var captchaWidgetmpFrm9eb42224b6bc4e1eb7da75a6c8404ef2; var mpCurrentScriptmpFrm9eb42224b6bc4e1eb7da75a6c8404ef2Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm9eb42224b6bc4e1eb7da75a6c8404ef2"; 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); mpFormmpFrm9eb42224b6bc4e1eb7da75a6c8404ef2Find(); } })(); function mpFormmpFrm9eb42224b6bc4e1eb7da75a6c8404ef2Find() { if(!mpCurrentScriptmpFrm9eb42224b6bc4e1eb7da75a6c8404ef2Container) return; if (mpCurrentScriptmpFrm9eb42224b6bc4e1eb7da75a6c8404ef2Container && mpCurrentScriptmpFrm9eb42224b6bc4e1eb7da75a6c8404ef2Container.nodeName && mpCurrentScriptmpFrm9eb42224b6bc4e1eb7da75a6c8404ef2Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm9eb42224b6bc4e1eb7da75a6c8404ef2" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm9eb42224b6bc4e1eb7da75a6c8404ef2Container.children).forEach(c => { if (c.id === "mpFrm9eb42224b6bc4e1eb7da75a6c8404ef2") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript235e340f40e44a128ccc444279407132Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm9eb42224b6bc4e1eb7da75a6c8404ef2"; } } } } function mpForm235e340f40e44a128ccc444279407132Check() { let checkBoxes = document.getElementById("mpform-235e340f40e44a128ccc444279407132").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 mpForm235e340f40e44a128ccc444279407132Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-235e340f40e44a128ccc444279407132").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-235e340f40e44a128ccc444279407132").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-235e340f40e44a128ccc444279407132").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-235e340f40e44a128ccc444279407132')), 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: getTrackingId235e340f40e44a128ccc444279407132() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-235e340f40e44a128ccc444279407132").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-235e340f40e44a128ccc444279407132").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) { mpForm235e340f40e44a128ccc444279407132Check(); 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-235e340f40e44a128ccc444279407132').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-235e340f40e44a128ccc444279407132").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-235e340f40e44a128ccc444279407132').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm9eb42224b6bc4e1eb7da75a6c8404ef2); } else { mpForm235e340f40e44a128ccc444279407132Check(); 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 mpmRecaptchaLoaded235e340f40e44a128ccc444279407132() { captchaWidgetmpFrm9eb42224b6bc4e1eb7da75a6c8404ef2 = grecaptcha.render('mpmRecaptchampFrm9eb42224b6bc4e1eb7da75a6c8404ef2', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId235e340f40e44a128ccc444279407132() { 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 mpmFormInit235e340f40e44a128ccc444279407132 () { 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 finishedLoading235e340f40e44a128ccc444279407132() { window.mpFormLoading = false; let container = document.getElementById('mpFrm9eb42224b6bc4e1eb7da75a6c8404ef2'); if (!container) { mpFormmpFrm9eb42224b6bc4e1eb7da75a6c8404ef2Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm9eb42224b6bc4e1eb7da75a6c8404ef2'); return setTimeout(finishedLoading235e340f40e44a128ccc444279407132, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-235e340f40e44a128ccc444279407132").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-235e340f40e44a128ccc444279407132").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-235e340f40e44a128ccc444279407132").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-235e340f40e44a128ccc444279407132").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-235e340f40e44a128ccc444279407132").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=mpmRecaptchaLoaded235e340f40e44a128ccc444279407132&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup235e340f40e44a128ccc444279407132() { let popups = document.getElementById("mpform-235e340f40e44a128ccc444279407132").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput235e340f40e44a128ccc444279407132() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading235e340f40e44a128ccc444279407132(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading235e340f40e44a128ccc444279407132(); } } 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); mploadTelInput235e340f40e44a128ccc444279407132(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit235e340f40e44a128ccc444279407132(); } else { function waitForOtherFormsmpFrm9eb42224b6bc4e1eb7da75a6c8404ef2() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit235e340f40e44a128ccc444279407132(); } else { setTimeout(waitForOtherFormsmpFrm9eb42224b6bc4e1eb7da75a6c8404ef2,300); } } waitForOtherFormsmpFrm9eb42224b6bc4e1eb7da75a6c8404ef2(); }