var captchaWidgetmpFrm5a89b75654f6420b89fb024e6c96005e; var mpCurrentScriptmpFrm5a89b75654f6420b89fb024e6c96005eContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm5a89b75654f6420b89fb024e6c96005e"; 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); mpFormmpFrm5a89b75654f6420b89fb024e6c96005eFind(); } })(); function mpFormmpFrm5a89b75654f6420b89fb024e6c96005eFind() { if(!mpCurrentScriptmpFrm5a89b75654f6420b89fb024e6c96005eContainer) return; if (mpCurrentScriptmpFrm5a89b75654f6420b89fb024e6c96005eContainer && mpCurrentScriptmpFrm5a89b75654f6420b89fb024e6c96005eContainer.nodeName && mpCurrentScriptmpFrm5a89b75654f6420b89fb024e6c96005eContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm5a89b75654f6420b89fb024e6c96005e" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm5a89b75654f6420b89fb024e6c96005eContainer.children).forEach(c => { if (c.id === "mpFrm5a89b75654f6420b89fb024e6c96005e") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript17ad1728275e47868cf913d8323d8664Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm5a89b75654f6420b89fb024e6c96005e"; } } } } function mpForm17ad1728275e47868cf913d8323d8664Check() { let checkBoxes = document.getElementById("mpform-17ad1728275e47868cf913d8323d8664").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 mpForm17ad1728275e47868cf913d8323d8664Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-17ad1728275e47868cf913d8323d8664").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-17ad1728275e47868cf913d8323d8664").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-17ad1728275e47868cf913d8323d8664").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-17ad1728275e47868cf913d8323d8664')), 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: getTrackingId17ad1728275e47868cf913d8323d8664() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-17ad1728275e47868cf913d8323d8664").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-17ad1728275e47868cf913d8323d8664").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) { mpForm17ad1728275e47868cf913d8323d8664Check(); 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-17ad1728275e47868cf913d8323d8664').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-17ad1728275e47868cf913d8323d8664").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-17ad1728275e47868cf913d8323d8664').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm5a89b75654f6420b89fb024e6c96005e); } else { mpForm17ad1728275e47868cf913d8323d8664Check(); 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 mpmRecaptchaLoaded17ad1728275e47868cf913d8323d8664() { captchaWidgetmpFrm5a89b75654f6420b89fb024e6c96005e = grecaptcha.render('mpmRecaptchampFrm5a89b75654f6420b89fb024e6c96005e', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId17ad1728275e47868cf913d8323d8664() { 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 mpmFormInit17ad1728275e47868cf913d8323d8664 () { 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 finishedLoading17ad1728275e47868cf913d8323d8664() { window.mpFormLoading = false; let container = document.getElementById('mpFrm5a89b75654f6420b89fb024e6c96005e'); if (!container) { mpFormmpFrm5a89b75654f6420b89fb024e6c96005eFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm5a89b75654f6420b89fb024e6c96005e'); return setTimeout(finishedLoading17ad1728275e47868cf913d8323d8664, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-17ad1728275e47868cf913d8323d8664").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-17ad1728275e47868cf913d8323d8664").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-17ad1728275e47868cf913d8323d8664").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-17ad1728275e47868cf913d8323d8664").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-17ad1728275e47868cf913d8323d8664").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=mpmRecaptchaLoaded17ad1728275e47868cf913d8323d8664&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup17ad1728275e47868cf913d8323d8664() { let popups = document.getElementById("mpform-17ad1728275e47868cf913d8323d8664").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput17ad1728275e47868cf913d8323d8664() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading17ad1728275e47868cf913d8323d8664(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading17ad1728275e47868cf913d8323d8664(); } } 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); mploadTelInput17ad1728275e47868cf913d8323d8664(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit17ad1728275e47868cf913d8323d8664(); } else { function waitForOtherFormsmpFrm5a89b75654f6420b89fb024e6c96005e() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit17ad1728275e47868cf913d8323d8664(); } else { setTimeout(waitForOtherFormsmpFrm5a89b75654f6420b89fb024e6c96005e,300); } } waitForOtherFormsmpFrm5a89b75654f6420b89fb024e6c96005e(); }