var captchaWidgetmpFrmf703f7024e3b494eb3f04c794bce3da3; var mpCurrentScriptmpFrmf703f7024e3b494eb3f04c794bce3da3Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmf703f7024e3b494eb3f04c794bce3da3"; 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); mpFormmpFrmf703f7024e3b494eb3f04c794bce3da3Find(); } })(); function mpFormmpFrmf703f7024e3b494eb3f04c794bce3da3Find() { if(!mpCurrentScriptmpFrmf703f7024e3b494eb3f04c794bce3da3Container) return; if (mpCurrentScriptmpFrmf703f7024e3b494eb3f04c794bce3da3Container && mpCurrentScriptmpFrmf703f7024e3b494eb3f04c794bce3da3Container.nodeName && mpCurrentScriptmpFrmf703f7024e3b494eb3f04c794bce3da3Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmf703f7024e3b494eb3f04c794bce3da3" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmf703f7024e3b494eb3f04c794bce3da3Container.children).forEach(c => { if (c.id === "mpFrmf703f7024e3b494eb3f04c794bce3da3") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript64812340ece041d4a8407bd061cf6f81Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmf703f7024e3b494eb3f04c794bce3da3"; } } } } function mpForm64812340ece041d4a8407bd061cf6f81Check() { let checkBoxes = document.getElementById("mpform-64812340ece041d4a8407bd061cf6f81").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 mpForm64812340ece041d4a8407bd061cf6f81Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-64812340ece041d4a8407bd061cf6f81").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-64812340ece041d4a8407bd061cf6f81").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-64812340ece041d4a8407bd061cf6f81").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-64812340ece041d4a8407bd061cf6f81')), 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: getTrackingId64812340ece041d4a8407bd061cf6f81() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-64812340ece041d4a8407bd061cf6f81").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-64812340ece041d4a8407bd061cf6f81").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) { mpForm64812340ece041d4a8407bd061cf6f81Check(); 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-64812340ece041d4a8407bd061cf6f81').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-64812340ece041d4a8407bd061cf6f81").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-64812340ece041d4a8407bd061cf6f81').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmf703f7024e3b494eb3f04c794bce3da3); } else { mpForm64812340ece041d4a8407bd061cf6f81Check(); 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 mpmRecaptchaLoaded64812340ece041d4a8407bd061cf6f81() { captchaWidgetmpFrmf703f7024e3b494eb3f04c794bce3da3 = grecaptcha.render('mpmRecaptchampFrmf703f7024e3b494eb3f04c794bce3da3', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId64812340ece041d4a8407bd061cf6f81() { 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 mpmFormInit64812340ece041d4a8407bd061cf6f81 () { 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 finishedLoading64812340ece041d4a8407bd061cf6f81() { window.mpFormLoading = false; let container = document.getElementById('mpFrmf703f7024e3b494eb3f04c794bce3da3'); if (!container) { mpFormmpFrmf703f7024e3b494eb3f04c794bce3da3Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmf703f7024e3b494eb3f04c794bce3da3'); return setTimeout(finishedLoading64812340ece041d4a8407bd061cf6f81, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-64812340ece041d4a8407bd061cf6f81").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-64812340ece041d4a8407bd061cf6f81").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-64812340ece041d4a8407bd061cf6f81").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-64812340ece041d4a8407bd061cf6f81").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-64812340ece041d4a8407bd061cf6f81").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=mpmRecaptchaLoaded64812340ece041d4a8407bd061cf6f81&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup64812340ece041d4a8407bd061cf6f81() { let popups = document.getElementById("mpform-64812340ece041d4a8407bd061cf6f81").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput64812340ece041d4a8407bd061cf6f81() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading64812340ece041d4a8407bd061cf6f81(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading64812340ece041d4a8407bd061cf6f81(); } } 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); mploadTelInput64812340ece041d4a8407bd061cf6f81(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit64812340ece041d4a8407bd061cf6f81(); } else { function waitForOtherFormsmpFrmf703f7024e3b494eb3f04c794bce3da3() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit64812340ece041d4a8407bd061cf6f81(); } else { setTimeout(waitForOtherFormsmpFrmf703f7024e3b494eb3f04c794bce3da3,300); } } waitForOtherFormsmpFrmf703f7024e3b494eb3f04c794bce3da3(); }