var captchaWidgetmpFrmfc9809f198d54a01b2c058d4ca31203b; var mpCurrentScriptmpFrmfc9809f198d54a01b2c058d4ca31203bContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmfc9809f198d54a01b2c058d4ca31203b"; 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); mpFormmpFrmfc9809f198d54a01b2c058d4ca31203bFind(); } })(); function mpFormmpFrmfc9809f198d54a01b2c058d4ca31203bFind() { if(!mpCurrentScriptmpFrmfc9809f198d54a01b2c058d4ca31203bContainer) return; if (mpCurrentScriptmpFrmfc9809f198d54a01b2c058d4ca31203bContainer && mpCurrentScriptmpFrmfc9809f198d54a01b2c058d4ca31203bContainer.nodeName && mpCurrentScriptmpFrmfc9809f198d54a01b2c058d4ca31203bContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmfc9809f198d54a01b2c058d4ca31203b" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmfc9809f198d54a01b2c058d4ca31203bContainer.children).forEach(c => { if (c.id === "mpFrmfc9809f198d54a01b2c058d4ca31203b") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript98338ad525f146f9be674b80603a66ecContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmfc9809f198d54a01b2c058d4ca31203b"; } } } } function mpForm98338ad525f146f9be674b80603a66ecCheck() { let checkBoxes = document.getElementById("mpform-98338ad525f146f9be674b80603a66ec").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 mpForm98338ad525f146f9be674b80603a66ecSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-98338ad525f146f9be674b80603a66ec").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-98338ad525f146f9be674b80603a66ec").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-98338ad525f146f9be674b80603a66ec").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-98338ad525f146f9be674b80603a66ec')), 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: getTrackingId98338ad525f146f9be674b80603a66ec() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-98338ad525f146f9be674b80603a66ec").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-98338ad525f146f9be674b80603a66ec").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) { mpForm98338ad525f146f9be674b80603a66ecCheck(); 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-98338ad525f146f9be674b80603a66ec').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-98338ad525f146f9be674b80603a66ec").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-98338ad525f146f9be674b80603a66ec').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmfc9809f198d54a01b2c058d4ca31203b); } else { mpForm98338ad525f146f9be674b80603a66ecCheck(); 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 mpmRecaptchaLoaded98338ad525f146f9be674b80603a66ec() { captchaWidgetmpFrmfc9809f198d54a01b2c058d4ca31203b = grecaptcha.render('mpmRecaptchampFrmfc9809f198d54a01b2c058d4ca31203b', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId98338ad525f146f9be674b80603a66ec() { 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 mpmFormInit98338ad525f146f9be674b80603a66ec () { 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 finishedLoading98338ad525f146f9be674b80603a66ec() { window.mpFormLoading = false; let container = document.getElementById('mpFrmfc9809f198d54a01b2c058d4ca31203b'); if (!container) { mpFormmpFrmfc9809f198d54a01b2c058d4ca31203bFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmfc9809f198d54a01b2c058d4ca31203b'); return setTimeout(finishedLoading98338ad525f146f9be674b80603a66ec, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-98338ad525f146f9be674b80603a66ec").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-98338ad525f146f9be674b80603a66ec").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-98338ad525f146f9be674b80603a66ec").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-98338ad525f146f9be674b80603a66ec").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-98338ad525f146f9be674b80603a66ec").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=mpmRecaptchaLoaded98338ad525f146f9be674b80603a66ec&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup98338ad525f146f9be674b80603a66ec() { let popups = document.getElementById("mpform-98338ad525f146f9be674b80603a66ec").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput98338ad525f146f9be674b80603a66ec() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading98338ad525f146f9be674b80603a66ec(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading98338ad525f146f9be674b80603a66ec(); } } 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); mploadTelInput98338ad525f146f9be674b80603a66ec(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit98338ad525f146f9be674b80603a66ec(); } else { function waitForOtherFormsmpFrmfc9809f198d54a01b2c058d4ca31203b() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit98338ad525f146f9be674b80603a66ec(); } else { setTimeout(waitForOtherFormsmpFrmfc9809f198d54a01b2c058d4ca31203b,300); } } waitForOtherFormsmpFrmfc9809f198d54a01b2c058d4ca31203b(); }