var captchaWidgetmpFrm9c68d01a75f74af5be04dea4596d53cb; var mpCurrentScriptmpFrm9c68d01a75f74af5be04dea4596d53cbContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm9c68d01a75f74af5be04dea4596d53cb"; 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); mpFormmpFrm9c68d01a75f74af5be04dea4596d53cbFind(); } })(); function mpFormmpFrm9c68d01a75f74af5be04dea4596d53cbFind() { if(!mpCurrentScriptmpFrm9c68d01a75f74af5be04dea4596d53cbContainer) return; if (mpCurrentScriptmpFrm9c68d01a75f74af5be04dea4596d53cbContainer && mpCurrentScriptmpFrm9c68d01a75f74af5be04dea4596d53cbContainer.nodeName && mpCurrentScriptmpFrm9c68d01a75f74af5be04dea4596d53cbContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm9c68d01a75f74af5be04dea4596d53cb" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm9c68d01a75f74af5be04dea4596d53cbContainer.children).forEach(c => { if (c.id === "mpFrm9c68d01a75f74af5be04dea4596d53cb") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptedcece8550204eaea577b019e5698195Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm9c68d01a75f74af5be04dea4596d53cb"; } } } } function mpFormedcece8550204eaea577b019e5698195Check() { let checkBoxes = document.getElementById("mpform-edcece8550204eaea577b019e5698195").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 mpFormedcece8550204eaea577b019e5698195Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-edcece8550204eaea577b019e5698195").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-edcece8550204eaea577b019e5698195").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-edcece8550204eaea577b019e5698195").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-edcece8550204eaea577b019e5698195')), 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: getTrackingIdedcece8550204eaea577b019e5698195() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-edcece8550204eaea577b019e5698195").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-edcece8550204eaea577b019e5698195").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) { mpFormedcece8550204eaea577b019e5698195Check(); 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-edcece8550204eaea577b019e5698195').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-edcece8550204eaea577b019e5698195").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-edcece8550204eaea577b019e5698195').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm9c68d01a75f74af5be04dea4596d53cb); } else { mpFormedcece8550204eaea577b019e5698195Check(); 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 mpmRecaptchaLoadededcece8550204eaea577b019e5698195() { captchaWidgetmpFrm9c68d01a75f74af5be04dea4596d53cb = grecaptcha.render('mpmRecaptchampFrm9c68d01a75f74af5be04dea4596d53cb', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdedcece8550204eaea577b019e5698195() { 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 mpmFormInitedcece8550204eaea577b019e5698195 () { 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 finishedLoadingedcece8550204eaea577b019e5698195() { window.mpFormLoading = false; let container = document.getElementById('mpFrm9c68d01a75f74af5be04dea4596d53cb'); if (!container) { mpFormmpFrm9c68d01a75f74af5be04dea4596d53cbFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm9c68d01a75f74af5be04dea4596d53cb'); return setTimeout(finishedLoadingedcece8550204eaea577b019e5698195, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-edcece8550204eaea577b019e5698195").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-edcece8550204eaea577b019e5698195").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-edcece8550204eaea577b019e5698195").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-edcece8550204eaea577b019e5698195").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-edcece8550204eaea577b019e5698195").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=mpmRecaptchaLoadededcece8550204eaea577b019e5698195&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupedcece8550204eaea577b019e5698195() { let popups = document.getElementById("mpform-edcece8550204eaea577b019e5698195").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputedcece8550204eaea577b019e5698195() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingedcece8550204eaea577b019e5698195(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingedcece8550204eaea577b019e5698195(); } } 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); mploadTelInputedcece8550204eaea577b019e5698195(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitedcece8550204eaea577b019e5698195(); } else { function waitForOtherFormsmpFrm9c68d01a75f74af5be04dea4596d53cb() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitedcece8550204eaea577b019e5698195(); } else { setTimeout(waitForOtherFormsmpFrm9c68d01a75f74af5be04dea4596d53cb,300); } } waitForOtherFormsmpFrm9c68d01a75f74af5be04dea4596d53cb(); }