var captchaWidgetmpFrmc717f5c4f1034715a544e11cd37779da; var mpCurrentScriptmpFrmc717f5c4f1034715a544e11cd37779daContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmc717f5c4f1034715a544e11cd37779da"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41939"); 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); mpFormmpFrmc717f5c4f1034715a544e11cd37779daFind(); } })(); function mpFormmpFrmc717f5c4f1034715a544e11cd37779daFind() { if(!mpCurrentScriptmpFrmc717f5c4f1034715a544e11cd37779daContainer) return; if (mpCurrentScriptmpFrmc717f5c4f1034715a544e11cd37779daContainer && mpCurrentScriptmpFrmc717f5c4f1034715a544e11cd37779daContainer.nodeName && mpCurrentScriptmpFrmc717f5c4f1034715a544e11cd37779daContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmc717f5c4f1034715a544e11cd37779da" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmc717f5c4f1034715a544e11cd37779daContainer.children).forEach(c => { if (c.id === "mpFrmc717f5c4f1034715a544e11cd37779da") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptcf307069c29c467c889d151e18718ef6Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmc717f5c4f1034715a544e11cd37779da"; } } } } function mpFormcf307069c29c467c889d151e18718ef6Check() { let checkBoxes = document.getElementById("mpform-cf307069c29c467c889d151e18718ef6").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 mpFormcf307069c29c467c889d151e18718ef6Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-cf307069c29c467c889d151e18718ef6").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-cf307069c29c467c889d151e18718ef6").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-cf307069c29c467c889d151e18718ef6").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-cf307069c29c467c889d151e18718ef6')), 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: getTrackingIdcf307069c29c467c889d151e18718ef6() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-cf307069c29c467c889d151e18718ef6").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-cf307069c29c467c889d151e18718ef6").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=41939", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpFormcf307069c29c467c889d151e18718ef6Check(); 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-cf307069c29c467c889d151e18718ef6').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-cf307069c29c467c889d151e18718ef6").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-cf307069c29c467c889d151e18718ef6').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmc717f5c4f1034715a544e11cd37779da); } else { mpFormcf307069c29c467c889d151e18718ef6Check(); 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 mpmRecaptchaLoadedcf307069c29c467c889d151e18718ef6() { captchaWidgetmpFrmc717f5c4f1034715a544e11cd37779da = grecaptcha.render('mpmRecaptchampFrmc717f5c4f1034715a544e11cd37779da', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdcf307069c29c467c889d151e18718ef6() { 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 mpmFormInitcf307069c29c467c889d151e18718ef6 () { 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 finishedLoadingcf307069c29c467c889d151e18718ef6() { window.mpFormLoading = false; let container = document.getElementById('mpFrmc717f5c4f1034715a544e11cd37779da'); if (!container) { mpFormmpFrmc717f5c4f1034715a544e11cd37779daFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmc717f5c4f1034715a544e11cd37779da'); return setTimeout(finishedLoadingcf307069c29c467c889d151e18718ef6, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-cf307069c29c467c889d151e18718ef6").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-cf307069c29c467c889d151e18718ef6").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-cf307069c29c467c889d151e18718ef6").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-cf307069c29c467c889d151e18718ef6").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-cf307069c29c467c889d151e18718ef6").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=mpmRecaptchaLoadedcf307069c29c467c889d151e18718ef6&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupcf307069c29c467c889d151e18718ef6() { let popups = document.getElementById("mpform-cf307069c29c467c889d151e18718ef6").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputcf307069c29c467c889d151e18718ef6() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingcf307069c29c467c889d151e18718ef6(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingcf307069c29c467c889d151e18718ef6(); } } 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); mploadTelInputcf307069c29c467c889d151e18718ef6(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitcf307069c29c467c889d151e18718ef6(); } else { function waitForOtherFormsmpFrmc717f5c4f1034715a544e11cd37779da() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitcf307069c29c467c889d151e18718ef6(); } else { setTimeout(waitForOtherFormsmpFrmc717f5c4f1034715a544e11cd37779da,300); } } waitForOtherFormsmpFrmc717f5c4f1034715a544e11cd37779da(); }