var captchaWidgetmpFrma931071a2ba04df7b884b94eb9fb9b53; var mpCurrentScriptmpFrma931071a2ba04df7b884b94eb9fb9b53Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrma931071a2ba04df7b884b94eb9fb9b53"; 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); mpFormmpFrma931071a2ba04df7b884b94eb9fb9b53Find(); } })(); function mpFormmpFrma931071a2ba04df7b884b94eb9fb9b53Find() { if(!mpCurrentScriptmpFrma931071a2ba04df7b884b94eb9fb9b53Container) return; if (mpCurrentScriptmpFrma931071a2ba04df7b884b94eb9fb9b53Container && mpCurrentScriptmpFrma931071a2ba04df7b884b94eb9fb9b53Container.nodeName && mpCurrentScriptmpFrma931071a2ba04df7b884b94eb9fb9b53Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrma931071a2ba04df7b884b94eb9fb9b53" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrma931071a2ba04df7b884b94eb9fb9b53Container.children).forEach(c => { if (c.id === "mpFrma931071a2ba04df7b884b94eb9fb9b53") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript52f95498db38496796310dbb71075d83Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrma931071a2ba04df7b884b94eb9fb9b53"; } } } } function mpForm52f95498db38496796310dbb71075d83Check() { let checkBoxes = document.getElementById("mpform-52f95498db38496796310dbb71075d83").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 mpForm52f95498db38496796310dbb71075d83Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-52f95498db38496796310dbb71075d83").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-52f95498db38496796310dbb71075d83").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-52f95498db38496796310dbb71075d83").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-52f95498db38496796310dbb71075d83')), 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: getTrackingId52f95498db38496796310dbb71075d83() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-52f95498db38496796310dbb71075d83").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-52f95498db38496796310dbb71075d83").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) { mpForm52f95498db38496796310dbb71075d83Check(); 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-52f95498db38496796310dbb71075d83').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-52f95498db38496796310dbb71075d83").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-52f95498db38496796310dbb71075d83').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrma931071a2ba04df7b884b94eb9fb9b53); } else { mpForm52f95498db38496796310dbb71075d83Check(); 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 mpmRecaptchaLoaded52f95498db38496796310dbb71075d83() { captchaWidgetmpFrma931071a2ba04df7b884b94eb9fb9b53 = grecaptcha.render('mpmRecaptchampFrma931071a2ba04df7b884b94eb9fb9b53', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId52f95498db38496796310dbb71075d83() { 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 mpmFormInit52f95498db38496796310dbb71075d83 () { 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 finishedLoading52f95498db38496796310dbb71075d83() { window.mpFormLoading = false; let container = document.getElementById('mpFrma931071a2ba04df7b884b94eb9fb9b53'); if (!container) { mpFormmpFrma931071a2ba04df7b884b94eb9fb9b53Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrma931071a2ba04df7b884b94eb9fb9b53'); return setTimeout(finishedLoading52f95498db38496796310dbb71075d83, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-52f95498db38496796310dbb71075d83").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-52f95498db38496796310dbb71075d83").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-52f95498db38496796310dbb71075d83").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-52f95498db38496796310dbb71075d83").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-52f95498db38496796310dbb71075d83").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=mpmRecaptchaLoaded52f95498db38496796310dbb71075d83&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup52f95498db38496796310dbb71075d83() { let popups = document.getElementById("mpform-52f95498db38496796310dbb71075d83").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput52f95498db38496796310dbb71075d83() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading52f95498db38496796310dbb71075d83(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading52f95498db38496796310dbb71075d83(); } } 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); mploadTelInput52f95498db38496796310dbb71075d83(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit52f95498db38496796310dbb71075d83(); } else { function waitForOtherFormsmpFrma931071a2ba04df7b884b94eb9fb9b53() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit52f95498db38496796310dbb71075d83(); } else { setTimeout(waitForOtherFormsmpFrma931071a2ba04df7b884b94eb9fb9b53,300); } } waitForOtherFormsmpFrma931071a2ba04df7b884b94eb9fb9b53(); }