var captchaWidgetmpFrm68774c3ab06f4c0ea65dd2752f9ee218; var mpCurrentScriptmpFrm68774c3ab06f4c0ea65dd2752f9ee218Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm68774c3ab06f4c0ea65dd2752f9ee218"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41943"); 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); mpFormmpFrm68774c3ab06f4c0ea65dd2752f9ee218Find(); } })(); function mpFormmpFrm68774c3ab06f4c0ea65dd2752f9ee218Find() { if(!mpCurrentScriptmpFrm68774c3ab06f4c0ea65dd2752f9ee218Container) return; if (mpCurrentScriptmpFrm68774c3ab06f4c0ea65dd2752f9ee218Container && mpCurrentScriptmpFrm68774c3ab06f4c0ea65dd2752f9ee218Container.nodeName && mpCurrentScriptmpFrm68774c3ab06f4c0ea65dd2752f9ee218Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm68774c3ab06f4c0ea65dd2752f9ee218" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm68774c3ab06f4c0ea65dd2752f9ee218Container.children).forEach(c => { if (c.id === "mpFrm68774c3ab06f4c0ea65dd2752f9ee218") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript594232bd88b4440aadd458b4a73946f0Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm68774c3ab06f4c0ea65dd2752f9ee218"; } } } } function mpForm594232bd88b4440aadd458b4a73946f0Check() { let checkBoxes = document.getElementById("mpform-594232bd88b4440aadd458b4a73946f0").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 mpForm594232bd88b4440aadd458b4a73946f0Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-594232bd88b4440aadd458b4a73946f0").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-594232bd88b4440aadd458b4a73946f0").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-594232bd88b4440aadd458b4a73946f0").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-594232bd88b4440aadd458b4a73946f0')), 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: getTrackingId594232bd88b4440aadd458b4a73946f0() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-594232bd88b4440aadd458b4a73946f0").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-594232bd88b4440aadd458b4a73946f0").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=41943", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm594232bd88b4440aadd458b4a73946f0Check(); 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-594232bd88b4440aadd458b4a73946f0').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-594232bd88b4440aadd458b4a73946f0").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-594232bd88b4440aadd458b4a73946f0').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm68774c3ab06f4c0ea65dd2752f9ee218); } else { mpForm594232bd88b4440aadd458b4a73946f0Check(); 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 mpmRecaptchaLoaded594232bd88b4440aadd458b4a73946f0() { captchaWidgetmpFrm68774c3ab06f4c0ea65dd2752f9ee218 = grecaptcha.render('mpmRecaptchampFrm68774c3ab06f4c0ea65dd2752f9ee218', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId594232bd88b4440aadd458b4a73946f0() { 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 mpmFormInit594232bd88b4440aadd458b4a73946f0 () { 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 finishedLoading594232bd88b4440aadd458b4a73946f0() { window.mpFormLoading = false; let container = document.getElementById('mpFrm68774c3ab06f4c0ea65dd2752f9ee218'); if (!container) { mpFormmpFrm68774c3ab06f4c0ea65dd2752f9ee218Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm68774c3ab06f4c0ea65dd2752f9ee218'); return setTimeout(finishedLoading594232bd88b4440aadd458b4a73946f0, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-594232bd88b4440aadd458b4a73946f0").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-594232bd88b4440aadd458b4a73946f0").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-594232bd88b4440aadd458b4a73946f0").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-594232bd88b4440aadd458b4a73946f0").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-594232bd88b4440aadd458b4a73946f0").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=mpmRecaptchaLoaded594232bd88b4440aadd458b4a73946f0&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup594232bd88b4440aadd458b4a73946f0() { let popups = document.getElementById("mpform-594232bd88b4440aadd458b4a73946f0").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput594232bd88b4440aadd458b4a73946f0() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading594232bd88b4440aadd458b4a73946f0(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading594232bd88b4440aadd458b4a73946f0(); } } 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); mploadTelInput594232bd88b4440aadd458b4a73946f0(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit594232bd88b4440aadd458b4a73946f0(); } else { function waitForOtherFormsmpFrm68774c3ab06f4c0ea65dd2752f9ee218() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit594232bd88b4440aadd458b4a73946f0(); } else { setTimeout(waitForOtherFormsmpFrm68774c3ab06f4c0ea65dd2752f9ee218,300); } } waitForOtherFormsmpFrm68774c3ab06f4c0ea65dd2752f9ee218(); }