var captchaWidgetmpFrm3fd730628de0440f874fe3cad52ff309; var mpCurrentScriptmpFrm3fd730628de0440f874fe3cad52ff309Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm3fd730628de0440f874fe3cad52ff309"; 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); mpFormmpFrm3fd730628de0440f874fe3cad52ff309Find(); } })(); function mpFormmpFrm3fd730628de0440f874fe3cad52ff309Find() { if(!mpCurrentScriptmpFrm3fd730628de0440f874fe3cad52ff309Container) return; if (mpCurrentScriptmpFrm3fd730628de0440f874fe3cad52ff309Container && mpCurrentScriptmpFrm3fd730628de0440f874fe3cad52ff309Container.nodeName && mpCurrentScriptmpFrm3fd730628de0440f874fe3cad52ff309Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm3fd730628de0440f874fe3cad52ff309" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm3fd730628de0440f874fe3cad52ff309Container.children).forEach(c => { if (c.id === "mpFrm3fd730628de0440f874fe3cad52ff309") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript973705d3584f4b85b50cfa47d04482bdContainer.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm3fd730628de0440f874fe3cad52ff309"; } } } } function mpForm973705d3584f4b85b50cfa47d04482bdCheck() { let checkBoxes = document.getElementById("mpform-973705d3584f4b85b50cfa47d04482bd").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 mpForm973705d3584f4b85b50cfa47d04482bdSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-973705d3584f4b85b50cfa47d04482bd").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-973705d3584f4b85b50cfa47d04482bd").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-973705d3584f4b85b50cfa47d04482bd").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-973705d3584f4b85b50cfa47d04482bd')), 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: getTrackingId973705d3584f4b85b50cfa47d04482bd() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-973705d3584f4b85b50cfa47d04482bd").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-973705d3584f4b85b50cfa47d04482bd").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) { mpForm973705d3584f4b85b50cfa47d04482bdCheck(); 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-973705d3584f4b85b50cfa47d04482bd').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-973705d3584f4b85b50cfa47d04482bd").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-973705d3584f4b85b50cfa47d04482bd').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm3fd730628de0440f874fe3cad52ff309); } else { mpForm973705d3584f4b85b50cfa47d04482bdCheck(); 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 mpmRecaptchaLoaded973705d3584f4b85b50cfa47d04482bd() { captchaWidgetmpFrm3fd730628de0440f874fe3cad52ff309 = grecaptcha.render('mpmRecaptchampFrm3fd730628de0440f874fe3cad52ff309', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId973705d3584f4b85b50cfa47d04482bd() { 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 mpmFormInit973705d3584f4b85b50cfa47d04482bd () { 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 finishedLoading973705d3584f4b85b50cfa47d04482bd() { window.mpFormLoading = false; let container = document.getElementById('mpFrm3fd730628de0440f874fe3cad52ff309'); if (!container) { mpFormmpFrm3fd730628de0440f874fe3cad52ff309Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm3fd730628de0440f874fe3cad52ff309'); return setTimeout(finishedLoading973705d3584f4b85b50cfa47d04482bd, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-973705d3584f4b85b50cfa47d04482bd").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-973705d3584f4b85b50cfa47d04482bd").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-973705d3584f4b85b50cfa47d04482bd").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-973705d3584f4b85b50cfa47d04482bd").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-973705d3584f4b85b50cfa47d04482bd").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=mpmRecaptchaLoaded973705d3584f4b85b50cfa47d04482bd&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup973705d3584f4b85b50cfa47d04482bd() { let popups = document.getElementById("mpform-973705d3584f4b85b50cfa47d04482bd").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput973705d3584f4b85b50cfa47d04482bd() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading973705d3584f4b85b50cfa47d04482bd(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading973705d3584f4b85b50cfa47d04482bd(); } } 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); mploadTelInput973705d3584f4b85b50cfa47d04482bd(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit973705d3584f4b85b50cfa47d04482bd(); } else { function waitForOtherFormsmpFrm3fd730628de0440f874fe3cad52ff309() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit973705d3584f4b85b50cfa47d04482bd(); } else { setTimeout(waitForOtherFormsmpFrm3fd730628de0440f874fe3cad52ff309,300); } } waitForOtherFormsmpFrm3fd730628de0440f874fe3cad52ff309(); }