var captchaWidgetmpFrmdb4905f5bab047e3acddce626e1f22d0; var mpCurrentScriptmpFrmdb4905f5bab047e3acddce626e1f22d0Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmdb4905f5bab047e3acddce626e1f22d0"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41955"); 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); mpFormmpFrmdb4905f5bab047e3acddce626e1f22d0Find(); } })(); function mpFormmpFrmdb4905f5bab047e3acddce626e1f22d0Find() { if(!mpCurrentScriptmpFrmdb4905f5bab047e3acddce626e1f22d0Container) return; if (mpCurrentScriptmpFrmdb4905f5bab047e3acddce626e1f22d0Container && mpCurrentScriptmpFrmdb4905f5bab047e3acddce626e1f22d0Container.nodeName && mpCurrentScriptmpFrmdb4905f5bab047e3acddce626e1f22d0Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmdb4905f5bab047e3acddce626e1f22d0" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmdb4905f5bab047e3acddce626e1f22d0Container.children).forEach(c => { if (c.id === "mpFrmdb4905f5bab047e3acddce626e1f22d0") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptc20fab178dc444fbb2b097388038759cContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmdb4905f5bab047e3acddce626e1f22d0"; } } } } function mpFormc20fab178dc444fbb2b097388038759cCheck() { let checkBoxes = document.getElementById("mpform-c20fab178dc444fbb2b097388038759c").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 mpFormc20fab178dc444fbb2b097388038759cSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-c20fab178dc444fbb2b097388038759c").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-c20fab178dc444fbb2b097388038759c").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-c20fab178dc444fbb2b097388038759c").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-c20fab178dc444fbb2b097388038759c')), 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: getTrackingIdc20fab178dc444fbb2b097388038759c() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-c20fab178dc444fbb2b097388038759c").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-c20fab178dc444fbb2b097388038759c").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=41955", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpFormc20fab178dc444fbb2b097388038759cCheck(); 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-c20fab178dc444fbb2b097388038759c').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-c20fab178dc444fbb2b097388038759c").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-c20fab178dc444fbb2b097388038759c').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmdb4905f5bab047e3acddce626e1f22d0); } else { mpFormc20fab178dc444fbb2b097388038759cCheck(); 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 mpmRecaptchaLoadedc20fab178dc444fbb2b097388038759c() { captchaWidgetmpFrmdb4905f5bab047e3acddce626e1f22d0 = grecaptcha.render('mpmRecaptchampFrmdb4905f5bab047e3acddce626e1f22d0', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdc20fab178dc444fbb2b097388038759c() { 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 mpmFormInitc20fab178dc444fbb2b097388038759c () { 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 finishedLoadingc20fab178dc444fbb2b097388038759c() { window.mpFormLoading = false; let container = document.getElementById('mpFrmdb4905f5bab047e3acddce626e1f22d0'); if (!container) { mpFormmpFrmdb4905f5bab047e3acddce626e1f22d0Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmdb4905f5bab047e3acddce626e1f22d0'); return setTimeout(finishedLoadingc20fab178dc444fbb2b097388038759c, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-c20fab178dc444fbb2b097388038759c").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-c20fab178dc444fbb2b097388038759c").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-c20fab178dc444fbb2b097388038759c").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-c20fab178dc444fbb2b097388038759c").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-c20fab178dc444fbb2b097388038759c").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=mpmRecaptchaLoadedc20fab178dc444fbb2b097388038759c&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupc20fab178dc444fbb2b097388038759c() { let popups = document.getElementById("mpform-c20fab178dc444fbb2b097388038759c").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputc20fab178dc444fbb2b097388038759c() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingc20fab178dc444fbb2b097388038759c(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingc20fab178dc444fbb2b097388038759c(); } } 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); mploadTelInputc20fab178dc444fbb2b097388038759c(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitc20fab178dc444fbb2b097388038759c(); } else { function waitForOtherFormsmpFrmdb4905f5bab047e3acddce626e1f22d0() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitc20fab178dc444fbb2b097388038759c(); } else { setTimeout(waitForOtherFormsmpFrmdb4905f5bab047e3acddce626e1f22d0,300); } } waitForOtherFormsmpFrmdb4905f5bab047e3acddce626e1f22d0(); }