var captchaWidgetmpFrm17d196ba0870439394304aba97dba021; var mpCurrentScriptmpFrm17d196ba0870439394304aba97dba021Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm17d196ba0870439394304aba97dba021"; 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); mpFormmpFrm17d196ba0870439394304aba97dba021Find(); } })(); function mpFormmpFrm17d196ba0870439394304aba97dba021Find() { if(!mpCurrentScriptmpFrm17d196ba0870439394304aba97dba021Container) return; if (mpCurrentScriptmpFrm17d196ba0870439394304aba97dba021Container && mpCurrentScriptmpFrm17d196ba0870439394304aba97dba021Container.nodeName && mpCurrentScriptmpFrm17d196ba0870439394304aba97dba021Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm17d196ba0870439394304aba97dba021" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm17d196ba0870439394304aba97dba021Container.children).forEach(c => { if (c.id === "mpFrm17d196ba0870439394304aba97dba021") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript0a87ec66f2554c5480fd891eca063154Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm17d196ba0870439394304aba97dba021"; } } } } function mpForm0a87ec66f2554c5480fd891eca063154Check() { let checkBoxes = document.getElementById("mpform-0a87ec66f2554c5480fd891eca063154").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 mpForm0a87ec66f2554c5480fd891eca063154Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-0a87ec66f2554c5480fd891eca063154").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-0a87ec66f2554c5480fd891eca063154").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-0a87ec66f2554c5480fd891eca063154").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-0a87ec66f2554c5480fd891eca063154')), 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: getTrackingId0a87ec66f2554c5480fd891eca063154() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-0a87ec66f2554c5480fd891eca063154").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-0a87ec66f2554c5480fd891eca063154").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) { mpForm0a87ec66f2554c5480fd891eca063154Check(); 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-0a87ec66f2554c5480fd891eca063154').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-0a87ec66f2554c5480fd891eca063154").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-0a87ec66f2554c5480fd891eca063154').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm17d196ba0870439394304aba97dba021); } else { mpForm0a87ec66f2554c5480fd891eca063154Check(); 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 mpmRecaptchaLoaded0a87ec66f2554c5480fd891eca063154() { captchaWidgetmpFrm17d196ba0870439394304aba97dba021 = grecaptcha.render('mpmRecaptchampFrm17d196ba0870439394304aba97dba021', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId0a87ec66f2554c5480fd891eca063154() { 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 mpmFormInit0a87ec66f2554c5480fd891eca063154 () { 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 finishedLoading0a87ec66f2554c5480fd891eca063154() { window.mpFormLoading = false; let container = document.getElementById('mpFrm17d196ba0870439394304aba97dba021'); if (!container) { mpFormmpFrm17d196ba0870439394304aba97dba021Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm17d196ba0870439394304aba97dba021'); return setTimeout(finishedLoading0a87ec66f2554c5480fd891eca063154, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-0a87ec66f2554c5480fd891eca063154").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-0a87ec66f2554c5480fd891eca063154").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-0a87ec66f2554c5480fd891eca063154").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-0a87ec66f2554c5480fd891eca063154").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-0a87ec66f2554c5480fd891eca063154").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=mpmRecaptchaLoaded0a87ec66f2554c5480fd891eca063154&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup0a87ec66f2554c5480fd891eca063154() { let popups = document.getElementById("mpform-0a87ec66f2554c5480fd891eca063154").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput0a87ec66f2554c5480fd891eca063154() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading0a87ec66f2554c5480fd891eca063154(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading0a87ec66f2554c5480fd891eca063154(); } } 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); mploadTelInput0a87ec66f2554c5480fd891eca063154(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit0a87ec66f2554c5480fd891eca063154(); } else { function waitForOtherFormsmpFrm17d196ba0870439394304aba97dba021() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit0a87ec66f2554c5480fd891eca063154(); } else { setTimeout(waitForOtherFormsmpFrm17d196ba0870439394304aba97dba021,300); } } waitForOtherFormsmpFrm17d196ba0870439394304aba97dba021(); }