var captchaWidgetmpFrm0dcd542c021449c1bb62f259e83b2ffa; var mpCurrentScriptmpFrm0dcd542c021449c1bb62f259e83b2ffaContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm0dcd542c021449c1bb62f259e83b2ffa"; 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); mpFormmpFrm0dcd542c021449c1bb62f259e83b2ffaFind(); } })(); function mpFormmpFrm0dcd542c021449c1bb62f259e83b2ffaFind() { if(!mpCurrentScriptmpFrm0dcd542c021449c1bb62f259e83b2ffaContainer) return; if (mpCurrentScriptmpFrm0dcd542c021449c1bb62f259e83b2ffaContainer && mpCurrentScriptmpFrm0dcd542c021449c1bb62f259e83b2ffaContainer.nodeName && mpCurrentScriptmpFrm0dcd542c021449c1bb62f259e83b2ffaContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm0dcd542c021449c1bb62f259e83b2ffa" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm0dcd542c021449c1bb62f259e83b2ffaContainer.children).forEach(c => { if (c.id === "mpFrm0dcd542c021449c1bb62f259e83b2ffa") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript16eb624916994abab712337cfa17e7ecContainer.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm0dcd542c021449c1bb62f259e83b2ffa"; } } } } function mpForm16eb624916994abab712337cfa17e7ecCheck() { let checkBoxes = document.getElementById("mpform-16eb624916994abab712337cfa17e7ec").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 mpForm16eb624916994abab712337cfa17e7ecSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-16eb624916994abab712337cfa17e7ec").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-16eb624916994abab712337cfa17e7ec").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-16eb624916994abab712337cfa17e7ec").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-16eb624916994abab712337cfa17e7ec')), 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: getTrackingId16eb624916994abab712337cfa17e7ec() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-16eb624916994abab712337cfa17e7ec").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-16eb624916994abab712337cfa17e7ec").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) { mpForm16eb624916994abab712337cfa17e7ecCheck(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; let response = JSON.parse(xhr.responseText); try { document.getElementById('mpform-16eb624916994abab712337cfa17e7ec').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-16eb624916994abab712337cfa17e7ec").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-16eb624916994abab712337cfa17e7ec').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm0dcd542c021449c1bb62f259e83b2ffa); } else { mpForm16eb624916994abab712337cfa17e7ecCheck(); 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 mpmRecaptchaLoaded16eb624916994abab712337cfa17e7ec() { captchaWidgetmpFrm0dcd542c021449c1bb62f259e83b2ffa = grecaptcha.render('mpmRecaptchampFrm0dcd542c021449c1bb62f259e83b2ffa', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId16eb624916994abab712337cfa17e7ec() { 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 mpmFormInit16eb624916994abab712337cfa17e7ec () { 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 finishedLoading16eb624916994abab712337cfa17e7ec() { window.mpFormLoading = false; let container = document.getElementById('mpFrm0dcd542c021449c1bb62f259e83b2ffa'); if (!container) { mpFormmpFrm0dcd542c021449c1bb62f259e83b2ffaFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm0dcd542c021449c1bb62f259e83b2ffa'); return setTimeout(finishedLoading16eb624916994abab712337cfa17e7ec, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-16eb624916994abab712337cfa17e7ec").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-16eb624916994abab712337cfa17e7ec").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-16eb624916994abab712337cfa17e7ec").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-16eb624916994abab712337cfa17e7ec").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-16eb624916994abab712337cfa17e7ec").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=mpmRecaptchaLoaded16eb624916994abab712337cfa17e7ec&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup16eb624916994abab712337cfa17e7ec() { let popups = document.getElementById("mpform-16eb624916994abab712337cfa17e7ec").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput16eb624916994abab712337cfa17e7ec() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading16eb624916994abab712337cfa17e7ec(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading16eb624916994abab712337cfa17e7ec(); } } 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); mploadTelInput16eb624916994abab712337cfa17e7ec(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit16eb624916994abab712337cfa17e7ec(); } else { function waitForOtherFormsmpFrm0dcd542c021449c1bb62f259e83b2ffa() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit16eb624916994abab712337cfa17e7ec(); } else { setTimeout(waitForOtherFormsmpFrm0dcd542c021449c1bb62f259e83b2ffa,300); } } waitForOtherFormsmpFrm0dcd542c021449c1bb62f259e83b2ffa(); }