var captchaWidgetmpFrmfa63274f62164cde9308cc97bbf1bdb6; var mpCurrentScriptmpFrmfa63274f62164cde9308cc97bbf1bdb6Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmfa63274f62164cde9308cc97bbf1bdb6"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41783"); 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); mpFormmpFrmfa63274f62164cde9308cc97bbf1bdb6Find(); } })(); function mpFormmpFrmfa63274f62164cde9308cc97bbf1bdb6Find() { if(!mpCurrentScriptmpFrmfa63274f62164cde9308cc97bbf1bdb6Container) return; if (mpCurrentScriptmpFrmfa63274f62164cde9308cc97bbf1bdb6Container && mpCurrentScriptmpFrmfa63274f62164cde9308cc97bbf1bdb6Container.nodeName && mpCurrentScriptmpFrmfa63274f62164cde9308cc97bbf1bdb6Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmfa63274f62164cde9308cc97bbf1bdb6" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmfa63274f62164cde9308cc97bbf1bdb6Container.children).forEach(c => { if (c.id === "mpFrmfa63274f62164cde9308cc97bbf1bdb6") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript2857bea081cb482f83e1febd6e56c14dContainer.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmfa63274f62164cde9308cc97bbf1bdb6"; } } } } function mpForm2857bea081cb482f83e1febd6e56c14dCheck() { let checkBoxes = document.getElementById("mpform-2857bea081cb482f83e1febd6e56c14d").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 mpForm2857bea081cb482f83e1febd6e56c14dSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-2857bea081cb482f83e1febd6e56c14d").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-2857bea081cb482f83e1febd6e56c14d").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-2857bea081cb482f83e1febd6e56c14d").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-2857bea081cb482f83e1febd6e56c14d')), 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: getTrackingId2857bea081cb482f83e1febd6e56c14d() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-2857bea081cb482f83e1febd6e56c14d").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-2857bea081cb482f83e1febd6e56c14d").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=41783", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm2857bea081cb482f83e1febd6e56c14dCheck(); 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-2857bea081cb482f83e1febd6e56c14d').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-2857bea081cb482f83e1febd6e56c14d").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-2857bea081cb482f83e1febd6e56c14d').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmfa63274f62164cde9308cc97bbf1bdb6); } else { mpForm2857bea081cb482f83e1febd6e56c14dCheck(); 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 mpmRecaptchaLoaded2857bea081cb482f83e1febd6e56c14d() { captchaWidgetmpFrmfa63274f62164cde9308cc97bbf1bdb6 = grecaptcha.render('mpmRecaptchampFrmfa63274f62164cde9308cc97bbf1bdb6', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId2857bea081cb482f83e1febd6e56c14d() { 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 mpmFormInit2857bea081cb482f83e1febd6e56c14d () { 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 finishedLoading2857bea081cb482f83e1febd6e56c14d() { window.mpFormLoading = false; let container = document.getElementById('mpFrmfa63274f62164cde9308cc97bbf1bdb6'); if (!container) { mpFormmpFrmfa63274f62164cde9308cc97bbf1bdb6Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmfa63274f62164cde9308cc97bbf1bdb6'); return setTimeout(finishedLoading2857bea081cb482f83e1febd6e56c14d, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-2857bea081cb482f83e1febd6e56c14d").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-2857bea081cb482f83e1febd6e56c14d").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-2857bea081cb482f83e1febd6e56c14d").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-2857bea081cb482f83e1febd6e56c14d").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-2857bea081cb482f83e1febd6e56c14d").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=mpmRecaptchaLoaded2857bea081cb482f83e1febd6e56c14d&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup2857bea081cb482f83e1febd6e56c14d() { let popups = document.getElementById("mpform-2857bea081cb482f83e1febd6e56c14d").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput2857bea081cb482f83e1febd6e56c14d() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading2857bea081cb482f83e1febd6e56c14d(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading2857bea081cb482f83e1febd6e56c14d(); } } 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); mploadTelInput2857bea081cb482f83e1febd6e56c14d(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit2857bea081cb482f83e1febd6e56c14d(); } else { function waitForOtherFormsmpFrmfa63274f62164cde9308cc97bbf1bdb6() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit2857bea081cb482f83e1febd6e56c14d(); } else { setTimeout(waitForOtherFormsmpFrmfa63274f62164cde9308cc97bbf1bdb6,300); } } waitForOtherFormsmpFrmfa63274f62164cde9308cc97bbf1bdb6(); }