var captchaWidgetmpFrm81d3ec27011c42728e0dc1ea7381aefb; var mpCurrentScriptmpFrm81d3ec27011c42728e0dc1ea7381aefbContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm81d3ec27011c42728e0dc1ea7381aefb"; 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); mpFormmpFrm81d3ec27011c42728e0dc1ea7381aefbFind(); } })(); function mpFormmpFrm81d3ec27011c42728e0dc1ea7381aefbFind() { if(!mpCurrentScriptmpFrm81d3ec27011c42728e0dc1ea7381aefbContainer) return; if (mpCurrentScriptmpFrm81d3ec27011c42728e0dc1ea7381aefbContainer && mpCurrentScriptmpFrm81d3ec27011c42728e0dc1ea7381aefbContainer.nodeName && mpCurrentScriptmpFrm81d3ec27011c42728e0dc1ea7381aefbContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm81d3ec27011c42728e0dc1ea7381aefb" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm81d3ec27011c42728e0dc1ea7381aefbContainer.children).forEach(c => { if (c.id === "mpFrm81d3ec27011c42728e0dc1ea7381aefb") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptbae23ac1666340618a46173e78c4c73bContainer.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm81d3ec27011c42728e0dc1ea7381aefb"; } } } } function mpFormbae23ac1666340618a46173e78c4c73bCheck() { let checkBoxes = document.getElementById("mpform-bae23ac1666340618a46173e78c4c73b").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 mpFormbae23ac1666340618a46173e78c4c73bSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-bae23ac1666340618a46173e78c4c73b").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-bae23ac1666340618a46173e78c4c73b").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-bae23ac1666340618a46173e78c4c73b").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-bae23ac1666340618a46173e78c4c73b')), 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: getTrackingIdbae23ac1666340618a46173e78c4c73b() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-bae23ac1666340618a46173e78c4c73b").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-bae23ac1666340618a46173e78c4c73b").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) { mpFormbae23ac1666340618a46173e78c4c73bCheck(); 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-bae23ac1666340618a46173e78c4c73b').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-bae23ac1666340618a46173e78c4c73b").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-bae23ac1666340618a46173e78c4c73b').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm81d3ec27011c42728e0dc1ea7381aefb); } else { mpFormbae23ac1666340618a46173e78c4c73bCheck(); 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 mpmRecaptchaLoadedbae23ac1666340618a46173e78c4c73b() { captchaWidgetmpFrm81d3ec27011c42728e0dc1ea7381aefb = grecaptcha.render('mpmRecaptchampFrm81d3ec27011c42728e0dc1ea7381aefb', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdbae23ac1666340618a46173e78c4c73b() { 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 mpmFormInitbae23ac1666340618a46173e78c4c73b () { 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 finishedLoadingbae23ac1666340618a46173e78c4c73b() { window.mpFormLoading = false; let container = document.getElementById('mpFrm81d3ec27011c42728e0dc1ea7381aefb'); if (!container) { mpFormmpFrm81d3ec27011c42728e0dc1ea7381aefbFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm81d3ec27011c42728e0dc1ea7381aefb'); return setTimeout(finishedLoadingbae23ac1666340618a46173e78c4c73b, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-bae23ac1666340618a46173e78c4c73b").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-bae23ac1666340618a46173e78c4c73b").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-bae23ac1666340618a46173e78c4c73b").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-bae23ac1666340618a46173e78c4c73b").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-bae23ac1666340618a46173e78c4c73b").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=mpmRecaptchaLoadedbae23ac1666340618a46173e78c4c73b&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupbae23ac1666340618a46173e78c4c73b() { let popups = document.getElementById("mpform-bae23ac1666340618a46173e78c4c73b").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputbae23ac1666340618a46173e78c4c73b() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingbae23ac1666340618a46173e78c4c73b(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingbae23ac1666340618a46173e78c4c73b(); } } 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); mploadTelInputbae23ac1666340618a46173e78c4c73b(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitbae23ac1666340618a46173e78c4c73b(); } else { function waitForOtherFormsmpFrm81d3ec27011c42728e0dc1ea7381aefb() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitbae23ac1666340618a46173e78c4c73b(); } else { setTimeout(waitForOtherFormsmpFrm81d3ec27011c42728e0dc1ea7381aefb,300); } } waitForOtherFormsmpFrm81d3ec27011c42728e0dc1ea7381aefb(); }