var captchaWidgetmpFrm77d419b508284c3fa7c8d1ee7bf374e8; var mpCurrentScriptmpFrm77d419b508284c3fa7c8d1ee7bf374e8Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm77d419b508284c3fa7c8d1ee7bf374e8"; 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); mpFormmpFrm77d419b508284c3fa7c8d1ee7bf374e8Find(); } })(); function mpFormmpFrm77d419b508284c3fa7c8d1ee7bf374e8Find() { if(!mpCurrentScriptmpFrm77d419b508284c3fa7c8d1ee7bf374e8Container) return; if (mpCurrentScriptmpFrm77d419b508284c3fa7c8d1ee7bf374e8Container && mpCurrentScriptmpFrm77d419b508284c3fa7c8d1ee7bf374e8Container.nodeName && mpCurrentScriptmpFrm77d419b508284c3fa7c8d1ee7bf374e8Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm77d419b508284c3fa7c8d1ee7bf374e8" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm77d419b508284c3fa7c8d1ee7bf374e8Container.children).forEach(c => { if (c.id === "mpFrm77d419b508284c3fa7c8d1ee7bf374e8") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript348c15dc957147e2bf40b97adffcbb93Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm77d419b508284c3fa7c8d1ee7bf374e8"; } } } } function mpForm348c15dc957147e2bf40b97adffcbb93Check() { let checkBoxes = document.getElementById("mpform-348c15dc957147e2bf40b97adffcbb93").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 mpForm348c15dc957147e2bf40b97adffcbb93Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-348c15dc957147e2bf40b97adffcbb93").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-348c15dc957147e2bf40b97adffcbb93").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-348c15dc957147e2bf40b97adffcbb93").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-348c15dc957147e2bf40b97adffcbb93')), 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: getTrackingId348c15dc957147e2bf40b97adffcbb93() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-348c15dc957147e2bf40b97adffcbb93").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-348c15dc957147e2bf40b97adffcbb93").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) { mpForm348c15dc957147e2bf40b97adffcbb93Check(); 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-348c15dc957147e2bf40b97adffcbb93').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-348c15dc957147e2bf40b97adffcbb93").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-348c15dc957147e2bf40b97adffcbb93').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm77d419b508284c3fa7c8d1ee7bf374e8); } else { mpForm348c15dc957147e2bf40b97adffcbb93Check(); 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 mpmRecaptchaLoaded348c15dc957147e2bf40b97adffcbb93() { captchaWidgetmpFrm77d419b508284c3fa7c8d1ee7bf374e8 = grecaptcha.render('mpmRecaptchampFrm77d419b508284c3fa7c8d1ee7bf374e8', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId348c15dc957147e2bf40b97adffcbb93() { 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 mpmFormInit348c15dc957147e2bf40b97adffcbb93 () { 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 finishedLoading348c15dc957147e2bf40b97adffcbb93() { window.mpFormLoading = false; let container = document.getElementById('mpFrm77d419b508284c3fa7c8d1ee7bf374e8'); if (!container) { mpFormmpFrm77d419b508284c3fa7c8d1ee7bf374e8Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm77d419b508284c3fa7c8d1ee7bf374e8'); return setTimeout(finishedLoading348c15dc957147e2bf40b97adffcbb93, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-348c15dc957147e2bf40b97adffcbb93").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-348c15dc957147e2bf40b97adffcbb93").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-348c15dc957147e2bf40b97adffcbb93").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-348c15dc957147e2bf40b97adffcbb93").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-348c15dc957147e2bf40b97adffcbb93").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=mpmRecaptchaLoaded348c15dc957147e2bf40b97adffcbb93&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup348c15dc957147e2bf40b97adffcbb93() { let popups = document.getElementById("mpform-348c15dc957147e2bf40b97adffcbb93").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput348c15dc957147e2bf40b97adffcbb93() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading348c15dc957147e2bf40b97adffcbb93(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading348c15dc957147e2bf40b97adffcbb93(); } } 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); mploadTelInput348c15dc957147e2bf40b97adffcbb93(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit348c15dc957147e2bf40b97adffcbb93(); } else { function waitForOtherFormsmpFrm77d419b508284c3fa7c8d1ee7bf374e8() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit348c15dc957147e2bf40b97adffcbb93(); } else { setTimeout(waitForOtherFormsmpFrm77d419b508284c3fa7c8d1ee7bf374e8,300); } } waitForOtherFormsmpFrm77d419b508284c3fa7c8d1ee7bf374e8(); }