var captchaWidgetmpFrm9a31c2fbe2694de788d4260c9542c6db; var mpCurrentScriptmpFrm9a31c2fbe2694de788d4260c9542c6dbContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm9a31c2fbe2694de788d4260c9542c6db"; 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); mpFormmpFrm9a31c2fbe2694de788d4260c9542c6dbFind(); } })(); function mpFormmpFrm9a31c2fbe2694de788d4260c9542c6dbFind() { if(!mpCurrentScriptmpFrm9a31c2fbe2694de788d4260c9542c6dbContainer) return; if (mpCurrentScriptmpFrm9a31c2fbe2694de788d4260c9542c6dbContainer && mpCurrentScriptmpFrm9a31c2fbe2694de788d4260c9542c6dbContainer.nodeName && mpCurrentScriptmpFrm9a31c2fbe2694de788d4260c9542c6dbContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm9a31c2fbe2694de788d4260c9542c6db" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm9a31c2fbe2694de788d4260c9542c6dbContainer.children).forEach(c => { if (c.id === "mpFrm9a31c2fbe2694de788d4260c9542c6db") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript5f77580b9bee4dedb6448b649b265b36Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm9a31c2fbe2694de788d4260c9542c6db"; } } } } function mpForm5f77580b9bee4dedb6448b649b265b36Check() { let checkBoxes = document.getElementById("mpform-5f77580b9bee4dedb6448b649b265b36").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 mpForm5f77580b9bee4dedb6448b649b265b36Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-5f77580b9bee4dedb6448b649b265b36").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-5f77580b9bee4dedb6448b649b265b36").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-5f77580b9bee4dedb6448b649b265b36").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-5f77580b9bee4dedb6448b649b265b36')), 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: getTrackingId5f77580b9bee4dedb6448b649b265b36() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-5f77580b9bee4dedb6448b649b265b36").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-5f77580b9bee4dedb6448b649b265b36").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) { mpForm5f77580b9bee4dedb6448b649b265b36Check(); 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-5f77580b9bee4dedb6448b649b265b36').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-5f77580b9bee4dedb6448b649b265b36").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-5f77580b9bee4dedb6448b649b265b36').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm9a31c2fbe2694de788d4260c9542c6db); } else { mpForm5f77580b9bee4dedb6448b649b265b36Check(); 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 mpmRecaptchaLoaded5f77580b9bee4dedb6448b649b265b36() { captchaWidgetmpFrm9a31c2fbe2694de788d4260c9542c6db = grecaptcha.render('mpmRecaptchampFrm9a31c2fbe2694de788d4260c9542c6db', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId5f77580b9bee4dedb6448b649b265b36() { 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 mpmFormInit5f77580b9bee4dedb6448b649b265b36 () { 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 finishedLoading5f77580b9bee4dedb6448b649b265b36() { window.mpFormLoading = false; let container = document.getElementById('mpFrm9a31c2fbe2694de788d4260c9542c6db'); if (!container) { mpFormmpFrm9a31c2fbe2694de788d4260c9542c6dbFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm9a31c2fbe2694de788d4260c9542c6db'); return setTimeout(finishedLoading5f77580b9bee4dedb6448b649b265b36, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-5f77580b9bee4dedb6448b649b265b36").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-5f77580b9bee4dedb6448b649b265b36").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-5f77580b9bee4dedb6448b649b265b36").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-5f77580b9bee4dedb6448b649b265b36").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-5f77580b9bee4dedb6448b649b265b36").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=mpmRecaptchaLoaded5f77580b9bee4dedb6448b649b265b36&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup5f77580b9bee4dedb6448b649b265b36() { let popups = document.getElementById("mpform-5f77580b9bee4dedb6448b649b265b36").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput5f77580b9bee4dedb6448b649b265b36() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading5f77580b9bee4dedb6448b649b265b36(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading5f77580b9bee4dedb6448b649b265b36(); } } 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); mploadTelInput5f77580b9bee4dedb6448b649b265b36(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit5f77580b9bee4dedb6448b649b265b36(); } else { function waitForOtherFormsmpFrm9a31c2fbe2694de788d4260c9542c6db() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit5f77580b9bee4dedb6448b649b265b36(); } else { setTimeout(waitForOtherFormsmpFrm9a31c2fbe2694de788d4260c9542c6db,300); } } waitForOtherFormsmpFrm9a31c2fbe2694de788d4260c9542c6db(); }