var captchaWidgetmpFrmc21cdc57964e411cb5192fdc73720140; var mpCurrentScriptmpFrmc21cdc57964e411cb5192fdc73720140Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmc21cdc57964e411cb5192fdc73720140"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41927"); 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); mpFormmpFrmc21cdc57964e411cb5192fdc73720140Find(); } })(); function mpFormmpFrmc21cdc57964e411cb5192fdc73720140Find() { if(!mpCurrentScriptmpFrmc21cdc57964e411cb5192fdc73720140Container) return; if (mpCurrentScriptmpFrmc21cdc57964e411cb5192fdc73720140Container && mpCurrentScriptmpFrmc21cdc57964e411cb5192fdc73720140Container.nodeName && mpCurrentScriptmpFrmc21cdc57964e411cb5192fdc73720140Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41927']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmc21cdc57964e411cb5192fdc73720140" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmc21cdc57964e411cb5192fdc73720140Container.children).forEach(c => { if (c.id === "mpFrmc21cdc57964e411cb5192fdc73720140") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptb274055b1a64442bb033fbc95b78f7b8Container.children).filter(e => e.dataset && e.dataset.mpid === "41927"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmc21cdc57964e411cb5192fdc73720140"; } } } } function mpFormb274055b1a64442bb033fbc95b78f7b8Check() { let checkBoxes = document.getElementById("mpform-b274055b1a64442bb033fbc95b78f7b8").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 mpFormb274055b1a64442bb033fbc95b78f7b8Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-b274055b1a64442bb033fbc95b78f7b8").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-b274055b1a64442bb033fbc95b78f7b8").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-b274055b1a64442bb033fbc95b78f7b8").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-b274055b1a64442bb033fbc95b78f7b8')), 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: getTrackingIdb274055b1a64442bb033fbc95b78f7b8() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-b274055b1a64442bb033fbc95b78f7b8").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-b274055b1a64442bb033fbc95b78f7b8").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=41927", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpFormb274055b1a64442bb033fbc95b78f7b8Check(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; let response = JSON.parse(xhr.responseText); try { document.getElementById('mpform-b274055b1a64442bb033fbc95b78f7b8').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-b274055b1a64442bb033fbc95b78f7b8").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-b274055b1a64442bb033fbc95b78f7b8').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmc21cdc57964e411cb5192fdc73720140); } else { mpFormb274055b1a64442bb033fbc95b78f7b8Check(); 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 mpmRecaptchaLoadedb274055b1a64442bb033fbc95b78f7b8() { captchaWidgetmpFrmc21cdc57964e411cb5192fdc73720140 = grecaptcha.render('mpmRecaptchampFrmc21cdc57964e411cb5192fdc73720140', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdb274055b1a64442bb033fbc95b78f7b8() { 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 mpmFormInitb274055b1a64442bb033fbc95b78f7b8 () { 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 finishedLoadingb274055b1a64442bb033fbc95b78f7b8() { window.mpFormLoading = false; let container = document.getElementById('mpFrmc21cdc57964e411cb5192fdc73720140'); if (!container) { mpFormmpFrmc21cdc57964e411cb5192fdc73720140Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmc21cdc57964e411cb5192fdc73720140'); return setTimeout(finishedLoadingb274055b1a64442bb033fbc95b78f7b8, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-b274055b1a64442bb033fbc95b78f7b8").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-b274055b1a64442bb033fbc95b78f7b8").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-b274055b1a64442bb033fbc95b78f7b8").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-b274055b1a64442bb033fbc95b78f7b8").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-b274055b1a64442bb033fbc95b78f7b8").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=mpmRecaptchaLoadedb274055b1a64442bb033fbc95b78f7b8&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupb274055b1a64442bb033fbc95b78f7b8() { let popups = document.getElementById("mpform-b274055b1a64442bb033fbc95b78f7b8").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputb274055b1a64442bb033fbc95b78f7b8() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingb274055b1a64442bb033fbc95b78f7b8(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingb274055b1a64442bb033fbc95b78f7b8(); } } 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); mploadTelInputb274055b1a64442bb033fbc95b78f7b8(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitb274055b1a64442bb033fbc95b78f7b8(); } else { function waitForOtherFormsmpFrmc21cdc57964e411cb5192fdc73720140() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitb274055b1a64442bb033fbc95b78f7b8(); } else { setTimeout(waitForOtherFormsmpFrmc21cdc57964e411cb5192fdc73720140,300); } } waitForOtherFormsmpFrmc21cdc57964e411cb5192fdc73720140(); }