var captchaWidgetmpFrm2161fb95c5194917a09e71fb0739408c; var mpCurrentScriptmpFrm2161fb95c5194917a09e71fb0739408cContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm2161fb95c5194917a09e71fb0739408c"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41943"); 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); mpFormmpFrm2161fb95c5194917a09e71fb0739408cFind(); } })(); function mpFormmpFrm2161fb95c5194917a09e71fb0739408cFind() { if(!mpCurrentScriptmpFrm2161fb95c5194917a09e71fb0739408cContainer) return; if (mpCurrentScriptmpFrm2161fb95c5194917a09e71fb0739408cContainer && mpCurrentScriptmpFrm2161fb95c5194917a09e71fb0739408cContainer.nodeName && mpCurrentScriptmpFrm2161fb95c5194917a09e71fb0739408cContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm2161fb95c5194917a09e71fb0739408c" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm2161fb95c5194917a09e71fb0739408cContainer.children).forEach(c => { if (c.id === "mpFrm2161fb95c5194917a09e71fb0739408c") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScripta559f7a8759541739579f70ceb1054e3Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm2161fb95c5194917a09e71fb0739408c"; } } } } function mpForma559f7a8759541739579f70ceb1054e3Check() { let checkBoxes = document.getElementById("mpform-a559f7a8759541739579f70ceb1054e3").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 mpForma559f7a8759541739579f70ceb1054e3Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-a559f7a8759541739579f70ceb1054e3").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-a559f7a8759541739579f70ceb1054e3").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-a559f7a8759541739579f70ceb1054e3").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-a559f7a8759541739579f70ceb1054e3')), 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: getTrackingIda559f7a8759541739579f70ceb1054e3() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-a559f7a8759541739579f70ceb1054e3").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-a559f7a8759541739579f70ceb1054e3").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=41943", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForma559f7a8759541739579f70ceb1054e3Check(); 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-a559f7a8759541739579f70ceb1054e3').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-a559f7a8759541739579f70ceb1054e3").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-a559f7a8759541739579f70ceb1054e3').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm2161fb95c5194917a09e71fb0739408c); } else { mpForma559f7a8759541739579f70ceb1054e3Check(); 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 mpmRecaptchaLoadeda559f7a8759541739579f70ceb1054e3() { captchaWidgetmpFrm2161fb95c5194917a09e71fb0739408c = grecaptcha.render('mpmRecaptchampFrm2161fb95c5194917a09e71fb0739408c', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIda559f7a8759541739579f70ceb1054e3() { 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 mpmFormInita559f7a8759541739579f70ceb1054e3 () { 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 finishedLoadinga559f7a8759541739579f70ceb1054e3() { window.mpFormLoading = false; let container = document.getElementById('mpFrm2161fb95c5194917a09e71fb0739408c'); if (!container) { mpFormmpFrm2161fb95c5194917a09e71fb0739408cFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm2161fb95c5194917a09e71fb0739408c'); return setTimeout(finishedLoadinga559f7a8759541739579f70ceb1054e3, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-a559f7a8759541739579f70ceb1054e3").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-a559f7a8759541739579f70ceb1054e3").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-a559f7a8759541739579f70ceb1054e3").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-a559f7a8759541739579f70ceb1054e3").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-a559f7a8759541739579f70ceb1054e3").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=mpmRecaptchaLoadeda559f7a8759541739579f70ceb1054e3&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupa559f7a8759541739579f70ceb1054e3() { let popups = document.getElementById("mpform-a559f7a8759541739579f70ceb1054e3").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputa559f7a8759541739579f70ceb1054e3() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadinga559f7a8759541739579f70ceb1054e3(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinga559f7a8759541739579f70ceb1054e3(); } } 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); mploadTelInputa559f7a8759541739579f70ceb1054e3(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInita559f7a8759541739579f70ceb1054e3(); } else { function waitForOtherFormsmpFrm2161fb95c5194917a09e71fb0739408c() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInita559f7a8759541739579f70ceb1054e3(); } else { setTimeout(waitForOtherFormsmpFrm2161fb95c5194917a09e71fb0739408c,300); } } waitForOtherFormsmpFrm2161fb95c5194917a09e71fb0739408c(); }