286b43d14a298Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-d026ed7e9041427793b286b43d14a298").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-d026ed7e9041427793b286b43d14a298").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-d026ed7e9041427793b286b43d14a298").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-d026ed7e9041427793b286b43d14a298')), 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: getTrackingIdd026ed7e9041427793b286b43d14a298() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-d026ed7e9041427793b286b43d14a298").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-d026ed7e9041427793b286b43d14a298").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=41939", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpFormd026ed7e9041427793b286b43d14a298Check(); 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-d026ed7e9041427793b286b43d14a298').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-d026ed7e9041427793b286b43d14a298").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-d026ed7e9041427793b286b43d14a298').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm1d1ecb531b81437081a9fa8583751fcc); } else { mpFormd026ed7e9041427793b286b43d14a298Check(); 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 mpmRecaptchaLoadedd026ed7e9041427793b286b43d14a298() { captchaWidgetmpFrm1d1ecb531b81437081a9fa8583751fcc = grecaptcha.render('mpmRecaptchampFrm1d1ecb531b81437081a9fa8583751fcc', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdd026ed7e9041427793b286b43d14a298() { 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 mpmFormInitd026ed7e9041427793b286b43d14a298 () { 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 finishedLoadingd026ed7e9041427793b286b43d14a298() { window.mpFormLoading = false; let container = document.getElementById('mpFrm1d1ecb531b81437081a9fa8583751fcc'); if (!container) { mpFormmpFrm1d1ecb531b81437081a9fa8583751fccFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm1d1ecb531b81437081a9fa8583751fcc'); return setTimeout(finishedLoadingd026ed7e9041427793b286b43d14a298, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-d026ed7e9041427793b286b43d14a298").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-d026ed7e9041427793b286b43d14a298").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-d026ed7e9041427793b286b43d14a298").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-d026ed7e9041427793b286b43d14a298").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-d026ed7e9041427793b286b43d14a298").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=mpmRecaptchaLoadedd026ed7e9041427793b286b43d14a298&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupd026ed7e9041427793b286b43d14a298() { let popups = document.getElementById("mpform-d026ed7e9041427793b286b43d14a298").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputd026ed7e9041427793b286b43d14a298() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingd026ed7e9041427793b286b43d14a298(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingd026ed7e9041427793b286b43d14a298(); } } 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); mploadTelInputd026ed7e9041427793b286b43d14a298(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitd026ed7e9041427793b286b43d14a298(); } else { function waitForOtherFormsmpFrm1d1ecb531b81437081a9fa8583751fcc() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitd026ed7e9041427793b286b43d14a298(); } else { setTimeout(waitForOtherFormsmpFrm1d1ecb531b81437081a9fa8583751fcc,300); } } waitForOtherFormsmpFrm1d1ecb531b81437081a9fa8583751fcc(); }