var captchaWidgetmpFrmf7abdcda41964bacbc902eaf602e0960; var mpCurrentScriptmpFrmf7abdcda41964bacbc902eaf602e0960Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmf7abdcda41964bacbc902eaf602e0960"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41863"); 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); mpFormmpFrmf7abdcda41964bacbc902eaf602e0960Find(); } })(); function mpFormmpFrmf7abdcda41964bacbc902eaf602e0960Find() { if(!mpCurrentScriptmpFrmf7abdcda41964bacbc902eaf602e0960Container) return; if (mpCurrentScriptmpFrmf7abdcda41964bacbc902eaf602e0960Container && mpCurrentScriptmpFrmf7abdcda41964bacbc902eaf602e0960Container.nodeName && mpCurrentScriptmpFrmf7abdcda41964bacbc902eaf602e0960Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41863']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmf7abdcda41964bacbc902eaf602e0960" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmf7abdcda41964bacbc902eaf602e0960Container.children).forEach(c => { if (c.id === "mpFrmf7abdcda41964bacbc902eaf602e0960") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript56ec289783134105aebc3504e16608bcContainer.children).filter(e => e.dataset && e.dataset.mpid === "41863"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmf7abdcda41964bacbc902eaf602e0960"; } } } } function mpForm56ec289783134105aebc3504e16608bcCheck() { let checkBoxes = document.getElementById("mpform-56ec289783134105aebc3504e16608bc").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 mpForm56ec289783134105aebc3504e16608bcSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-56ec289783134105aebc3504e16608bc").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-56ec289783134105aebc3504e16608bc").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-56ec289783134105aebc3504e16608bc").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-56ec289783134105aebc3504e16608bc')), 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: getTrackingId56ec289783134105aebc3504e16608bc() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-56ec289783134105aebc3504e16608bc").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-56ec289783134105aebc3504e16608bc").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=41863", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm56ec289783134105aebc3504e16608bcCheck(); 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-56ec289783134105aebc3504e16608bc').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-56ec289783134105aebc3504e16608bc").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-56ec289783134105aebc3504e16608bc').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmf7abdcda41964bacbc902eaf602e0960); } else { mpForm56ec289783134105aebc3504e16608bcCheck(); 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 mpmRecaptchaLoaded56ec289783134105aebc3504e16608bc() { captchaWidgetmpFrmf7abdcda41964bacbc902eaf602e0960 = grecaptcha.render('mpmRecaptchampFrmf7abdcda41964bacbc902eaf602e0960', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId56ec289783134105aebc3504e16608bc() { 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 mpmFormInit56ec289783134105aebc3504e16608bc () { 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 finishedLoading56ec289783134105aebc3504e16608bc() { window.mpFormLoading = false; let container = document.getElementById('mpFrmf7abdcda41964bacbc902eaf602e0960'); if (!container) { mpFormmpFrmf7abdcda41964bacbc902eaf602e0960Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmf7abdcda41964bacbc902eaf602e0960'); return setTimeout(finishedLoading56ec289783134105aebc3504e16608bc, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-56ec289783134105aebc3504e16608bc").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-56ec289783134105aebc3504e16608bc").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-56ec289783134105aebc3504e16608bc").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-56ec289783134105aebc3504e16608bc").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-56ec289783134105aebc3504e16608bc").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=mpmRecaptchaLoaded56ec289783134105aebc3504e16608bc&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup56ec289783134105aebc3504e16608bc() { let popups = document.getElementById("mpform-56ec289783134105aebc3504e16608bc").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput56ec289783134105aebc3504e16608bc() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading56ec289783134105aebc3504e16608bc(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading56ec289783134105aebc3504e16608bc(); } } 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); mploadTelInput56ec289783134105aebc3504e16608bc(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit56ec289783134105aebc3504e16608bc(); } else { function waitForOtherFormsmpFrmf7abdcda41964bacbc902eaf602e0960() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit56ec289783134105aebc3504e16608bc(); } else { setTimeout(waitForOtherFormsmpFrmf7abdcda41964bacbc902eaf602e0960,300); } } waitForOtherFormsmpFrmf7abdcda41964bacbc902eaf602e0960(); }