var captchaWidgetmpFrm827b3582c8fa49eb844811842886432f; var mpCurrentScriptmpFrm827b3582c8fa49eb844811842886432fContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm827b3582c8fa49eb844811842886432f"; 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); mpFormmpFrm827b3582c8fa49eb844811842886432fFind(); } })(); function mpFormmpFrm827b3582c8fa49eb844811842886432fFind() { if(!mpCurrentScriptmpFrm827b3582c8fa49eb844811842886432fContainer) return; if (mpCurrentScriptmpFrm827b3582c8fa49eb844811842886432fContainer && mpCurrentScriptmpFrm827b3582c8fa49eb844811842886432fContainer.nodeName && mpCurrentScriptmpFrm827b3582c8fa49eb844811842886432fContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm827b3582c8fa49eb844811842886432f" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm827b3582c8fa49eb844811842886432fContainer.children).forEach(c => { if (c.id === "mpFrm827b3582c8fa49eb844811842886432f") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript9407aff211de49f4a1c2b3ecf89934bbContainer.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm827b3582c8fa49eb844811842886432f"; } } } } function mpForm9407aff211de49f4a1c2b3ecf89934bbCheck() { let checkBoxes = document.getElementById("mpform-9407aff211de49f4a1c2b3ecf89934bb").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 mpForm9407aff211de49f4a1c2b3ecf89934bbSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-9407aff211de49f4a1c2b3ecf89934bb").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-9407aff211de49f4a1c2b3ecf89934bb").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-9407aff211de49f4a1c2b3ecf89934bb").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-9407aff211de49f4a1c2b3ecf89934bb')), 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: getTrackingId9407aff211de49f4a1c2b3ecf89934bb() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-9407aff211de49f4a1c2b3ecf89934bb").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-9407aff211de49f4a1c2b3ecf89934bb").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) { mpForm9407aff211de49f4a1c2b3ecf89934bbCheck(); 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-9407aff211de49f4a1c2b3ecf89934bb').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-9407aff211de49f4a1c2b3ecf89934bb").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-9407aff211de49f4a1c2b3ecf89934bb').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm827b3582c8fa49eb844811842886432f); } else { mpForm9407aff211de49f4a1c2b3ecf89934bbCheck(); 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 mpmRecaptchaLoaded9407aff211de49f4a1c2b3ecf89934bb() { captchaWidgetmpFrm827b3582c8fa49eb844811842886432f = grecaptcha.render('mpmRecaptchampFrm827b3582c8fa49eb844811842886432f', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId9407aff211de49f4a1c2b3ecf89934bb() { 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 mpmFormInit9407aff211de49f4a1c2b3ecf89934bb () { 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 finishedLoading9407aff211de49f4a1c2b3ecf89934bb() { window.mpFormLoading = false; let container = document.getElementById('mpFrm827b3582c8fa49eb844811842886432f'); if (!container) { mpFormmpFrm827b3582c8fa49eb844811842886432fFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm827b3582c8fa49eb844811842886432f'); return setTimeout(finishedLoading9407aff211de49f4a1c2b3ecf89934bb, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-9407aff211de49f4a1c2b3ecf89934bb").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-9407aff211de49f4a1c2b3ecf89934bb").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-9407aff211de49f4a1c2b3ecf89934bb").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-9407aff211de49f4a1c2b3ecf89934bb").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-9407aff211de49f4a1c2b3ecf89934bb").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=mpmRecaptchaLoaded9407aff211de49f4a1c2b3ecf89934bb&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup9407aff211de49f4a1c2b3ecf89934bb() { let popups = document.getElementById("mpform-9407aff211de49f4a1c2b3ecf89934bb").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput9407aff211de49f4a1c2b3ecf89934bb() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading9407aff211de49f4a1c2b3ecf89934bb(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading9407aff211de49f4a1c2b3ecf89934bb(); } } 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); mploadTelInput9407aff211de49f4a1c2b3ecf89934bb(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit9407aff211de49f4a1c2b3ecf89934bb(); } else { function waitForOtherFormsmpFrm827b3582c8fa49eb844811842886432f() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit9407aff211de49f4a1c2b3ecf89934bb(); } else { setTimeout(waitForOtherFormsmpFrm827b3582c8fa49eb844811842886432f,300); } } waitForOtherFormsmpFrm827b3582c8fa49eb844811842886432f(); }