var captchaWidgetmpFrm5f705d8000e14ff098466d8a5c4fba48; var mpCurrentScriptmpFrm5f705d8000e14ff098466d8a5c4fba48Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm5f705d8000e14ff098466d8a5c4fba48"; 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); mpFormmpFrm5f705d8000e14ff098466d8a5c4fba48Find(); } })(); function mpFormmpFrm5f705d8000e14ff098466d8a5c4fba48Find() { if(!mpCurrentScriptmpFrm5f705d8000e14ff098466d8a5c4fba48Container) return; if (mpCurrentScriptmpFrm5f705d8000e14ff098466d8a5c4fba48Container && mpCurrentScriptmpFrm5f705d8000e14ff098466d8a5c4fba48Container.nodeName && mpCurrentScriptmpFrm5f705d8000e14ff098466d8a5c4fba48Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm5f705d8000e14ff098466d8a5c4fba48" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm5f705d8000e14ff098466d8a5c4fba48Container.children).forEach(c => { if (c.id === "mpFrm5f705d8000e14ff098466d8a5c4fba48") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript5cdd6534174f404d982488aedb539ea0Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm5f705d8000e14ff098466d8a5c4fba48"; } } } } function mpForm5cdd6534174f404d982488aedb539ea0Check() { let checkBoxes = document.getElementById("mpform-5cdd6534174f404d982488aedb539ea0").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 mpForm5cdd6534174f404d982488aedb539ea0Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-5cdd6534174f404d982488aedb539ea0").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-5cdd6534174f404d982488aedb539ea0").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-5cdd6534174f404d982488aedb539ea0").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-5cdd6534174f404d982488aedb539ea0')), 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: getTrackingId5cdd6534174f404d982488aedb539ea0() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-5cdd6534174f404d982488aedb539ea0").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-5cdd6534174f404d982488aedb539ea0").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) { mpForm5cdd6534174f404d982488aedb539ea0Check(); 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-5cdd6534174f404d982488aedb539ea0').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-5cdd6534174f404d982488aedb539ea0").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-5cdd6534174f404d982488aedb539ea0').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm5f705d8000e14ff098466d8a5c4fba48); } else { mpForm5cdd6534174f404d982488aedb539ea0Check(); 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 mpmRecaptchaLoaded5cdd6534174f404d982488aedb539ea0() { captchaWidgetmpFrm5f705d8000e14ff098466d8a5c4fba48 = grecaptcha.render('mpmRecaptchampFrm5f705d8000e14ff098466d8a5c4fba48', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId5cdd6534174f404d982488aedb539ea0() { 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 mpmFormInit5cdd6534174f404d982488aedb539ea0 () { 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 finishedLoading5cdd6534174f404d982488aedb539ea0() { window.mpFormLoading = false; let container = document.getElementById('mpFrm5f705d8000e14ff098466d8a5c4fba48'); if (!container) { mpFormmpFrm5f705d8000e14ff098466d8a5c4fba48Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm5f705d8000e14ff098466d8a5c4fba48'); return setTimeout(finishedLoading5cdd6534174f404d982488aedb539ea0, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-5cdd6534174f404d982488aedb539ea0").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-5cdd6534174f404d982488aedb539ea0").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-5cdd6534174f404d982488aedb539ea0").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-5cdd6534174f404d982488aedb539ea0").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-5cdd6534174f404d982488aedb539ea0").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=mpmRecaptchaLoaded5cdd6534174f404d982488aedb539ea0&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup5cdd6534174f404d982488aedb539ea0() { let popups = document.getElementById("mpform-5cdd6534174f404d982488aedb539ea0").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput5cdd6534174f404d982488aedb539ea0() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading5cdd6534174f404d982488aedb539ea0(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading5cdd6534174f404d982488aedb539ea0(); } } 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); mploadTelInput5cdd6534174f404d982488aedb539ea0(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit5cdd6534174f404d982488aedb539ea0(); } else { function waitForOtherFormsmpFrm5f705d8000e14ff098466d8a5c4fba48() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit5cdd6534174f404d982488aedb539ea0(); } else { setTimeout(waitForOtherFormsmpFrm5f705d8000e14ff098466d8a5c4fba48,300); } } waitForOtherFormsmpFrm5f705d8000e14ff098466d8a5c4fba48(); }