var captchaWidgetmpFrm2836f48d4c414a539f428005f0868971; var mpCurrentScriptmpFrm2836f48d4c414a539f428005f0868971Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm2836f48d4c414a539f428005f0868971"; 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); mpFormmpFrm2836f48d4c414a539f428005f0868971Find(); } })(); function mpFormmpFrm2836f48d4c414a539f428005f0868971Find() { if(!mpCurrentScriptmpFrm2836f48d4c414a539f428005f0868971Container) return; if (mpCurrentScriptmpFrm2836f48d4c414a539f428005f0868971Container && mpCurrentScriptmpFrm2836f48d4c414a539f428005f0868971Container.nodeName && mpCurrentScriptmpFrm2836f48d4c414a539f428005f0868971Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm2836f48d4c414a539f428005f0868971" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm2836f48d4c414a539f428005f0868971Container.children).forEach(c => { if (c.id === "mpFrm2836f48d4c414a539f428005f0868971") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript5cd8c34c9eba41868e1f382f0022effbContainer.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm2836f48d4c414a539f428005f0868971"; } } } } function mpForm5cd8c34c9eba41868e1f382f0022effbCheck() { let checkBoxes = document.getElementById("mpform-5cd8c34c9eba41868e1f382f0022effb").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 mpForm5cd8c34c9eba41868e1f382f0022effbSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-5cd8c34c9eba41868e1f382f0022effb").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-5cd8c34c9eba41868e1f382f0022effb").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-5cd8c34c9eba41868e1f382f0022effb").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-5cd8c34c9eba41868e1f382f0022effb')), 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: getTrackingId5cd8c34c9eba41868e1f382f0022effb() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-5cd8c34c9eba41868e1f382f0022effb").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-5cd8c34c9eba41868e1f382f0022effb").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) { mpForm5cd8c34c9eba41868e1f382f0022effbCheck(); 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-5cd8c34c9eba41868e1f382f0022effb').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-5cd8c34c9eba41868e1f382f0022effb").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-5cd8c34c9eba41868e1f382f0022effb').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm2836f48d4c414a539f428005f0868971); } else { mpForm5cd8c34c9eba41868e1f382f0022effbCheck(); 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 mpmRecaptchaLoaded5cd8c34c9eba41868e1f382f0022effb() { captchaWidgetmpFrm2836f48d4c414a539f428005f0868971 = grecaptcha.render('mpmRecaptchampFrm2836f48d4c414a539f428005f0868971', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId5cd8c34c9eba41868e1f382f0022effb() { 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 mpmFormInit5cd8c34c9eba41868e1f382f0022effb () { 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 finishedLoading5cd8c34c9eba41868e1f382f0022effb() { window.mpFormLoading = false; let container = document.getElementById('mpFrm2836f48d4c414a539f428005f0868971'); if (!container) { mpFormmpFrm2836f48d4c414a539f428005f0868971Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm2836f48d4c414a539f428005f0868971'); return setTimeout(finishedLoading5cd8c34c9eba41868e1f382f0022effb, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-5cd8c34c9eba41868e1f382f0022effb").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-5cd8c34c9eba41868e1f382f0022effb").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-5cd8c34c9eba41868e1f382f0022effb").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-5cd8c34c9eba41868e1f382f0022effb").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-5cd8c34c9eba41868e1f382f0022effb").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=mpmRecaptchaLoaded5cd8c34c9eba41868e1f382f0022effb&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup5cd8c34c9eba41868e1f382f0022effb() { let popups = document.getElementById("mpform-5cd8c34c9eba41868e1f382f0022effb").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput5cd8c34c9eba41868e1f382f0022effb() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading5cd8c34c9eba41868e1f382f0022effb(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading5cd8c34c9eba41868e1f382f0022effb(); } } 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); mploadTelInput5cd8c34c9eba41868e1f382f0022effb(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit5cd8c34c9eba41868e1f382f0022effb(); } else { function waitForOtherFormsmpFrm2836f48d4c414a539f428005f0868971() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit5cd8c34c9eba41868e1f382f0022effb(); } else { setTimeout(waitForOtherFormsmpFrm2836f48d4c414a539f428005f0868971,300); } } waitForOtherFormsmpFrm2836f48d4c414a539f428005f0868971(); }