var captchaWidgetmpFrmb72ffcb20dfb47ab8bcc389ef6b01fc4; var mpCurrentScriptmpFrmb72ffcb20dfb47ab8bcc389ef6b01fc4Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmb72ffcb20dfb47ab8bcc389ef6b01fc4"; 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); mpFormmpFrmb72ffcb20dfb47ab8bcc389ef6b01fc4Find(); } })(); function mpFormmpFrmb72ffcb20dfb47ab8bcc389ef6b01fc4Find() { if(!mpCurrentScriptmpFrmb72ffcb20dfb47ab8bcc389ef6b01fc4Container) return; if (mpCurrentScriptmpFrmb72ffcb20dfb47ab8bcc389ef6b01fc4Container && mpCurrentScriptmpFrmb72ffcb20dfb47ab8bcc389ef6b01fc4Container.nodeName && mpCurrentScriptmpFrmb72ffcb20dfb47ab8bcc389ef6b01fc4Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmb72ffcb20dfb47ab8bcc389ef6b01fc4" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmb72ffcb20dfb47ab8bcc389ef6b01fc4Container.children).forEach(c => { if (c.id === "mpFrmb72ffcb20dfb47ab8bcc389ef6b01fc4") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript971d51903d3c47609c061fc0b23006a5Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmb72ffcb20dfb47ab8bcc389ef6b01fc4"; } } } } function mpForm971d51903d3c47609c061fc0b23006a5Check() { let checkBoxes = document.getElementById("mpform-971d51903d3c47609c061fc0b23006a5").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 mpForm971d51903d3c47609c061fc0b23006a5Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-971d51903d3c47609c061fc0b23006a5").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-971d51903d3c47609c061fc0b23006a5").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-971d51903d3c47609c061fc0b23006a5").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-971d51903d3c47609c061fc0b23006a5')), 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: getTrackingId971d51903d3c47609c061fc0b23006a5() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-971d51903d3c47609c061fc0b23006a5").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-971d51903d3c47609c061fc0b23006a5").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) { mpForm971d51903d3c47609c061fc0b23006a5Check(); 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-971d51903d3c47609c061fc0b23006a5').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-971d51903d3c47609c061fc0b23006a5").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-971d51903d3c47609c061fc0b23006a5').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmb72ffcb20dfb47ab8bcc389ef6b01fc4); } else { mpForm971d51903d3c47609c061fc0b23006a5Check(); 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 mpmRecaptchaLoaded971d51903d3c47609c061fc0b23006a5() { captchaWidgetmpFrmb72ffcb20dfb47ab8bcc389ef6b01fc4 = grecaptcha.render('mpmRecaptchampFrmb72ffcb20dfb47ab8bcc389ef6b01fc4', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId971d51903d3c47609c061fc0b23006a5() { 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 mpmFormInit971d51903d3c47609c061fc0b23006a5 () { 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 finishedLoading971d51903d3c47609c061fc0b23006a5() { window.mpFormLoading = false; let container = document.getElementById('mpFrmb72ffcb20dfb47ab8bcc389ef6b01fc4'); if (!container) { mpFormmpFrmb72ffcb20dfb47ab8bcc389ef6b01fc4Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmb72ffcb20dfb47ab8bcc389ef6b01fc4'); return setTimeout(finishedLoading971d51903d3c47609c061fc0b23006a5, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-971d51903d3c47609c061fc0b23006a5").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-971d51903d3c47609c061fc0b23006a5").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-971d51903d3c47609c061fc0b23006a5").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-971d51903d3c47609c061fc0b23006a5").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-971d51903d3c47609c061fc0b23006a5").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=mpmRecaptchaLoaded971d51903d3c47609c061fc0b23006a5&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup971d51903d3c47609c061fc0b23006a5() { let popups = document.getElementById("mpform-971d51903d3c47609c061fc0b23006a5").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput971d51903d3c47609c061fc0b23006a5() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading971d51903d3c47609c061fc0b23006a5(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading971d51903d3c47609c061fc0b23006a5(); } } 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); mploadTelInput971d51903d3c47609c061fc0b23006a5(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit971d51903d3c47609c061fc0b23006a5(); } else { function waitForOtherFormsmpFrmb72ffcb20dfb47ab8bcc389ef6b01fc4() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit971d51903d3c47609c061fc0b23006a5(); } else { setTimeout(waitForOtherFormsmpFrmb72ffcb20dfb47ab8bcc389ef6b01fc4,300); } } waitForOtherFormsmpFrmb72ffcb20dfb47ab8bcc389ef6b01fc4(); }