var captchaWidgetmpFrm58530891db374a88a398759688cbc31f; var mpCurrentScriptmpFrm58530891db374a88a398759688cbc31fContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm58530891db374a88a398759688cbc31f"; 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); mpFormmpFrm58530891db374a88a398759688cbc31fFind(); } })(); function mpFormmpFrm58530891db374a88a398759688cbc31fFind() { if(!mpCurrentScriptmpFrm58530891db374a88a398759688cbc31fContainer) return; if (mpCurrentScriptmpFrm58530891db374a88a398759688cbc31fContainer && mpCurrentScriptmpFrm58530891db374a88a398759688cbc31fContainer.nodeName && mpCurrentScriptmpFrm58530891db374a88a398759688cbc31fContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm58530891db374a88a398759688cbc31f" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm58530891db374a88a398759688cbc31fContainer.children).forEach(c => { if (c.id === "mpFrm58530891db374a88a398759688cbc31f") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript15a52c95a3924b4a93d5bda877203bbfContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm58530891db374a88a398759688cbc31f"; } } } } function mpForm15a52c95a3924b4a93d5bda877203bbfCheck() { let checkBoxes = document.getElementById("mpform-15a52c95a3924b4a93d5bda877203bbf").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 mpForm15a52c95a3924b4a93d5bda877203bbfSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-15a52c95a3924b4a93d5bda877203bbf").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-15a52c95a3924b4a93d5bda877203bbf").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-15a52c95a3924b4a93d5bda877203bbf").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-15a52c95a3924b4a93d5bda877203bbf')), 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: getTrackingId15a52c95a3924b4a93d5bda877203bbf() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-15a52c95a3924b4a93d5bda877203bbf").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-15a52c95a3924b4a93d5bda877203bbf").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) { mpForm15a52c95a3924b4a93d5bda877203bbfCheck(); 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-15a52c95a3924b4a93d5bda877203bbf').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-15a52c95a3924b4a93d5bda877203bbf").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-15a52c95a3924b4a93d5bda877203bbf').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm58530891db374a88a398759688cbc31f); } else { mpForm15a52c95a3924b4a93d5bda877203bbfCheck(); 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 mpmRecaptchaLoaded15a52c95a3924b4a93d5bda877203bbf() { captchaWidgetmpFrm58530891db374a88a398759688cbc31f = grecaptcha.render('mpmRecaptchampFrm58530891db374a88a398759688cbc31f', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId15a52c95a3924b4a93d5bda877203bbf() { 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 mpmFormInit15a52c95a3924b4a93d5bda877203bbf () { 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 finishedLoading15a52c95a3924b4a93d5bda877203bbf() { window.mpFormLoading = false; let container = document.getElementById('mpFrm58530891db374a88a398759688cbc31f'); if (!container) { mpFormmpFrm58530891db374a88a398759688cbc31fFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm58530891db374a88a398759688cbc31f'); return setTimeout(finishedLoading15a52c95a3924b4a93d5bda877203bbf, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-15a52c95a3924b4a93d5bda877203bbf").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-15a52c95a3924b4a93d5bda877203bbf").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-15a52c95a3924b4a93d5bda877203bbf").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-15a52c95a3924b4a93d5bda877203bbf").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-15a52c95a3924b4a93d5bda877203bbf").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=mpmRecaptchaLoaded15a52c95a3924b4a93d5bda877203bbf&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup15a52c95a3924b4a93d5bda877203bbf() { let popups = document.getElementById("mpform-15a52c95a3924b4a93d5bda877203bbf").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput15a52c95a3924b4a93d5bda877203bbf() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading15a52c95a3924b4a93d5bda877203bbf(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading15a52c95a3924b4a93d5bda877203bbf(); } } 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); mploadTelInput15a52c95a3924b4a93d5bda877203bbf(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit15a52c95a3924b4a93d5bda877203bbf(); } else { function waitForOtherFormsmpFrm58530891db374a88a398759688cbc31f() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit15a52c95a3924b4a93d5bda877203bbf(); } else { setTimeout(waitForOtherFormsmpFrm58530891db374a88a398759688cbc31f,300); } } waitForOtherFormsmpFrm58530891db374a88a398759688cbc31f(); }