var captchaWidgetmpFrmd437bbccb5e84f5685becede80245ad5; var mpCurrentScriptmpFrmd437bbccb5e84f5685becede80245ad5Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmd437bbccb5e84f5685becede80245ad5"; 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); mpFormmpFrmd437bbccb5e84f5685becede80245ad5Find(); } })(); function mpFormmpFrmd437bbccb5e84f5685becede80245ad5Find() { if(!mpCurrentScriptmpFrmd437bbccb5e84f5685becede80245ad5Container) return; if (mpCurrentScriptmpFrmd437bbccb5e84f5685becede80245ad5Container && mpCurrentScriptmpFrmd437bbccb5e84f5685becede80245ad5Container.nodeName && mpCurrentScriptmpFrmd437bbccb5e84f5685becede80245ad5Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmd437bbccb5e84f5685becede80245ad5" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmd437bbccb5e84f5685becede80245ad5Container.children).forEach(c => { if (c.id === "mpFrmd437bbccb5e84f5685becede80245ad5") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript05f4312576654c6991677cc730aa4120Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmd437bbccb5e84f5685becede80245ad5"; } } } } function mpForm05f4312576654c6991677cc730aa4120Check() { let checkBoxes = document.getElementById("mpform-05f4312576654c6991677cc730aa4120").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 mpForm05f4312576654c6991677cc730aa4120Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-05f4312576654c6991677cc730aa4120").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-05f4312576654c6991677cc730aa4120").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-05f4312576654c6991677cc730aa4120").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-05f4312576654c6991677cc730aa4120')), 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: getTrackingId05f4312576654c6991677cc730aa4120() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-05f4312576654c6991677cc730aa4120").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-05f4312576654c6991677cc730aa4120").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) { mpForm05f4312576654c6991677cc730aa4120Check(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; let response = JSON.parse(xhr.responseText); try { document.getElementById('mpform-05f4312576654c6991677cc730aa4120').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-05f4312576654c6991677cc730aa4120").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-05f4312576654c6991677cc730aa4120').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmd437bbccb5e84f5685becede80245ad5); } else { mpForm05f4312576654c6991677cc730aa4120Check(); 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 mpmRecaptchaLoaded05f4312576654c6991677cc730aa4120() { captchaWidgetmpFrmd437bbccb5e84f5685becede80245ad5 = grecaptcha.render('mpmRecaptchampFrmd437bbccb5e84f5685becede80245ad5', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId05f4312576654c6991677cc730aa4120() { 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 mpmFormInit05f4312576654c6991677cc730aa4120 () { 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 finishedLoading05f4312576654c6991677cc730aa4120() { window.mpFormLoading = false; let container = document.getElementById('mpFrmd437bbccb5e84f5685becede80245ad5'); if (!container) { mpFormmpFrmd437bbccb5e84f5685becede80245ad5Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmd437bbccb5e84f5685becede80245ad5'); return setTimeout(finishedLoading05f4312576654c6991677cc730aa4120, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-05f4312576654c6991677cc730aa4120").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-05f4312576654c6991677cc730aa4120").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-05f4312576654c6991677cc730aa4120").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-05f4312576654c6991677cc730aa4120").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-05f4312576654c6991677cc730aa4120").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=mpmRecaptchaLoaded05f4312576654c6991677cc730aa4120&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup05f4312576654c6991677cc730aa4120() { let popups = document.getElementById("mpform-05f4312576654c6991677cc730aa4120").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput05f4312576654c6991677cc730aa4120() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading05f4312576654c6991677cc730aa4120(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading05f4312576654c6991677cc730aa4120(); } } 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); mploadTelInput05f4312576654c6991677cc730aa4120(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit05f4312576654c6991677cc730aa4120(); } else { function waitForOtherFormsmpFrmd437bbccb5e84f5685becede80245ad5() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit05f4312576654c6991677cc730aa4120(); } else { setTimeout(waitForOtherFormsmpFrmd437bbccb5e84f5685becede80245ad5,300); } } waitForOtherFormsmpFrmd437bbccb5e84f5685becede80245ad5(); }