var captchaWidgetmpFrm378d2ca880434426af58b6fb540e3e89; var mpCurrentScriptmpFrm378d2ca880434426af58b6fb540e3e89Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm378d2ca880434426af58b6fb540e3e89"; 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); mpFormmpFrm378d2ca880434426af58b6fb540e3e89Find(); } })(); function mpFormmpFrm378d2ca880434426af58b6fb540e3e89Find() { if(!mpCurrentScriptmpFrm378d2ca880434426af58b6fb540e3e89Container) return; if (mpCurrentScriptmpFrm378d2ca880434426af58b6fb540e3e89Container && mpCurrentScriptmpFrm378d2ca880434426af58b6fb540e3e89Container.nodeName && mpCurrentScriptmpFrm378d2ca880434426af58b6fb540e3e89Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm378d2ca880434426af58b6fb540e3e89" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm378d2ca880434426af58b6fb540e3e89Container.children).forEach(c => { if (c.id === "mpFrm378d2ca880434426af58b6fb540e3e89") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptdcd0d9ec3ee740c3b42e11e9af901353Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm378d2ca880434426af58b6fb540e3e89"; } } } } function mpFormdcd0d9ec3ee740c3b42e11e9af901353Check() { let checkBoxes = document.getElementById("mpform-dcd0d9ec3ee740c3b42e11e9af901353").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 mpFormdcd0d9ec3ee740c3b42e11e9af901353Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-dcd0d9ec3ee740c3b42e11e9af901353").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-dcd0d9ec3ee740c3b42e11e9af901353").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-dcd0d9ec3ee740c3b42e11e9af901353").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-dcd0d9ec3ee740c3b42e11e9af901353')), 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: getTrackingIddcd0d9ec3ee740c3b42e11e9af901353() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-dcd0d9ec3ee740c3b42e11e9af901353").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-dcd0d9ec3ee740c3b42e11e9af901353").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) { mpFormdcd0d9ec3ee740c3b42e11e9af901353Check(); 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-dcd0d9ec3ee740c3b42e11e9af901353').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-dcd0d9ec3ee740c3b42e11e9af901353").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-dcd0d9ec3ee740c3b42e11e9af901353').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm378d2ca880434426af58b6fb540e3e89); } else { mpFormdcd0d9ec3ee740c3b42e11e9af901353Check(); 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 mpmRecaptchaLoadeddcd0d9ec3ee740c3b42e11e9af901353() { captchaWidgetmpFrm378d2ca880434426af58b6fb540e3e89 = grecaptcha.render('mpmRecaptchampFrm378d2ca880434426af58b6fb540e3e89', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIddcd0d9ec3ee740c3b42e11e9af901353() { 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 mpmFormInitdcd0d9ec3ee740c3b42e11e9af901353 () { 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 finishedLoadingdcd0d9ec3ee740c3b42e11e9af901353() { window.mpFormLoading = false; let container = document.getElementById('mpFrm378d2ca880434426af58b6fb540e3e89'); if (!container) { mpFormmpFrm378d2ca880434426af58b6fb540e3e89Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm378d2ca880434426af58b6fb540e3e89'); return setTimeout(finishedLoadingdcd0d9ec3ee740c3b42e11e9af901353, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-dcd0d9ec3ee740c3b42e11e9af901353").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-dcd0d9ec3ee740c3b42e11e9af901353").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-dcd0d9ec3ee740c3b42e11e9af901353").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-dcd0d9ec3ee740c3b42e11e9af901353").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-dcd0d9ec3ee740c3b42e11e9af901353").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=mpmRecaptchaLoadeddcd0d9ec3ee740c3b42e11e9af901353&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupdcd0d9ec3ee740c3b42e11e9af901353() { let popups = document.getElementById("mpform-dcd0d9ec3ee740c3b42e11e9af901353").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputdcd0d9ec3ee740c3b42e11e9af901353() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingdcd0d9ec3ee740c3b42e11e9af901353(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingdcd0d9ec3ee740c3b42e11e9af901353(); } } 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); mploadTelInputdcd0d9ec3ee740c3b42e11e9af901353(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitdcd0d9ec3ee740c3b42e11e9af901353(); } else { function waitForOtherFormsmpFrm378d2ca880434426af58b6fb540e3e89() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitdcd0d9ec3ee740c3b42e11e9af901353(); } else { setTimeout(waitForOtherFormsmpFrm378d2ca880434426af58b6fb540e3e89,300); } } waitForOtherFormsmpFrm378d2ca880434426af58b6fb540e3e89(); }