var captchaWidgetmpFrm81dfcd862ea645008f276fd74cc034bf; var mpCurrentScriptmpFrm81dfcd862ea645008f276fd74cc034bfContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm81dfcd862ea645008f276fd74cc034bf"; 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); mpFormmpFrm81dfcd862ea645008f276fd74cc034bfFind(); } })(); function mpFormmpFrm81dfcd862ea645008f276fd74cc034bfFind() { if(!mpCurrentScriptmpFrm81dfcd862ea645008f276fd74cc034bfContainer) return; if (mpCurrentScriptmpFrm81dfcd862ea645008f276fd74cc034bfContainer && mpCurrentScriptmpFrm81dfcd862ea645008f276fd74cc034bfContainer.nodeName && mpCurrentScriptmpFrm81dfcd862ea645008f276fd74cc034bfContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm81dfcd862ea645008f276fd74cc034bf" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm81dfcd862ea645008f276fd74cc034bfContainer.children).forEach(c => { if (c.id === "mpFrm81dfcd862ea645008f276fd74cc034bf") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript0207107280bc461889fb3f0cb80aff1fContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm81dfcd862ea645008f276fd74cc034bf"; } } } } function mpForm0207107280bc461889fb3f0cb80aff1fCheck() { let checkBoxes = document.getElementById("mpform-0207107280bc461889fb3f0cb80aff1f").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 mpForm0207107280bc461889fb3f0cb80aff1fSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-0207107280bc461889fb3f0cb80aff1f").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-0207107280bc461889fb3f0cb80aff1f").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-0207107280bc461889fb3f0cb80aff1f").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-0207107280bc461889fb3f0cb80aff1f')), 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: getTrackingId0207107280bc461889fb3f0cb80aff1f() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-0207107280bc461889fb3f0cb80aff1f").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-0207107280bc461889fb3f0cb80aff1f").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) { mpForm0207107280bc461889fb3f0cb80aff1fCheck(); 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-0207107280bc461889fb3f0cb80aff1f').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-0207107280bc461889fb3f0cb80aff1f").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-0207107280bc461889fb3f0cb80aff1f').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm81dfcd862ea645008f276fd74cc034bf); } else { mpForm0207107280bc461889fb3f0cb80aff1fCheck(); 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 mpmRecaptchaLoaded0207107280bc461889fb3f0cb80aff1f() { captchaWidgetmpFrm81dfcd862ea645008f276fd74cc034bf = grecaptcha.render('mpmRecaptchampFrm81dfcd862ea645008f276fd74cc034bf', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId0207107280bc461889fb3f0cb80aff1f() { 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 mpmFormInit0207107280bc461889fb3f0cb80aff1f () { 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 finishedLoading0207107280bc461889fb3f0cb80aff1f() { window.mpFormLoading = false; let container = document.getElementById('mpFrm81dfcd862ea645008f276fd74cc034bf'); if (!container) { mpFormmpFrm81dfcd862ea645008f276fd74cc034bfFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm81dfcd862ea645008f276fd74cc034bf'); return setTimeout(finishedLoading0207107280bc461889fb3f0cb80aff1f, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-0207107280bc461889fb3f0cb80aff1f").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-0207107280bc461889fb3f0cb80aff1f").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-0207107280bc461889fb3f0cb80aff1f").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-0207107280bc461889fb3f0cb80aff1f").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-0207107280bc461889fb3f0cb80aff1f").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=mpmRecaptchaLoaded0207107280bc461889fb3f0cb80aff1f&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup0207107280bc461889fb3f0cb80aff1f() { let popups = document.getElementById("mpform-0207107280bc461889fb3f0cb80aff1f").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput0207107280bc461889fb3f0cb80aff1f() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading0207107280bc461889fb3f0cb80aff1f(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading0207107280bc461889fb3f0cb80aff1f(); } } 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); mploadTelInput0207107280bc461889fb3f0cb80aff1f(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit0207107280bc461889fb3f0cb80aff1f(); } else { function waitForOtherFormsmpFrm81dfcd862ea645008f276fd74cc034bf() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit0207107280bc461889fb3f0cb80aff1f(); } else { setTimeout(waitForOtherFormsmpFrm81dfcd862ea645008f276fd74cc034bf,300); } } waitForOtherFormsmpFrm81dfcd862ea645008f276fd74cc034bf(); }