var captchaWidgetmpFrm0ea8d3bf9c9d4413a6c5b745be2fbc5a; var mpCurrentScriptmpFrm0ea8d3bf9c9d4413a6c5b745be2fbc5aContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm0ea8d3bf9c9d4413a6c5b745be2fbc5a"; 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); mpFormmpFrm0ea8d3bf9c9d4413a6c5b745be2fbc5aFind(); } })(); function mpFormmpFrm0ea8d3bf9c9d4413a6c5b745be2fbc5aFind() { if(!mpCurrentScriptmpFrm0ea8d3bf9c9d4413a6c5b745be2fbc5aContainer) return; if (mpCurrentScriptmpFrm0ea8d3bf9c9d4413a6c5b745be2fbc5aContainer && mpCurrentScriptmpFrm0ea8d3bf9c9d4413a6c5b745be2fbc5aContainer.nodeName && mpCurrentScriptmpFrm0ea8d3bf9c9d4413a6c5b745be2fbc5aContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm0ea8d3bf9c9d4413a6c5b745be2fbc5a" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm0ea8d3bf9c9d4413a6c5b745be2fbc5aContainer.children).forEach(c => { if (c.id === "mpFrm0ea8d3bf9c9d4413a6c5b745be2fbc5a") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScripta92c74bca4c2433ea61728b487b8310bContainer.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm0ea8d3bf9c9d4413a6c5b745be2fbc5a"; } } } } function mpForma92c74bca4c2433ea61728b487b8310bCheck() { let checkBoxes = document.getElementById("mpform-a92c74bca4c2433ea61728b487b8310b").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 mpForma92c74bca4c2433ea61728b487b8310bSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-a92c74bca4c2433ea61728b487b8310b").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-a92c74bca4c2433ea61728b487b8310b").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-a92c74bca4c2433ea61728b487b8310b").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-a92c74bca4c2433ea61728b487b8310b')), 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: getTrackingIda92c74bca4c2433ea61728b487b8310b() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-a92c74bca4c2433ea61728b487b8310b").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-a92c74bca4c2433ea61728b487b8310b").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) { mpForma92c74bca4c2433ea61728b487b8310bCheck(); 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-a92c74bca4c2433ea61728b487b8310b').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-a92c74bca4c2433ea61728b487b8310b").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-a92c74bca4c2433ea61728b487b8310b').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm0ea8d3bf9c9d4413a6c5b745be2fbc5a); } else { mpForma92c74bca4c2433ea61728b487b8310bCheck(); 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 mpmRecaptchaLoadeda92c74bca4c2433ea61728b487b8310b() { captchaWidgetmpFrm0ea8d3bf9c9d4413a6c5b745be2fbc5a = grecaptcha.render('mpmRecaptchampFrm0ea8d3bf9c9d4413a6c5b745be2fbc5a', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIda92c74bca4c2433ea61728b487b8310b() { 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 mpmFormInita92c74bca4c2433ea61728b487b8310b () { 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 finishedLoadinga92c74bca4c2433ea61728b487b8310b() { window.mpFormLoading = false; let container = document.getElementById('mpFrm0ea8d3bf9c9d4413a6c5b745be2fbc5a'); if (!container) { mpFormmpFrm0ea8d3bf9c9d4413a6c5b745be2fbc5aFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm0ea8d3bf9c9d4413a6c5b745be2fbc5a'); return setTimeout(finishedLoadinga92c74bca4c2433ea61728b487b8310b, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-a92c74bca4c2433ea61728b487b8310b").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-a92c74bca4c2433ea61728b487b8310b").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-a92c74bca4c2433ea61728b487b8310b").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-a92c74bca4c2433ea61728b487b8310b").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-a92c74bca4c2433ea61728b487b8310b").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=mpmRecaptchaLoadeda92c74bca4c2433ea61728b487b8310b&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupa92c74bca4c2433ea61728b487b8310b() { let popups = document.getElementById("mpform-a92c74bca4c2433ea61728b487b8310b").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputa92c74bca4c2433ea61728b487b8310b() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadinga92c74bca4c2433ea61728b487b8310b(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinga92c74bca4c2433ea61728b487b8310b(); } } 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); mploadTelInputa92c74bca4c2433ea61728b487b8310b(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInita92c74bca4c2433ea61728b487b8310b(); } else { function waitForOtherFormsmpFrm0ea8d3bf9c9d4413a6c5b745be2fbc5a() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInita92c74bca4c2433ea61728b487b8310b(); } else { setTimeout(waitForOtherFormsmpFrm0ea8d3bf9c9d4413a6c5b745be2fbc5a,300); } } waitForOtherFormsmpFrm0ea8d3bf9c9d4413a6c5b745be2fbc5a(); }