var captchaWidgetmpFrm509751623bde4ace96e5a9379c13d112; var mpCurrentScriptmpFrm509751623bde4ace96e5a9379c13d112Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm509751623bde4ace96e5a9379c13d112"; 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); mpFormmpFrm509751623bde4ace96e5a9379c13d112Find(); } })(); function mpFormmpFrm509751623bde4ace96e5a9379c13d112Find() { if(!mpCurrentScriptmpFrm509751623bde4ace96e5a9379c13d112Container) return; if (mpCurrentScriptmpFrm509751623bde4ace96e5a9379c13d112Container && mpCurrentScriptmpFrm509751623bde4ace96e5a9379c13d112Container.nodeName && mpCurrentScriptmpFrm509751623bde4ace96e5a9379c13d112Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm509751623bde4ace96e5a9379c13d112" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm509751623bde4ace96e5a9379c13d112Container.children).forEach(c => { if (c.id === "mpFrm509751623bde4ace96e5a9379c13d112") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptab80ff11c84347f5b56337833e085615Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm509751623bde4ace96e5a9379c13d112"; } } } } function mpFormab80ff11c84347f5b56337833e085615Check() { let checkBoxes = document.getElementById("mpform-ab80ff11c84347f5b56337833e085615").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 mpFormab80ff11c84347f5b56337833e085615Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-ab80ff11c84347f5b56337833e085615").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-ab80ff11c84347f5b56337833e085615").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-ab80ff11c84347f5b56337833e085615").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-ab80ff11c84347f5b56337833e085615')), 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: getTrackingIdab80ff11c84347f5b56337833e085615() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-ab80ff11c84347f5b56337833e085615").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-ab80ff11c84347f5b56337833e085615").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) { mpFormab80ff11c84347f5b56337833e085615Check(); 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-ab80ff11c84347f5b56337833e085615').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-ab80ff11c84347f5b56337833e085615").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-ab80ff11c84347f5b56337833e085615').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm509751623bde4ace96e5a9379c13d112); } else { mpFormab80ff11c84347f5b56337833e085615Check(); 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 mpmRecaptchaLoadedab80ff11c84347f5b56337833e085615() { captchaWidgetmpFrm509751623bde4ace96e5a9379c13d112 = grecaptcha.render('mpmRecaptchampFrm509751623bde4ace96e5a9379c13d112', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdab80ff11c84347f5b56337833e085615() { 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 mpmFormInitab80ff11c84347f5b56337833e085615 () { 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 finishedLoadingab80ff11c84347f5b56337833e085615() { window.mpFormLoading = false; let container = document.getElementById('mpFrm509751623bde4ace96e5a9379c13d112'); if (!container) { mpFormmpFrm509751623bde4ace96e5a9379c13d112Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm509751623bde4ace96e5a9379c13d112'); return setTimeout(finishedLoadingab80ff11c84347f5b56337833e085615, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-ab80ff11c84347f5b56337833e085615").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-ab80ff11c84347f5b56337833e085615").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-ab80ff11c84347f5b56337833e085615").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-ab80ff11c84347f5b56337833e085615").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-ab80ff11c84347f5b56337833e085615").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=mpmRecaptchaLoadedab80ff11c84347f5b56337833e085615&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupab80ff11c84347f5b56337833e085615() { let popups = document.getElementById("mpform-ab80ff11c84347f5b56337833e085615").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputab80ff11c84347f5b56337833e085615() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingab80ff11c84347f5b56337833e085615(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingab80ff11c84347f5b56337833e085615(); } } 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); mploadTelInputab80ff11c84347f5b56337833e085615(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitab80ff11c84347f5b56337833e085615(); } else { function waitForOtherFormsmpFrm509751623bde4ace96e5a9379c13d112() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitab80ff11c84347f5b56337833e085615(); } else { setTimeout(waitForOtherFormsmpFrm509751623bde4ace96e5a9379c13d112,300); } } waitForOtherFormsmpFrm509751623bde4ace96e5a9379c13d112(); }