var captchaWidgetmpFrm10084feffecb4c8d9bca5b416f08fbef; var mpCurrentScriptmpFrm10084feffecb4c8d9bca5b416f08fbefContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm10084feffecb4c8d9bca5b416f08fbef"; 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); mpFormmpFrm10084feffecb4c8d9bca5b416f08fbefFind(); } })(); function mpFormmpFrm10084feffecb4c8d9bca5b416f08fbefFind() { if(!mpCurrentScriptmpFrm10084feffecb4c8d9bca5b416f08fbefContainer) return; if (mpCurrentScriptmpFrm10084feffecb4c8d9bca5b416f08fbefContainer && mpCurrentScriptmpFrm10084feffecb4c8d9bca5b416f08fbefContainer.nodeName && mpCurrentScriptmpFrm10084feffecb4c8d9bca5b416f08fbefContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm10084feffecb4c8d9bca5b416f08fbef" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm10084feffecb4c8d9bca5b416f08fbefContainer.children).forEach(c => { if (c.id === "mpFrm10084feffecb4c8d9bca5b416f08fbef") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScripta33329a65de44e9f9010bb5732fe9439Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm10084feffecb4c8d9bca5b416f08fbef"; } } } } function mpForma33329a65de44e9f9010bb5732fe9439Check() { let checkBoxes = document.getElementById("mpform-a33329a65de44e9f9010bb5732fe9439").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 mpForma33329a65de44e9f9010bb5732fe9439Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-a33329a65de44e9f9010bb5732fe9439").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-a33329a65de44e9f9010bb5732fe9439").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-a33329a65de44e9f9010bb5732fe9439").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-a33329a65de44e9f9010bb5732fe9439')), 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: getTrackingIda33329a65de44e9f9010bb5732fe9439() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-a33329a65de44e9f9010bb5732fe9439").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-a33329a65de44e9f9010bb5732fe9439").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) { mpForma33329a65de44e9f9010bb5732fe9439Check(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; let response = JSON.parse(xhr.responseText); try { document.getElementById('mpform-a33329a65de44e9f9010bb5732fe9439').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-a33329a65de44e9f9010bb5732fe9439").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-a33329a65de44e9f9010bb5732fe9439').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm10084feffecb4c8d9bca5b416f08fbef); } else { mpForma33329a65de44e9f9010bb5732fe9439Check(); 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 mpmRecaptchaLoadeda33329a65de44e9f9010bb5732fe9439() { captchaWidgetmpFrm10084feffecb4c8d9bca5b416f08fbef = grecaptcha.render('mpmRecaptchampFrm10084feffecb4c8d9bca5b416f08fbef', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIda33329a65de44e9f9010bb5732fe9439() { 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 mpmFormInita33329a65de44e9f9010bb5732fe9439 () { 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 finishedLoadinga33329a65de44e9f9010bb5732fe9439() { window.mpFormLoading = false; let container = document.getElementById('mpFrm10084feffecb4c8d9bca5b416f08fbef'); if (!container) { mpFormmpFrm10084feffecb4c8d9bca5b416f08fbefFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm10084feffecb4c8d9bca5b416f08fbef'); return setTimeout(finishedLoadinga33329a65de44e9f9010bb5732fe9439, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-a33329a65de44e9f9010bb5732fe9439").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-a33329a65de44e9f9010bb5732fe9439").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-a33329a65de44e9f9010bb5732fe9439").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-a33329a65de44e9f9010bb5732fe9439").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-a33329a65de44e9f9010bb5732fe9439").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=mpmRecaptchaLoadeda33329a65de44e9f9010bb5732fe9439&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupa33329a65de44e9f9010bb5732fe9439() { let popups = document.getElementById("mpform-a33329a65de44e9f9010bb5732fe9439").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputa33329a65de44e9f9010bb5732fe9439() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadinga33329a65de44e9f9010bb5732fe9439(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinga33329a65de44e9f9010bb5732fe9439(); } } 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); mploadTelInputa33329a65de44e9f9010bb5732fe9439(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInita33329a65de44e9f9010bb5732fe9439(); } else { function waitForOtherFormsmpFrm10084feffecb4c8d9bca5b416f08fbef() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInita33329a65de44e9f9010bb5732fe9439(); } else { setTimeout(waitForOtherFormsmpFrm10084feffecb4c8d9bca5b416f08fbef,300); } } waitForOtherFormsmpFrm10084feffecb4c8d9bca5b416f08fbef(); }