var captchaWidgetmpFrm8ddc63704ae541afa3a93097271c8510; var mpCurrentScriptmpFrm8ddc63704ae541afa3a93097271c8510Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm8ddc63704ae541afa3a93097271c8510"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41919"); 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); mpFormmpFrm8ddc63704ae541afa3a93097271c8510Find(); } })(); function mpFormmpFrm8ddc63704ae541afa3a93097271c8510Find() { if(!mpCurrentScriptmpFrm8ddc63704ae541afa3a93097271c8510Container) return; if (mpCurrentScriptmpFrm8ddc63704ae541afa3a93097271c8510Container && mpCurrentScriptmpFrm8ddc63704ae541afa3a93097271c8510Container.nodeName && mpCurrentScriptmpFrm8ddc63704ae541afa3a93097271c8510Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41919']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm8ddc63704ae541afa3a93097271c8510" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm8ddc63704ae541afa3a93097271c8510Container.children).forEach(c => { if (c.id === "mpFrm8ddc63704ae541afa3a93097271c8510") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript97142d7806f14e8cb30aded99ce40b93Container.children).filter(e => e.dataset && e.dataset.mpid === "41919"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm8ddc63704ae541afa3a93097271c8510"; } } } } function mpForm97142d7806f14e8cb30aded99ce40b93Check() { let checkBoxes = document.getElementById("mpform-97142d7806f14e8cb30aded99ce40b93").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 mpForm97142d7806f14e8cb30aded99ce40b93Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-97142d7806f14e8cb30aded99ce40b93").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-97142d7806f14e8cb30aded99ce40b93").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-97142d7806f14e8cb30aded99ce40b93").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-97142d7806f14e8cb30aded99ce40b93')), 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: getTrackingId97142d7806f14e8cb30aded99ce40b93() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-97142d7806f14e8cb30aded99ce40b93").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-97142d7806f14e8cb30aded99ce40b93").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=41919", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm97142d7806f14e8cb30aded99ce40b93Check(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; let response = JSON.parse(xhr.responseText); try { document.getElementById('mpform-97142d7806f14e8cb30aded99ce40b93').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-97142d7806f14e8cb30aded99ce40b93").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-97142d7806f14e8cb30aded99ce40b93').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm8ddc63704ae541afa3a93097271c8510); } else { mpForm97142d7806f14e8cb30aded99ce40b93Check(); 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 mpmRecaptchaLoaded97142d7806f14e8cb30aded99ce40b93() { captchaWidgetmpFrm8ddc63704ae541afa3a93097271c8510 = grecaptcha.render('mpmRecaptchampFrm8ddc63704ae541afa3a93097271c8510', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId97142d7806f14e8cb30aded99ce40b93() { 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 mpmFormInit97142d7806f14e8cb30aded99ce40b93 () { 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 finishedLoading97142d7806f14e8cb30aded99ce40b93() { window.mpFormLoading = false; let container = document.getElementById('mpFrm8ddc63704ae541afa3a93097271c8510'); if (!container) { mpFormmpFrm8ddc63704ae541afa3a93097271c8510Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm8ddc63704ae541afa3a93097271c8510'); return setTimeout(finishedLoading97142d7806f14e8cb30aded99ce40b93, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-97142d7806f14e8cb30aded99ce40b93").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-97142d7806f14e8cb30aded99ce40b93").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-97142d7806f14e8cb30aded99ce40b93").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-97142d7806f14e8cb30aded99ce40b93").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-97142d7806f14e8cb30aded99ce40b93").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=mpmRecaptchaLoaded97142d7806f14e8cb30aded99ce40b93&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup97142d7806f14e8cb30aded99ce40b93() { let popups = document.getElementById("mpform-97142d7806f14e8cb30aded99ce40b93").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput97142d7806f14e8cb30aded99ce40b93() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading97142d7806f14e8cb30aded99ce40b93(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading97142d7806f14e8cb30aded99ce40b93(); } } 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); mploadTelInput97142d7806f14e8cb30aded99ce40b93(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit97142d7806f14e8cb30aded99ce40b93(); } else { function waitForOtherFormsmpFrm8ddc63704ae541afa3a93097271c8510() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit97142d7806f14e8cb30aded99ce40b93(); } else { setTimeout(waitForOtherFormsmpFrm8ddc63704ae541afa3a93097271c8510,300); } } waitForOtherFormsmpFrm8ddc63704ae541afa3a93097271c8510(); }