var captchaWidgetmpFrmd6a550e1949d4652be8654dab899ca8f; var mpCurrentScriptmpFrmd6a550e1949d4652be8654dab899ca8fContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmd6a550e1949d4652be8654dab899ca8f"; 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); mpFormmpFrmd6a550e1949d4652be8654dab899ca8fFind(); } })(); function mpFormmpFrmd6a550e1949d4652be8654dab899ca8fFind() { if(!mpCurrentScriptmpFrmd6a550e1949d4652be8654dab899ca8fContainer) return; if (mpCurrentScriptmpFrmd6a550e1949d4652be8654dab899ca8fContainer && mpCurrentScriptmpFrmd6a550e1949d4652be8654dab899ca8fContainer.nodeName && mpCurrentScriptmpFrmd6a550e1949d4652be8654dab899ca8fContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmd6a550e1949d4652be8654dab899ca8f" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmd6a550e1949d4652be8654dab899ca8fContainer.children).forEach(c => { if (c.id === "mpFrmd6a550e1949d4652be8654dab899ca8f") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript74d468293430439eb319d3f1dfe87e29Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmd6a550e1949d4652be8654dab899ca8f"; } } } } function mpForm74d468293430439eb319d3f1dfe87e29Check() { let checkBoxes = document.getElementById("mpform-74d468293430439eb319d3f1dfe87e29").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 mpForm74d468293430439eb319d3f1dfe87e29Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-74d468293430439eb319d3f1dfe87e29").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-74d468293430439eb319d3f1dfe87e29").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-74d468293430439eb319d3f1dfe87e29").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-74d468293430439eb319d3f1dfe87e29')), 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: getTrackingId74d468293430439eb319d3f1dfe87e29() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-74d468293430439eb319d3f1dfe87e29").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-74d468293430439eb319d3f1dfe87e29").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) { mpForm74d468293430439eb319d3f1dfe87e29Check(); 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-74d468293430439eb319d3f1dfe87e29').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-74d468293430439eb319d3f1dfe87e29").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-74d468293430439eb319d3f1dfe87e29').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmd6a550e1949d4652be8654dab899ca8f); } else { mpForm74d468293430439eb319d3f1dfe87e29Check(); 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 mpmRecaptchaLoaded74d468293430439eb319d3f1dfe87e29() { captchaWidgetmpFrmd6a550e1949d4652be8654dab899ca8f = grecaptcha.render('mpmRecaptchampFrmd6a550e1949d4652be8654dab899ca8f', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId74d468293430439eb319d3f1dfe87e29() { 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 mpmFormInit74d468293430439eb319d3f1dfe87e29 () { 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 finishedLoading74d468293430439eb319d3f1dfe87e29() { window.mpFormLoading = false; let container = document.getElementById('mpFrmd6a550e1949d4652be8654dab899ca8f'); if (!container) { mpFormmpFrmd6a550e1949d4652be8654dab899ca8fFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmd6a550e1949d4652be8654dab899ca8f'); return setTimeout(finishedLoading74d468293430439eb319d3f1dfe87e29, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-74d468293430439eb319d3f1dfe87e29").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-74d468293430439eb319d3f1dfe87e29").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-74d468293430439eb319d3f1dfe87e29").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-74d468293430439eb319d3f1dfe87e29").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-74d468293430439eb319d3f1dfe87e29").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=mpmRecaptchaLoaded74d468293430439eb319d3f1dfe87e29&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup74d468293430439eb319d3f1dfe87e29() { let popups = document.getElementById("mpform-74d468293430439eb319d3f1dfe87e29").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput74d468293430439eb319d3f1dfe87e29() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading74d468293430439eb319d3f1dfe87e29(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading74d468293430439eb319d3f1dfe87e29(); } } 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); mploadTelInput74d468293430439eb319d3f1dfe87e29(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit74d468293430439eb319d3f1dfe87e29(); } else { function waitForOtherFormsmpFrmd6a550e1949d4652be8654dab899ca8f() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit74d468293430439eb319d3f1dfe87e29(); } else { setTimeout(waitForOtherFormsmpFrmd6a550e1949d4652be8654dab899ca8f,300); } } waitForOtherFormsmpFrmd6a550e1949d4652be8654dab899ca8f(); }