var captchaWidgetmpFrm106351a157234c53a829134cb8aa8a1e; var mpCurrentScriptmpFrm106351a157234c53a829134cb8aa8a1eContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm106351a157234c53a829134cb8aa8a1e"; 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); mpFormmpFrm106351a157234c53a829134cb8aa8a1eFind(); } })(); function mpFormmpFrm106351a157234c53a829134cb8aa8a1eFind() { if(!mpCurrentScriptmpFrm106351a157234c53a829134cb8aa8a1eContainer) return; if (mpCurrentScriptmpFrm106351a157234c53a829134cb8aa8a1eContainer && mpCurrentScriptmpFrm106351a157234c53a829134cb8aa8a1eContainer.nodeName && mpCurrentScriptmpFrm106351a157234c53a829134cb8aa8a1eContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm106351a157234c53a829134cb8aa8a1e" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm106351a157234c53a829134cb8aa8a1eContainer.children).forEach(c => { if (c.id === "mpFrm106351a157234c53a829134cb8aa8a1e") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScripte715933a71774942b9f6155a739e88a7Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm106351a157234c53a829134cb8aa8a1e"; } } } } function mpForme715933a71774942b9f6155a739e88a7Check() { let checkBoxes = document.getElementById("mpform-e715933a71774942b9f6155a739e88a7").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 mpForme715933a71774942b9f6155a739e88a7Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-e715933a71774942b9f6155a739e88a7").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-e715933a71774942b9f6155a739e88a7").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-e715933a71774942b9f6155a739e88a7").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-e715933a71774942b9f6155a739e88a7')), 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: getTrackingIde715933a71774942b9f6155a739e88a7() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-e715933a71774942b9f6155a739e88a7").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-e715933a71774942b9f6155a739e88a7").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) { mpForme715933a71774942b9f6155a739e88a7Check(); 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-e715933a71774942b9f6155a739e88a7').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-e715933a71774942b9f6155a739e88a7").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-e715933a71774942b9f6155a739e88a7').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm106351a157234c53a829134cb8aa8a1e); } else { mpForme715933a71774942b9f6155a739e88a7Check(); 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 mpmRecaptchaLoadede715933a71774942b9f6155a739e88a7() { captchaWidgetmpFrm106351a157234c53a829134cb8aa8a1e = grecaptcha.render('mpmRecaptchampFrm106351a157234c53a829134cb8aa8a1e', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIde715933a71774942b9f6155a739e88a7() { 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 mpmFormInite715933a71774942b9f6155a739e88a7 () { 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 finishedLoadinge715933a71774942b9f6155a739e88a7() { window.mpFormLoading = false; let container = document.getElementById('mpFrm106351a157234c53a829134cb8aa8a1e'); if (!container) { mpFormmpFrm106351a157234c53a829134cb8aa8a1eFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm106351a157234c53a829134cb8aa8a1e'); return setTimeout(finishedLoadinge715933a71774942b9f6155a739e88a7, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-e715933a71774942b9f6155a739e88a7").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-e715933a71774942b9f6155a739e88a7").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-e715933a71774942b9f6155a739e88a7").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-e715933a71774942b9f6155a739e88a7").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-e715933a71774942b9f6155a739e88a7").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=mpmRecaptchaLoadede715933a71774942b9f6155a739e88a7&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupe715933a71774942b9f6155a739e88a7() { let popups = document.getElementById("mpform-e715933a71774942b9f6155a739e88a7").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInpute715933a71774942b9f6155a739e88a7() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadinge715933a71774942b9f6155a739e88a7(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinge715933a71774942b9f6155a739e88a7(); } } 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); mploadTelInpute715933a71774942b9f6155a739e88a7(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInite715933a71774942b9f6155a739e88a7(); } else { function waitForOtherFormsmpFrm106351a157234c53a829134cb8aa8a1e() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInite715933a71774942b9f6155a739e88a7(); } else { setTimeout(waitForOtherFormsmpFrm106351a157234c53a829134cb8aa8a1e,300); } } waitForOtherFormsmpFrm106351a157234c53a829134cb8aa8a1e(); }