var captchaWidgetmpFrmecffa0a997c94132be2fa3ec96739fd3; var mpCurrentScriptmpFrmecffa0a997c94132be2fa3ec96739fd3Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmecffa0a997c94132be2fa3ec96739fd3"; 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); mpFormmpFrmecffa0a997c94132be2fa3ec96739fd3Find(); } })(); function mpFormmpFrmecffa0a997c94132be2fa3ec96739fd3Find() { if(!mpCurrentScriptmpFrmecffa0a997c94132be2fa3ec96739fd3Container) return; if (mpCurrentScriptmpFrmecffa0a997c94132be2fa3ec96739fd3Container && mpCurrentScriptmpFrmecffa0a997c94132be2fa3ec96739fd3Container.nodeName && mpCurrentScriptmpFrmecffa0a997c94132be2fa3ec96739fd3Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmecffa0a997c94132be2fa3ec96739fd3" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmecffa0a997c94132be2fa3ec96739fd3Container.children).forEach(c => { if (c.id === "mpFrmecffa0a997c94132be2fa3ec96739fd3") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptee955192f5a340af91b6ae412521a1b3Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmecffa0a997c94132be2fa3ec96739fd3"; } } } } function mpFormee955192f5a340af91b6ae412521a1b3Check() { let checkBoxes = document.getElementById("mpform-ee955192f5a340af91b6ae412521a1b3").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 mpFormee955192f5a340af91b6ae412521a1b3Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-ee955192f5a340af91b6ae412521a1b3").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-ee955192f5a340af91b6ae412521a1b3").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-ee955192f5a340af91b6ae412521a1b3").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-ee955192f5a340af91b6ae412521a1b3')), 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: getTrackingIdee955192f5a340af91b6ae412521a1b3() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-ee955192f5a340af91b6ae412521a1b3").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-ee955192f5a340af91b6ae412521a1b3").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) { mpFormee955192f5a340af91b6ae412521a1b3Check(); 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-ee955192f5a340af91b6ae412521a1b3').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-ee955192f5a340af91b6ae412521a1b3").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-ee955192f5a340af91b6ae412521a1b3').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmecffa0a997c94132be2fa3ec96739fd3); } else { mpFormee955192f5a340af91b6ae412521a1b3Check(); 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 mpmRecaptchaLoadedee955192f5a340af91b6ae412521a1b3() { captchaWidgetmpFrmecffa0a997c94132be2fa3ec96739fd3 = grecaptcha.render('mpmRecaptchampFrmecffa0a997c94132be2fa3ec96739fd3', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdee955192f5a340af91b6ae412521a1b3() { 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 mpmFormInitee955192f5a340af91b6ae412521a1b3 () { 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 finishedLoadingee955192f5a340af91b6ae412521a1b3() { window.mpFormLoading = false; let container = document.getElementById('mpFrmecffa0a997c94132be2fa3ec96739fd3'); if (!container) { mpFormmpFrmecffa0a997c94132be2fa3ec96739fd3Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmecffa0a997c94132be2fa3ec96739fd3'); return setTimeout(finishedLoadingee955192f5a340af91b6ae412521a1b3, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-ee955192f5a340af91b6ae412521a1b3").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-ee955192f5a340af91b6ae412521a1b3").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-ee955192f5a340af91b6ae412521a1b3").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-ee955192f5a340af91b6ae412521a1b3").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-ee955192f5a340af91b6ae412521a1b3").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=mpmRecaptchaLoadedee955192f5a340af91b6ae412521a1b3&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupee955192f5a340af91b6ae412521a1b3() { let popups = document.getElementById("mpform-ee955192f5a340af91b6ae412521a1b3").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputee955192f5a340af91b6ae412521a1b3() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingee955192f5a340af91b6ae412521a1b3(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingee955192f5a340af91b6ae412521a1b3(); } } 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); mploadTelInputee955192f5a340af91b6ae412521a1b3(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitee955192f5a340af91b6ae412521a1b3(); } else { function waitForOtherFormsmpFrmecffa0a997c94132be2fa3ec96739fd3() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitee955192f5a340af91b6ae412521a1b3(); } else { setTimeout(waitForOtherFormsmpFrmecffa0a997c94132be2fa3ec96739fd3,300); } } waitForOtherFormsmpFrmecffa0a997c94132be2fa3ec96739fd3(); }