var captchaWidgetmpFrm71840e93f98a4302a249cca9da3451bb; var mpCurrentScriptmpFrm71840e93f98a4302a249cca9da3451bbContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm71840e93f98a4302a249cca9da3451bb"; 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); mpFormmpFrm71840e93f98a4302a249cca9da3451bbFind(); } })(); function mpFormmpFrm71840e93f98a4302a249cca9da3451bbFind() { if(!mpCurrentScriptmpFrm71840e93f98a4302a249cca9da3451bbContainer) return; if (mpCurrentScriptmpFrm71840e93f98a4302a249cca9da3451bbContainer && mpCurrentScriptmpFrm71840e93f98a4302a249cca9da3451bbContainer.nodeName && mpCurrentScriptmpFrm71840e93f98a4302a249cca9da3451bbContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm71840e93f98a4302a249cca9da3451bb" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm71840e93f98a4302a249cca9da3451bbContainer.children).forEach(c => { if (c.id === "mpFrm71840e93f98a4302a249cca9da3451bb") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScripta29a70c929ab4aec8e1c5548086dd178Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm71840e93f98a4302a249cca9da3451bb"; } } } } function mpForma29a70c929ab4aec8e1c5548086dd178Check() { let checkBoxes = document.getElementById("mpform-a29a70c929ab4aec8e1c5548086dd178").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 mpForma29a70c929ab4aec8e1c5548086dd178Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-a29a70c929ab4aec8e1c5548086dd178").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-a29a70c929ab4aec8e1c5548086dd178").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-a29a70c929ab4aec8e1c5548086dd178").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-a29a70c929ab4aec8e1c5548086dd178')), 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: getTrackingIda29a70c929ab4aec8e1c5548086dd178() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-a29a70c929ab4aec8e1c5548086dd178").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-a29a70c929ab4aec8e1c5548086dd178").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) { mpForma29a70c929ab4aec8e1c5548086dd178Check(); 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-a29a70c929ab4aec8e1c5548086dd178').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-a29a70c929ab4aec8e1c5548086dd178").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-a29a70c929ab4aec8e1c5548086dd178').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm71840e93f98a4302a249cca9da3451bb); } else { mpForma29a70c929ab4aec8e1c5548086dd178Check(); 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 mpmRecaptchaLoadeda29a70c929ab4aec8e1c5548086dd178() { captchaWidgetmpFrm71840e93f98a4302a249cca9da3451bb = grecaptcha.render('mpmRecaptchampFrm71840e93f98a4302a249cca9da3451bb', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIda29a70c929ab4aec8e1c5548086dd178() { 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 mpmFormInita29a70c929ab4aec8e1c5548086dd178 () { 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 finishedLoadinga29a70c929ab4aec8e1c5548086dd178() { window.mpFormLoading = false; let container = document.getElementById('mpFrm71840e93f98a4302a249cca9da3451bb'); if (!container) { mpFormmpFrm71840e93f98a4302a249cca9da3451bbFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm71840e93f98a4302a249cca9da3451bb'); return setTimeout(finishedLoadinga29a70c929ab4aec8e1c5548086dd178, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-a29a70c929ab4aec8e1c5548086dd178").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-a29a70c929ab4aec8e1c5548086dd178").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-a29a70c929ab4aec8e1c5548086dd178").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-a29a70c929ab4aec8e1c5548086dd178").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-a29a70c929ab4aec8e1c5548086dd178").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=mpmRecaptchaLoadeda29a70c929ab4aec8e1c5548086dd178&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupa29a70c929ab4aec8e1c5548086dd178() { let popups = document.getElementById("mpform-a29a70c929ab4aec8e1c5548086dd178").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputa29a70c929ab4aec8e1c5548086dd178() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadinga29a70c929ab4aec8e1c5548086dd178(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinga29a70c929ab4aec8e1c5548086dd178(); } } 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); mploadTelInputa29a70c929ab4aec8e1c5548086dd178(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInita29a70c929ab4aec8e1c5548086dd178(); } else { function waitForOtherFormsmpFrm71840e93f98a4302a249cca9da3451bb() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInita29a70c929ab4aec8e1c5548086dd178(); } else { setTimeout(waitForOtherFormsmpFrm71840e93f98a4302a249cca9da3451bb,300); } } waitForOtherFormsmpFrm71840e93f98a4302a249cca9da3451bb(); }