var captchaWidgetmpFrm1c8abb096da149599bec94553de5ad3c; var mpCurrentScriptmpFrm1c8abb096da149599bec94553de5ad3cContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm1c8abb096da149599bec94553de5ad3c"; 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); mpFormmpFrm1c8abb096da149599bec94553de5ad3cFind(); } })(); function mpFormmpFrm1c8abb096da149599bec94553de5ad3cFind() { if(!mpCurrentScriptmpFrm1c8abb096da149599bec94553de5ad3cContainer) return; if (mpCurrentScriptmpFrm1c8abb096da149599bec94553de5ad3cContainer && mpCurrentScriptmpFrm1c8abb096da149599bec94553de5ad3cContainer.nodeName && mpCurrentScriptmpFrm1c8abb096da149599bec94553de5ad3cContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm1c8abb096da149599bec94553de5ad3c" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm1c8abb096da149599bec94553de5ad3cContainer.children).forEach(c => { if (c.id === "mpFrm1c8abb096da149599bec94553de5ad3c") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript605a773a419c42cd9981d1b5cb4da3efContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm1c8abb096da149599bec94553de5ad3c"; } } } } function mpForm605a773a419c42cd9981d1b5cb4da3efCheck() { let checkBoxes = document.getElementById("mpform-605a773a419c42cd9981d1b5cb4da3ef").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 mpForm605a773a419c42cd9981d1b5cb4da3efSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-605a773a419c42cd9981d1b5cb4da3ef").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-605a773a419c42cd9981d1b5cb4da3ef").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-605a773a419c42cd9981d1b5cb4da3ef").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-605a773a419c42cd9981d1b5cb4da3ef')), 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: getTrackingId605a773a419c42cd9981d1b5cb4da3ef() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-605a773a419c42cd9981d1b5cb4da3ef").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-605a773a419c42cd9981d1b5cb4da3ef").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) { mpForm605a773a419c42cd9981d1b5cb4da3efCheck(); 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-605a773a419c42cd9981d1b5cb4da3ef').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-605a773a419c42cd9981d1b5cb4da3ef").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-605a773a419c42cd9981d1b5cb4da3ef').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm1c8abb096da149599bec94553de5ad3c); } else { mpForm605a773a419c42cd9981d1b5cb4da3efCheck(); 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 mpmRecaptchaLoaded605a773a419c42cd9981d1b5cb4da3ef() { captchaWidgetmpFrm1c8abb096da149599bec94553de5ad3c = grecaptcha.render('mpmRecaptchampFrm1c8abb096da149599bec94553de5ad3c', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId605a773a419c42cd9981d1b5cb4da3ef() { 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 mpmFormInit605a773a419c42cd9981d1b5cb4da3ef () { 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 finishedLoading605a773a419c42cd9981d1b5cb4da3ef() { window.mpFormLoading = false; let container = document.getElementById('mpFrm1c8abb096da149599bec94553de5ad3c'); if (!container) { mpFormmpFrm1c8abb096da149599bec94553de5ad3cFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm1c8abb096da149599bec94553de5ad3c'); return setTimeout(finishedLoading605a773a419c42cd9981d1b5cb4da3ef, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-605a773a419c42cd9981d1b5cb4da3ef").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-605a773a419c42cd9981d1b5cb4da3ef").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-605a773a419c42cd9981d1b5cb4da3ef").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-605a773a419c42cd9981d1b5cb4da3ef").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-605a773a419c42cd9981d1b5cb4da3ef").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=mpmRecaptchaLoaded605a773a419c42cd9981d1b5cb4da3ef&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup605a773a419c42cd9981d1b5cb4da3ef() { let popups = document.getElementById("mpform-605a773a419c42cd9981d1b5cb4da3ef").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput605a773a419c42cd9981d1b5cb4da3ef() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading605a773a419c42cd9981d1b5cb4da3ef(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading605a773a419c42cd9981d1b5cb4da3ef(); } } 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); mploadTelInput605a773a419c42cd9981d1b5cb4da3ef(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit605a773a419c42cd9981d1b5cb4da3ef(); } else { function waitForOtherFormsmpFrm1c8abb096da149599bec94553de5ad3c() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit605a773a419c42cd9981d1b5cb4da3ef(); } else { setTimeout(waitForOtherFormsmpFrm1c8abb096da149599bec94553de5ad3c,300); } } waitForOtherFormsmpFrm1c8abb096da149599bec94553de5ad3c(); }