var captchaWidgetmpFrma066dd144ba44617891d3fc78535c113; var mpCurrentScriptmpFrma066dd144ba44617891d3fc78535c113Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrma066dd144ba44617891d3fc78535c113"; 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); mpFormmpFrma066dd144ba44617891d3fc78535c113Find(); } })(); function mpFormmpFrma066dd144ba44617891d3fc78535c113Find() { if(!mpCurrentScriptmpFrma066dd144ba44617891d3fc78535c113Container) return; if (mpCurrentScriptmpFrma066dd144ba44617891d3fc78535c113Container && mpCurrentScriptmpFrma066dd144ba44617891d3fc78535c113Container.nodeName && mpCurrentScriptmpFrma066dd144ba44617891d3fc78535c113Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrma066dd144ba44617891d3fc78535c113" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrma066dd144ba44617891d3fc78535c113Container.children).forEach(c => { if (c.id === "mpFrma066dd144ba44617891d3fc78535c113") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript935efa8ed9b64286925a28d63ec9ba87Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrma066dd144ba44617891d3fc78535c113"; } } } } function mpForm935efa8ed9b64286925a28d63ec9ba87Check() { let checkBoxes = document.getElementById("mpform-935efa8ed9b64286925a28d63ec9ba87").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 mpForm935efa8ed9b64286925a28d63ec9ba87Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-935efa8ed9b64286925a28d63ec9ba87").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-935efa8ed9b64286925a28d63ec9ba87").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-935efa8ed9b64286925a28d63ec9ba87").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-935efa8ed9b64286925a28d63ec9ba87')), 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: getTrackingId935efa8ed9b64286925a28d63ec9ba87() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-935efa8ed9b64286925a28d63ec9ba87").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-935efa8ed9b64286925a28d63ec9ba87").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) { mpForm935efa8ed9b64286925a28d63ec9ba87Check(); 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-935efa8ed9b64286925a28d63ec9ba87').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-935efa8ed9b64286925a28d63ec9ba87").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-935efa8ed9b64286925a28d63ec9ba87').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrma066dd144ba44617891d3fc78535c113); } else { mpForm935efa8ed9b64286925a28d63ec9ba87Check(); 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 mpmRecaptchaLoaded935efa8ed9b64286925a28d63ec9ba87() { captchaWidgetmpFrma066dd144ba44617891d3fc78535c113 = grecaptcha.render('mpmRecaptchampFrma066dd144ba44617891d3fc78535c113', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId935efa8ed9b64286925a28d63ec9ba87() { 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 mpmFormInit935efa8ed9b64286925a28d63ec9ba87 () { 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 finishedLoading935efa8ed9b64286925a28d63ec9ba87() { window.mpFormLoading = false; let container = document.getElementById('mpFrma066dd144ba44617891d3fc78535c113'); if (!container) { mpFormmpFrma066dd144ba44617891d3fc78535c113Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrma066dd144ba44617891d3fc78535c113'); return setTimeout(finishedLoading935efa8ed9b64286925a28d63ec9ba87, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-935efa8ed9b64286925a28d63ec9ba87").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-935efa8ed9b64286925a28d63ec9ba87").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-935efa8ed9b64286925a28d63ec9ba87").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-935efa8ed9b64286925a28d63ec9ba87").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-935efa8ed9b64286925a28d63ec9ba87").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=mpmRecaptchaLoaded935efa8ed9b64286925a28d63ec9ba87&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup935efa8ed9b64286925a28d63ec9ba87() { let popups = document.getElementById("mpform-935efa8ed9b64286925a28d63ec9ba87").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput935efa8ed9b64286925a28d63ec9ba87() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading935efa8ed9b64286925a28d63ec9ba87(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading935efa8ed9b64286925a28d63ec9ba87(); } } 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); mploadTelInput935efa8ed9b64286925a28d63ec9ba87(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit935efa8ed9b64286925a28d63ec9ba87(); } else { function waitForOtherFormsmpFrma066dd144ba44617891d3fc78535c113() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit935efa8ed9b64286925a28d63ec9ba87(); } else { setTimeout(waitForOtherFormsmpFrma066dd144ba44617891d3fc78535c113,300); } } waitForOtherFormsmpFrma066dd144ba44617891d3fc78535c113(); }