var captchaWidgetmpFrm4c063d523c7a43a080418e78c00d886a; var mpCurrentScriptmpFrm4c063d523c7a43a080418e78c00d886aContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm4c063d523c7a43a080418e78c00d886a"; 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); mpFormmpFrm4c063d523c7a43a080418e78c00d886aFind(); } })(); function mpFormmpFrm4c063d523c7a43a080418e78c00d886aFind() { if(!mpCurrentScriptmpFrm4c063d523c7a43a080418e78c00d886aContainer) return; if (mpCurrentScriptmpFrm4c063d523c7a43a080418e78c00d886aContainer && mpCurrentScriptmpFrm4c063d523c7a43a080418e78c00d886aContainer.nodeName && mpCurrentScriptmpFrm4c063d523c7a43a080418e78c00d886aContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm4c063d523c7a43a080418e78c00d886a" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm4c063d523c7a43a080418e78c00d886aContainer.children).forEach(c => { if (c.id === "mpFrm4c063d523c7a43a080418e78c00d886a") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript03eb23d40e1b4445baba1591fe463e51Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm4c063d523c7a43a080418e78c00d886a"; } } } } function mpForm03eb23d40e1b4445baba1591fe463e51Check() { let checkBoxes = document.getElementById("mpform-03eb23d40e1b4445baba1591fe463e51").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 mpForm03eb23d40e1b4445baba1591fe463e51Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-03eb23d40e1b4445baba1591fe463e51").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-03eb23d40e1b4445baba1591fe463e51").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-03eb23d40e1b4445baba1591fe463e51").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-03eb23d40e1b4445baba1591fe463e51')), 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: getTrackingId03eb23d40e1b4445baba1591fe463e51() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-03eb23d40e1b4445baba1591fe463e51").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-03eb23d40e1b4445baba1591fe463e51").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) { mpForm03eb23d40e1b4445baba1591fe463e51Check(); 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-03eb23d40e1b4445baba1591fe463e51').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-03eb23d40e1b4445baba1591fe463e51").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-03eb23d40e1b4445baba1591fe463e51').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm4c063d523c7a43a080418e78c00d886a); } else { mpForm03eb23d40e1b4445baba1591fe463e51Check(); 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 mpmRecaptchaLoaded03eb23d40e1b4445baba1591fe463e51() { captchaWidgetmpFrm4c063d523c7a43a080418e78c00d886a = grecaptcha.render('mpmRecaptchampFrm4c063d523c7a43a080418e78c00d886a', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId03eb23d40e1b4445baba1591fe463e51() { 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 mpmFormInit03eb23d40e1b4445baba1591fe463e51 () { 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 finishedLoading03eb23d40e1b4445baba1591fe463e51() { window.mpFormLoading = false; let container = document.getElementById('mpFrm4c063d523c7a43a080418e78c00d886a'); if (!container) { mpFormmpFrm4c063d523c7a43a080418e78c00d886aFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm4c063d523c7a43a080418e78c00d886a'); return setTimeout(finishedLoading03eb23d40e1b4445baba1591fe463e51, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-03eb23d40e1b4445baba1591fe463e51").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-03eb23d40e1b4445baba1591fe463e51").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-03eb23d40e1b4445baba1591fe463e51").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-03eb23d40e1b4445baba1591fe463e51").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-03eb23d40e1b4445baba1591fe463e51").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=mpmRecaptchaLoaded03eb23d40e1b4445baba1591fe463e51&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup03eb23d40e1b4445baba1591fe463e51() { let popups = document.getElementById("mpform-03eb23d40e1b4445baba1591fe463e51").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput03eb23d40e1b4445baba1591fe463e51() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading03eb23d40e1b4445baba1591fe463e51(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading03eb23d40e1b4445baba1591fe463e51(); } } 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); mploadTelInput03eb23d40e1b4445baba1591fe463e51(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit03eb23d40e1b4445baba1591fe463e51(); } else { function waitForOtherFormsmpFrm4c063d523c7a43a080418e78c00d886a() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit03eb23d40e1b4445baba1591fe463e51(); } else { setTimeout(waitForOtherFormsmpFrm4c063d523c7a43a080418e78c00d886a,300); } } waitForOtherFormsmpFrm4c063d523c7a43a080418e78c00d886a(); }