var captchaWidgetmpFrm7881afff32534b999d5c1759702b05de; var mpCurrentScriptmpFrm7881afff32534b999d5c1759702b05deContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm7881afff32534b999d5c1759702b05de"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41859"); 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); mpFormmpFrm7881afff32534b999d5c1759702b05deFind(); } })(); function mpFormmpFrm7881afff32534b999d5c1759702b05deFind() { if(!mpCurrentScriptmpFrm7881afff32534b999d5c1759702b05deContainer) return; if (mpCurrentScriptmpFrm7881afff32534b999d5c1759702b05deContainer && mpCurrentScriptmpFrm7881afff32534b999d5c1759702b05deContainer.nodeName && mpCurrentScriptmpFrm7881afff32534b999d5c1759702b05deContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41859']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm7881afff32534b999d5c1759702b05de" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm7881afff32534b999d5c1759702b05deContainer.children).forEach(c => { if (c.id === "mpFrm7881afff32534b999d5c1759702b05de") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptcd62325a23d841169850249c8b216777Container.children).filter(e => e.dataset && e.dataset.mpid === "41859"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm7881afff32534b999d5c1759702b05de"; } } } } function mpFormcd62325a23d841169850249c8b216777Check() { let checkBoxes = document.getElementById("mpform-cd62325a23d841169850249c8b216777").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 mpFormcd62325a23d841169850249c8b216777Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-cd62325a23d841169850249c8b216777").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-cd62325a23d841169850249c8b216777").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-cd62325a23d841169850249c8b216777").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-cd62325a23d841169850249c8b216777')), 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: getTrackingIdcd62325a23d841169850249c8b216777() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-cd62325a23d841169850249c8b216777").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-cd62325a23d841169850249c8b216777").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=41859", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpFormcd62325a23d841169850249c8b216777Check(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; let response = JSON.parse(xhr.responseText); try { document.getElementById('mpform-cd62325a23d841169850249c8b216777').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-cd62325a23d841169850249c8b216777").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-cd62325a23d841169850249c8b216777').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm7881afff32534b999d5c1759702b05de); } else { mpFormcd62325a23d841169850249c8b216777Check(); 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 mpmRecaptchaLoadedcd62325a23d841169850249c8b216777() { captchaWidgetmpFrm7881afff32534b999d5c1759702b05de = grecaptcha.render('mpmRecaptchampFrm7881afff32534b999d5c1759702b05de', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdcd62325a23d841169850249c8b216777() { 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 mpmFormInitcd62325a23d841169850249c8b216777 () { 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 finishedLoadingcd62325a23d841169850249c8b216777() { window.mpFormLoading = false; let container = document.getElementById('mpFrm7881afff32534b999d5c1759702b05de'); if (!container) { mpFormmpFrm7881afff32534b999d5c1759702b05deFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm7881afff32534b999d5c1759702b05de'); return setTimeout(finishedLoadingcd62325a23d841169850249c8b216777, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-cd62325a23d841169850249c8b216777").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-cd62325a23d841169850249c8b216777").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-cd62325a23d841169850249c8b216777").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-cd62325a23d841169850249c8b216777").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-cd62325a23d841169850249c8b216777").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=mpmRecaptchaLoadedcd62325a23d841169850249c8b216777&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupcd62325a23d841169850249c8b216777() { let popups = document.getElementById("mpform-cd62325a23d841169850249c8b216777").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputcd62325a23d841169850249c8b216777() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingcd62325a23d841169850249c8b216777(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingcd62325a23d841169850249c8b216777(); } } 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); mploadTelInputcd62325a23d841169850249c8b216777(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitcd62325a23d841169850249c8b216777(); } else { function waitForOtherFormsmpFrm7881afff32534b999d5c1759702b05de() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitcd62325a23d841169850249c8b216777(); } else { setTimeout(waitForOtherFormsmpFrm7881afff32534b999d5c1759702b05de,300); } } waitForOtherFormsmpFrm7881afff32534b999d5c1759702b05de(); }