var captchaWidgetmpFrm60542dd58c5b4244bf82002603dd2b1b; var mpCurrentScriptmpFrm60542dd58c5b4244bf82002603dd2b1bContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm60542dd58c5b4244bf82002603dd2b1b"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41955"); 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); mpFormmpFrm60542dd58c5b4244bf82002603dd2b1bFind(); } })(); function mpFormmpFrm60542dd58c5b4244bf82002603dd2b1bFind() { if(!mpCurrentScriptmpFrm60542dd58c5b4244bf82002603dd2b1bContainer) return; if (mpCurrentScriptmpFrm60542dd58c5b4244bf82002603dd2b1bContainer && mpCurrentScriptmpFrm60542dd58c5b4244bf82002603dd2b1bContainer.nodeName && mpCurrentScriptmpFrm60542dd58c5b4244bf82002603dd2b1bContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm60542dd58c5b4244bf82002603dd2b1b" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm60542dd58c5b4244bf82002603dd2b1bContainer.children).forEach(c => { if (c.id === "mpFrm60542dd58c5b4244bf82002603dd2b1b") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript7a56329435314ac6a43c4353bca89434Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm60542dd58c5b4244bf82002603dd2b1b"; } } } } function mpForm7a56329435314ac6a43c4353bca89434Check() { let checkBoxes = document.getElementById("mpform-7a56329435314ac6a43c4353bca89434").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 mpForm7a56329435314ac6a43c4353bca89434Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-7a56329435314ac6a43c4353bca89434").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-7a56329435314ac6a43c4353bca89434").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-7a56329435314ac6a43c4353bca89434").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-7a56329435314ac6a43c4353bca89434')), 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: getTrackingId7a56329435314ac6a43c4353bca89434() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-7a56329435314ac6a43c4353bca89434").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-7a56329435314ac6a43c4353bca89434").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=41955", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm7a56329435314ac6a43c4353bca89434Check(); 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-7a56329435314ac6a43c4353bca89434').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-7a56329435314ac6a43c4353bca89434").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-7a56329435314ac6a43c4353bca89434').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm60542dd58c5b4244bf82002603dd2b1b); } else { mpForm7a56329435314ac6a43c4353bca89434Check(); 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 mpmRecaptchaLoaded7a56329435314ac6a43c4353bca89434() { captchaWidgetmpFrm60542dd58c5b4244bf82002603dd2b1b = grecaptcha.render('mpmRecaptchampFrm60542dd58c5b4244bf82002603dd2b1b', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId7a56329435314ac6a43c4353bca89434() { 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 mpmFormInit7a56329435314ac6a43c4353bca89434 () { 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 finishedLoading7a56329435314ac6a43c4353bca89434() { window.mpFormLoading = false; let container = document.getElementById('mpFrm60542dd58c5b4244bf82002603dd2b1b'); if (!container) { mpFormmpFrm60542dd58c5b4244bf82002603dd2b1bFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm60542dd58c5b4244bf82002603dd2b1b'); return setTimeout(finishedLoading7a56329435314ac6a43c4353bca89434, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-7a56329435314ac6a43c4353bca89434").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-7a56329435314ac6a43c4353bca89434").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-7a56329435314ac6a43c4353bca89434").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-7a56329435314ac6a43c4353bca89434").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-7a56329435314ac6a43c4353bca89434").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=mpmRecaptchaLoaded7a56329435314ac6a43c4353bca89434&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup7a56329435314ac6a43c4353bca89434() { let popups = document.getElementById("mpform-7a56329435314ac6a43c4353bca89434").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput7a56329435314ac6a43c4353bca89434() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading7a56329435314ac6a43c4353bca89434(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading7a56329435314ac6a43c4353bca89434(); } } 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); mploadTelInput7a56329435314ac6a43c4353bca89434(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit7a56329435314ac6a43c4353bca89434(); } else { function waitForOtherFormsmpFrm60542dd58c5b4244bf82002603dd2b1b() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit7a56329435314ac6a43c4353bca89434(); } else { setTimeout(waitForOtherFormsmpFrm60542dd58c5b4244bf82002603dd2b1b,300); } } waitForOtherFormsmpFrm60542dd58c5b4244bf82002603dd2b1b(); }