var captchaWidgetmpFrm30d643d94e8942c7a8b10f799c17c8b9; var mpCurrentScriptmpFrm30d643d94e8942c7a8b10f799c17c8b9Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm30d643d94e8942c7a8b10f799c17c8b9"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41911"); 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); mpFormmpFrm30d643d94e8942c7a8b10f799c17c8b9Find(); } })(); function mpFormmpFrm30d643d94e8942c7a8b10f799c17c8b9Find() { if(!mpCurrentScriptmpFrm30d643d94e8942c7a8b10f799c17c8b9Container) return; if (mpCurrentScriptmpFrm30d643d94e8942c7a8b10f799c17c8b9Container && mpCurrentScriptmpFrm30d643d94e8942c7a8b10f799c17c8b9Container.nodeName && mpCurrentScriptmpFrm30d643d94e8942c7a8b10f799c17c8b9Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm30d643d94e8942c7a8b10f799c17c8b9" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm30d643d94e8942c7a8b10f799c17c8b9Container.children).forEach(c => { if (c.id === "mpFrm30d643d94e8942c7a8b10f799c17c8b9") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptae585798747a42b7b31f2193da365de2Container.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm30d643d94e8942c7a8b10f799c17c8b9"; } } } } function mpFormae585798747a42b7b31f2193da365de2Check() { let checkBoxes = document.getElementById("mpform-ae585798747a42b7b31f2193da365de2").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 mpFormae585798747a42b7b31f2193da365de2Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-ae585798747a42b7b31f2193da365de2").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-ae585798747a42b7b31f2193da365de2").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-ae585798747a42b7b31f2193da365de2").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-ae585798747a42b7b31f2193da365de2')), 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: getTrackingIdae585798747a42b7b31f2193da365de2() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-ae585798747a42b7b31f2193da365de2").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-ae585798747a42b7b31f2193da365de2").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=41911", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpFormae585798747a42b7b31f2193da365de2Check(); 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-ae585798747a42b7b31f2193da365de2').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-ae585798747a42b7b31f2193da365de2").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-ae585798747a42b7b31f2193da365de2').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm30d643d94e8942c7a8b10f799c17c8b9); } else { mpFormae585798747a42b7b31f2193da365de2Check(); 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 mpmRecaptchaLoadedae585798747a42b7b31f2193da365de2() { captchaWidgetmpFrm30d643d94e8942c7a8b10f799c17c8b9 = grecaptcha.render('mpmRecaptchampFrm30d643d94e8942c7a8b10f799c17c8b9', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdae585798747a42b7b31f2193da365de2() { 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 mpmFormInitae585798747a42b7b31f2193da365de2 () { 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 finishedLoadingae585798747a42b7b31f2193da365de2() { window.mpFormLoading = false; let container = document.getElementById('mpFrm30d643d94e8942c7a8b10f799c17c8b9'); if (!container) { mpFormmpFrm30d643d94e8942c7a8b10f799c17c8b9Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm30d643d94e8942c7a8b10f799c17c8b9'); return setTimeout(finishedLoadingae585798747a42b7b31f2193da365de2, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-ae585798747a42b7b31f2193da365de2").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-ae585798747a42b7b31f2193da365de2").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-ae585798747a42b7b31f2193da365de2").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-ae585798747a42b7b31f2193da365de2").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-ae585798747a42b7b31f2193da365de2").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=mpmRecaptchaLoadedae585798747a42b7b31f2193da365de2&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupae585798747a42b7b31f2193da365de2() { let popups = document.getElementById("mpform-ae585798747a42b7b31f2193da365de2").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputae585798747a42b7b31f2193da365de2() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingae585798747a42b7b31f2193da365de2(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingae585798747a42b7b31f2193da365de2(); } } 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); mploadTelInputae585798747a42b7b31f2193da365de2(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitae585798747a42b7b31f2193da365de2(); } else { function waitForOtherFormsmpFrm30d643d94e8942c7a8b10f799c17c8b9() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitae585798747a42b7b31f2193da365de2(); } else { setTimeout(waitForOtherFormsmpFrm30d643d94e8942c7a8b10f799c17c8b9,300); } } waitForOtherFormsmpFrm30d643d94e8942c7a8b10f799c17c8b9(); }