var captchaWidgetmpFrm69572e195297435a94d1ea4a7422b49e; var mpCurrentScriptmpFrm69572e195297435a94d1ea4a7422b49eContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm69572e195297435a94d1ea4a7422b49e"; 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); mpFormmpFrm69572e195297435a94d1ea4a7422b49eFind(); } })(); function mpFormmpFrm69572e195297435a94d1ea4a7422b49eFind() { if(!mpCurrentScriptmpFrm69572e195297435a94d1ea4a7422b49eContainer) return; if (mpCurrentScriptmpFrm69572e195297435a94d1ea4a7422b49eContainer && mpCurrentScriptmpFrm69572e195297435a94d1ea4a7422b49eContainer.nodeName && mpCurrentScriptmpFrm69572e195297435a94d1ea4a7422b49eContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm69572e195297435a94d1ea4a7422b49e" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm69572e195297435a94d1ea4a7422b49eContainer.children).forEach(c => { if (c.id === "mpFrm69572e195297435a94d1ea4a7422b49e") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript07c82034eaab47dab54520b02d2586f5Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm69572e195297435a94d1ea4a7422b49e"; } } } } function mpForm07c82034eaab47dab54520b02d2586f5Check() { let checkBoxes = document.getElementById("mpform-07c82034eaab47dab54520b02d2586f5").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 mpForm07c82034eaab47dab54520b02d2586f5Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-07c82034eaab47dab54520b02d2586f5").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-07c82034eaab47dab54520b02d2586f5").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-07c82034eaab47dab54520b02d2586f5").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-07c82034eaab47dab54520b02d2586f5')), 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: getTrackingId07c82034eaab47dab54520b02d2586f5() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-07c82034eaab47dab54520b02d2586f5").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-07c82034eaab47dab54520b02d2586f5").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) { mpForm07c82034eaab47dab54520b02d2586f5Check(); 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-07c82034eaab47dab54520b02d2586f5').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-07c82034eaab47dab54520b02d2586f5").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-07c82034eaab47dab54520b02d2586f5').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm69572e195297435a94d1ea4a7422b49e); } else { mpForm07c82034eaab47dab54520b02d2586f5Check(); 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 mpmRecaptchaLoaded07c82034eaab47dab54520b02d2586f5() { captchaWidgetmpFrm69572e195297435a94d1ea4a7422b49e = grecaptcha.render('mpmRecaptchampFrm69572e195297435a94d1ea4a7422b49e', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId07c82034eaab47dab54520b02d2586f5() { 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 mpmFormInit07c82034eaab47dab54520b02d2586f5 () { 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 finishedLoading07c82034eaab47dab54520b02d2586f5() { window.mpFormLoading = false; let container = document.getElementById('mpFrm69572e195297435a94d1ea4a7422b49e'); if (!container) { mpFormmpFrm69572e195297435a94d1ea4a7422b49eFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm69572e195297435a94d1ea4a7422b49e'); return setTimeout(finishedLoading07c82034eaab47dab54520b02d2586f5, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-07c82034eaab47dab54520b02d2586f5").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-07c82034eaab47dab54520b02d2586f5").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-07c82034eaab47dab54520b02d2586f5").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-07c82034eaab47dab54520b02d2586f5").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-07c82034eaab47dab54520b02d2586f5").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=mpmRecaptchaLoaded07c82034eaab47dab54520b02d2586f5&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup07c82034eaab47dab54520b02d2586f5() { let popups = document.getElementById("mpform-07c82034eaab47dab54520b02d2586f5").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput07c82034eaab47dab54520b02d2586f5() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading07c82034eaab47dab54520b02d2586f5(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading07c82034eaab47dab54520b02d2586f5(); } } 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); mploadTelInput07c82034eaab47dab54520b02d2586f5(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit07c82034eaab47dab54520b02d2586f5(); } else { function waitForOtherFormsmpFrm69572e195297435a94d1ea4a7422b49e() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit07c82034eaab47dab54520b02d2586f5(); } else { setTimeout(waitForOtherFormsmpFrm69572e195297435a94d1ea4a7422b49e,300); } } waitForOtherFormsmpFrm69572e195297435a94d1ea4a7422b49e(); }