var captchaWidgetmpFrm2121f7e8863f482bbad3242112b27f3a; var mpCurrentScriptmpFrm2121f7e8863f482bbad3242112b27f3aContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm2121f7e8863f482bbad3242112b27f3a"; 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); mpFormmpFrm2121f7e8863f482bbad3242112b27f3aFind(); } })(); function mpFormmpFrm2121f7e8863f482bbad3242112b27f3aFind() { if(!mpCurrentScriptmpFrm2121f7e8863f482bbad3242112b27f3aContainer) return; if (mpCurrentScriptmpFrm2121f7e8863f482bbad3242112b27f3aContainer && mpCurrentScriptmpFrm2121f7e8863f482bbad3242112b27f3aContainer.nodeName && mpCurrentScriptmpFrm2121f7e8863f482bbad3242112b27f3aContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm2121f7e8863f482bbad3242112b27f3a" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm2121f7e8863f482bbad3242112b27f3aContainer.children).forEach(c => { if (c.id === "mpFrm2121f7e8863f482bbad3242112b27f3a") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript5b99b8015485444c9508b366b669670bContainer.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm2121f7e8863f482bbad3242112b27f3a"; } } } } function mpForm5b99b8015485444c9508b366b669670bCheck() { let checkBoxes = document.getElementById("mpform-5b99b8015485444c9508b366b669670b").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 mpForm5b99b8015485444c9508b366b669670bSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-5b99b8015485444c9508b366b669670b").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-5b99b8015485444c9508b366b669670b").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-5b99b8015485444c9508b366b669670b").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-5b99b8015485444c9508b366b669670b')), 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: getTrackingId5b99b8015485444c9508b366b669670b() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-5b99b8015485444c9508b366b669670b").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-5b99b8015485444c9508b366b669670b").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) { mpForm5b99b8015485444c9508b366b669670bCheck(); 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-5b99b8015485444c9508b366b669670b').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-5b99b8015485444c9508b366b669670b").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-5b99b8015485444c9508b366b669670b').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm2121f7e8863f482bbad3242112b27f3a); } else { mpForm5b99b8015485444c9508b366b669670bCheck(); 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 mpmRecaptchaLoaded5b99b8015485444c9508b366b669670b() { captchaWidgetmpFrm2121f7e8863f482bbad3242112b27f3a = grecaptcha.render('mpmRecaptchampFrm2121f7e8863f482bbad3242112b27f3a', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId5b99b8015485444c9508b366b669670b() { 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 mpmFormInit5b99b8015485444c9508b366b669670b () { 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 finishedLoading5b99b8015485444c9508b366b669670b() { window.mpFormLoading = false; let container = document.getElementById('mpFrm2121f7e8863f482bbad3242112b27f3a'); if (!container) { mpFormmpFrm2121f7e8863f482bbad3242112b27f3aFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm2121f7e8863f482bbad3242112b27f3a'); return setTimeout(finishedLoading5b99b8015485444c9508b366b669670b, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-5b99b8015485444c9508b366b669670b").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-5b99b8015485444c9508b366b669670b").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-5b99b8015485444c9508b366b669670b").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-5b99b8015485444c9508b366b669670b").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-5b99b8015485444c9508b366b669670b").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=mpmRecaptchaLoaded5b99b8015485444c9508b366b669670b&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup5b99b8015485444c9508b366b669670b() { let popups = document.getElementById("mpform-5b99b8015485444c9508b366b669670b").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput5b99b8015485444c9508b366b669670b() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading5b99b8015485444c9508b366b669670b(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading5b99b8015485444c9508b366b669670b(); } } 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); mploadTelInput5b99b8015485444c9508b366b669670b(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit5b99b8015485444c9508b366b669670b(); } else { function waitForOtherFormsmpFrm2121f7e8863f482bbad3242112b27f3a() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit5b99b8015485444c9508b366b669670b(); } else { setTimeout(waitForOtherFormsmpFrm2121f7e8863f482bbad3242112b27f3a,300); } } waitForOtherFormsmpFrm2121f7e8863f482bbad3242112b27f3a(); }