var captchaWidgetmpFrm93ecc8309dad4d0894c0002b27117980; var mpCurrentScriptmpFrm93ecc8309dad4d0894c0002b27117980Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm93ecc8309dad4d0894c0002b27117980"; 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); mpFormmpFrm93ecc8309dad4d0894c0002b27117980Find(); } })(); function mpFormmpFrm93ecc8309dad4d0894c0002b27117980Find() { if(!mpCurrentScriptmpFrm93ecc8309dad4d0894c0002b27117980Container) return; if (mpCurrentScriptmpFrm93ecc8309dad4d0894c0002b27117980Container && mpCurrentScriptmpFrm93ecc8309dad4d0894c0002b27117980Container.nodeName && mpCurrentScriptmpFrm93ecc8309dad4d0894c0002b27117980Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm93ecc8309dad4d0894c0002b27117980" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm93ecc8309dad4d0894c0002b27117980Container.children).forEach(c => { if (c.id === "mpFrm93ecc8309dad4d0894c0002b27117980") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScripte305522596d9474494c9e24b042369b8Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm93ecc8309dad4d0894c0002b27117980"; } } } } function mpForme305522596d9474494c9e24b042369b8Check() { let checkBoxes = document.getElementById("mpform-e305522596d9474494c9e24b042369b8").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 mpForme305522596d9474494c9e24b042369b8Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-e305522596d9474494c9e24b042369b8").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-e305522596d9474494c9e24b042369b8").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-e305522596d9474494c9e24b042369b8").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-e305522596d9474494c9e24b042369b8')), 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: getTrackingIde305522596d9474494c9e24b042369b8() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-e305522596d9474494c9e24b042369b8").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-e305522596d9474494c9e24b042369b8").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) { mpForme305522596d9474494c9e24b042369b8Check(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; let response = JSON.parse(xhr.responseText); try { document.getElementById('mpform-e305522596d9474494c9e24b042369b8').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-e305522596d9474494c9e24b042369b8").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-e305522596d9474494c9e24b042369b8').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm93ecc8309dad4d0894c0002b27117980); } else { mpForme305522596d9474494c9e24b042369b8Check(); 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 mpmRecaptchaLoadede305522596d9474494c9e24b042369b8() { captchaWidgetmpFrm93ecc8309dad4d0894c0002b27117980 = grecaptcha.render('mpmRecaptchampFrm93ecc8309dad4d0894c0002b27117980', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIde305522596d9474494c9e24b042369b8() { 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 mpmFormInite305522596d9474494c9e24b042369b8 () { 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 finishedLoadinge305522596d9474494c9e24b042369b8() { window.mpFormLoading = false; let container = document.getElementById('mpFrm93ecc8309dad4d0894c0002b27117980'); if (!container) { mpFormmpFrm93ecc8309dad4d0894c0002b27117980Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm93ecc8309dad4d0894c0002b27117980'); return setTimeout(finishedLoadinge305522596d9474494c9e24b042369b8, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-e305522596d9474494c9e24b042369b8").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-e305522596d9474494c9e24b042369b8").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-e305522596d9474494c9e24b042369b8").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-e305522596d9474494c9e24b042369b8").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-e305522596d9474494c9e24b042369b8").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=mpmRecaptchaLoadede305522596d9474494c9e24b042369b8&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupe305522596d9474494c9e24b042369b8() { let popups = document.getElementById("mpform-e305522596d9474494c9e24b042369b8").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInpute305522596d9474494c9e24b042369b8() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadinge305522596d9474494c9e24b042369b8(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinge305522596d9474494c9e24b042369b8(); } } 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); mploadTelInpute305522596d9474494c9e24b042369b8(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInite305522596d9474494c9e24b042369b8(); } else { function waitForOtherFormsmpFrm93ecc8309dad4d0894c0002b27117980() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInite305522596d9474494c9e24b042369b8(); } else { setTimeout(waitForOtherFormsmpFrm93ecc8309dad4d0894c0002b27117980,300); } } waitForOtherFormsmpFrm93ecc8309dad4d0894c0002b27117980(); }