var captchaWidgetmpFrm0a31eb2519bc429b89999577e8ea89e1; var mpCurrentScriptmpFrm0a31eb2519bc429b89999577e8ea89e1Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm0a31eb2519bc429b89999577e8ea89e1"; 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); mpFormmpFrm0a31eb2519bc429b89999577e8ea89e1Find(); } })(); function mpFormmpFrm0a31eb2519bc429b89999577e8ea89e1Find() { if(!mpCurrentScriptmpFrm0a31eb2519bc429b89999577e8ea89e1Container) return; if (mpCurrentScriptmpFrm0a31eb2519bc429b89999577e8ea89e1Container && mpCurrentScriptmpFrm0a31eb2519bc429b89999577e8ea89e1Container.nodeName && mpCurrentScriptmpFrm0a31eb2519bc429b89999577e8ea89e1Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm0a31eb2519bc429b89999577e8ea89e1" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm0a31eb2519bc429b89999577e8ea89e1Container.children).forEach(c => { if (c.id === "mpFrm0a31eb2519bc429b89999577e8ea89e1") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptedfab5b77d434fc48c02db197a01c544Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm0a31eb2519bc429b89999577e8ea89e1"; } } } } function mpFormedfab5b77d434fc48c02db197a01c544Check() { let checkBoxes = document.getElementById("mpform-edfab5b77d434fc48c02db197a01c544").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 mpFormedfab5b77d434fc48c02db197a01c544Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-edfab5b77d434fc48c02db197a01c544").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-edfab5b77d434fc48c02db197a01c544").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-edfab5b77d434fc48c02db197a01c544").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-edfab5b77d434fc48c02db197a01c544')), 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: getTrackingIdedfab5b77d434fc48c02db197a01c544() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-edfab5b77d434fc48c02db197a01c544").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-edfab5b77d434fc48c02db197a01c544").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) { mpFormedfab5b77d434fc48c02db197a01c544Check(); 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-edfab5b77d434fc48c02db197a01c544').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-edfab5b77d434fc48c02db197a01c544").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-edfab5b77d434fc48c02db197a01c544').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm0a31eb2519bc429b89999577e8ea89e1); } else { mpFormedfab5b77d434fc48c02db197a01c544Check(); 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 mpmRecaptchaLoadededfab5b77d434fc48c02db197a01c544() { captchaWidgetmpFrm0a31eb2519bc429b89999577e8ea89e1 = grecaptcha.render('mpmRecaptchampFrm0a31eb2519bc429b89999577e8ea89e1', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdedfab5b77d434fc48c02db197a01c544() { 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 mpmFormInitedfab5b77d434fc48c02db197a01c544 () { 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 finishedLoadingedfab5b77d434fc48c02db197a01c544() { window.mpFormLoading = false; let container = document.getElementById('mpFrm0a31eb2519bc429b89999577e8ea89e1'); if (!container) { mpFormmpFrm0a31eb2519bc429b89999577e8ea89e1Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm0a31eb2519bc429b89999577e8ea89e1'); return setTimeout(finishedLoadingedfab5b77d434fc48c02db197a01c544, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-edfab5b77d434fc48c02db197a01c544").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-edfab5b77d434fc48c02db197a01c544").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-edfab5b77d434fc48c02db197a01c544").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-edfab5b77d434fc48c02db197a01c544").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-edfab5b77d434fc48c02db197a01c544").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=mpmRecaptchaLoadededfab5b77d434fc48c02db197a01c544&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupedfab5b77d434fc48c02db197a01c544() { let popups = document.getElementById("mpform-edfab5b77d434fc48c02db197a01c544").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputedfab5b77d434fc48c02db197a01c544() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingedfab5b77d434fc48c02db197a01c544(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingedfab5b77d434fc48c02db197a01c544(); } } 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); mploadTelInputedfab5b77d434fc48c02db197a01c544(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitedfab5b77d434fc48c02db197a01c544(); } else { function waitForOtherFormsmpFrm0a31eb2519bc429b89999577e8ea89e1() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitedfab5b77d434fc48c02db197a01c544(); } else { setTimeout(waitForOtherFormsmpFrm0a31eb2519bc429b89999577e8ea89e1,300); } } waitForOtherFormsmpFrm0a31eb2519bc429b89999577e8ea89e1(); }