var captchaWidgetmpFrm676b442ed0ac4bf1a2b06668c8f1e0e3; var mpCurrentScriptmpFrm676b442ed0ac4bf1a2b06668c8f1e0e3Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm676b442ed0ac4bf1a2b06668c8f1e0e3"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41951"); 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); mpFormmpFrm676b442ed0ac4bf1a2b06668c8f1e0e3Find(); } })(); function mpFormmpFrm676b442ed0ac4bf1a2b06668c8f1e0e3Find() { if(!mpCurrentScriptmpFrm676b442ed0ac4bf1a2b06668c8f1e0e3Container) return; if (mpCurrentScriptmpFrm676b442ed0ac4bf1a2b06668c8f1e0e3Container && mpCurrentScriptmpFrm676b442ed0ac4bf1a2b06668c8f1e0e3Container.nodeName && mpCurrentScriptmpFrm676b442ed0ac4bf1a2b06668c8f1e0e3Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41951']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm676b442ed0ac4bf1a2b06668c8f1e0e3" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm676b442ed0ac4bf1a2b06668c8f1e0e3Container.children).forEach(c => { if (c.id === "mpFrm676b442ed0ac4bf1a2b06668c8f1e0e3") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript73ce6aed9b224230ad0815154d88028bContainer.children).filter(e => e.dataset && e.dataset.mpid === "41951"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm676b442ed0ac4bf1a2b06668c8f1e0e3"; } } } } function mpForm73ce6aed9b224230ad0815154d88028bCheck() { let checkBoxes = document.getElementById("mpform-73ce6aed9b224230ad0815154d88028b").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 mpForm73ce6aed9b224230ad0815154d88028bSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-73ce6aed9b224230ad0815154d88028b").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-73ce6aed9b224230ad0815154d88028b").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-73ce6aed9b224230ad0815154d88028b").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-73ce6aed9b224230ad0815154d88028b')), 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: getTrackingId73ce6aed9b224230ad0815154d88028b() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-73ce6aed9b224230ad0815154d88028b").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-73ce6aed9b224230ad0815154d88028b").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=41951", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm73ce6aed9b224230ad0815154d88028bCheck(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; let response = JSON.parse(xhr.responseText); try { document.getElementById('mpform-73ce6aed9b224230ad0815154d88028b').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-73ce6aed9b224230ad0815154d88028b").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-73ce6aed9b224230ad0815154d88028b').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm676b442ed0ac4bf1a2b06668c8f1e0e3); } else { mpForm73ce6aed9b224230ad0815154d88028bCheck(); 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 mpmRecaptchaLoaded73ce6aed9b224230ad0815154d88028b() { captchaWidgetmpFrm676b442ed0ac4bf1a2b06668c8f1e0e3 = grecaptcha.render('mpmRecaptchampFrm676b442ed0ac4bf1a2b06668c8f1e0e3', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId73ce6aed9b224230ad0815154d88028b() { 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 mpmFormInit73ce6aed9b224230ad0815154d88028b () { 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 finishedLoading73ce6aed9b224230ad0815154d88028b() { window.mpFormLoading = false; let container = document.getElementById('mpFrm676b442ed0ac4bf1a2b06668c8f1e0e3'); if (!container) { mpFormmpFrm676b442ed0ac4bf1a2b06668c8f1e0e3Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm676b442ed0ac4bf1a2b06668c8f1e0e3'); return setTimeout(finishedLoading73ce6aed9b224230ad0815154d88028b, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-73ce6aed9b224230ad0815154d88028b").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-73ce6aed9b224230ad0815154d88028b").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-73ce6aed9b224230ad0815154d88028b").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-73ce6aed9b224230ad0815154d88028b").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-73ce6aed9b224230ad0815154d88028b").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=mpmRecaptchaLoaded73ce6aed9b224230ad0815154d88028b&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup73ce6aed9b224230ad0815154d88028b() { let popups = document.getElementById("mpform-73ce6aed9b224230ad0815154d88028b").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput73ce6aed9b224230ad0815154d88028b() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading73ce6aed9b224230ad0815154d88028b(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading73ce6aed9b224230ad0815154d88028b(); } } 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); mploadTelInput73ce6aed9b224230ad0815154d88028b(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit73ce6aed9b224230ad0815154d88028b(); } else { function waitForOtherFormsmpFrm676b442ed0ac4bf1a2b06668c8f1e0e3() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit73ce6aed9b224230ad0815154d88028b(); } else { setTimeout(waitForOtherFormsmpFrm676b442ed0ac4bf1a2b06668c8f1e0e3,300); } } waitForOtherFormsmpFrm676b442ed0ac4bf1a2b06668c8f1e0e3(); }