var captchaWidgetmpFrmf2cd8f33b3fc4f3db5ac58cd968ef939; var mpCurrentScriptmpFrmf2cd8f33b3fc4f3db5ac58cd968ef939Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmf2cd8f33b3fc4f3db5ac58cd968ef939"; 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); mpFormmpFrmf2cd8f33b3fc4f3db5ac58cd968ef939Find(); } })(); function mpFormmpFrmf2cd8f33b3fc4f3db5ac58cd968ef939Find() { if(!mpCurrentScriptmpFrmf2cd8f33b3fc4f3db5ac58cd968ef939Container) return; if (mpCurrentScriptmpFrmf2cd8f33b3fc4f3db5ac58cd968ef939Container && mpCurrentScriptmpFrmf2cd8f33b3fc4f3db5ac58cd968ef939Container.nodeName && mpCurrentScriptmpFrmf2cd8f33b3fc4f3db5ac58cd968ef939Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmf2cd8f33b3fc4f3db5ac58cd968ef939" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmf2cd8f33b3fc4f3db5ac58cd968ef939Container.children).forEach(c => { if (c.id === "mpFrmf2cd8f33b3fc4f3db5ac58cd968ef939") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript080adc47e9224231a8ae0e6395566e02Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmf2cd8f33b3fc4f3db5ac58cd968ef939"; } } } } function mpForm080adc47e9224231a8ae0e6395566e02Check() { let checkBoxes = document.getElementById("mpform-080adc47e9224231a8ae0e6395566e02").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 mpForm080adc47e9224231a8ae0e6395566e02Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-080adc47e9224231a8ae0e6395566e02").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-080adc47e9224231a8ae0e6395566e02").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-080adc47e9224231a8ae0e6395566e02").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-080adc47e9224231a8ae0e6395566e02')), 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: getTrackingId080adc47e9224231a8ae0e6395566e02() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-080adc47e9224231a8ae0e6395566e02").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-080adc47e9224231a8ae0e6395566e02").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) { mpForm080adc47e9224231a8ae0e6395566e02Check(); 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-080adc47e9224231a8ae0e6395566e02').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-080adc47e9224231a8ae0e6395566e02").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-080adc47e9224231a8ae0e6395566e02').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmf2cd8f33b3fc4f3db5ac58cd968ef939); } else { mpForm080adc47e9224231a8ae0e6395566e02Check(); 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 mpmRecaptchaLoaded080adc47e9224231a8ae0e6395566e02() { captchaWidgetmpFrmf2cd8f33b3fc4f3db5ac58cd968ef939 = grecaptcha.render('mpmRecaptchampFrmf2cd8f33b3fc4f3db5ac58cd968ef939', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId080adc47e9224231a8ae0e6395566e02() { 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 mpmFormInit080adc47e9224231a8ae0e6395566e02 () { 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 finishedLoading080adc47e9224231a8ae0e6395566e02() { window.mpFormLoading = false; let container = document.getElementById('mpFrmf2cd8f33b3fc4f3db5ac58cd968ef939'); if (!container) { mpFormmpFrmf2cd8f33b3fc4f3db5ac58cd968ef939Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmf2cd8f33b3fc4f3db5ac58cd968ef939'); return setTimeout(finishedLoading080adc47e9224231a8ae0e6395566e02, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-080adc47e9224231a8ae0e6395566e02").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-080adc47e9224231a8ae0e6395566e02").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-080adc47e9224231a8ae0e6395566e02").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-080adc47e9224231a8ae0e6395566e02").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-080adc47e9224231a8ae0e6395566e02").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=mpmRecaptchaLoaded080adc47e9224231a8ae0e6395566e02&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup080adc47e9224231a8ae0e6395566e02() { let popups = document.getElementById("mpform-080adc47e9224231a8ae0e6395566e02").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput080adc47e9224231a8ae0e6395566e02() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading080adc47e9224231a8ae0e6395566e02(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading080adc47e9224231a8ae0e6395566e02(); } } 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); mploadTelInput080adc47e9224231a8ae0e6395566e02(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit080adc47e9224231a8ae0e6395566e02(); } else { function waitForOtherFormsmpFrmf2cd8f33b3fc4f3db5ac58cd968ef939() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit080adc47e9224231a8ae0e6395566e02(); } else { setTimeout(waitForOtherFormsmpFrmf2cd8f33b3fc4f3db5ac58cd968ef939,300); } } waitForOtherFormsmpFrmf2cd8f33b3fc4f3db5ac58cd968ef939(); }