var captchaWidgetmpFrm141d9c17f9c8419881c30d2fdeb0ef08; var mpCurrentScriptmpFrm141d9c17f9c8419881c30d2fdeb0ef08Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm141d9c17f9c8419881c30d2fdeb0ef08"; 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); mpFormmpFrm141d9c17f9c8419881c30d2fdeb0ef08Find(); } })(); function mpFormmpFrm141d9c17f9c8419881c30d2fdeb0ef08Find() { if(!mpCurrentScriptmpFrm141d9c17f9c8419881c30d2fdeb0ef08Container) return; if (mpCurrentScriptmpFrm141d9c17f9c8419881c30d2fdeb0ef08Container && mpCurrentScriptmpFrm141d9c17f9c8419881c30d2fdeb0ef08Container.nodeName && mpCurrentScriptmpFrm141d9c17f9c8419881c30d2fdeb0ef08Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm141d9c17f9c8419881c30d2fdeb0ef08" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm141d9c17f9c8419881c30d2fdeb0ef08Container.children).forEach(c => { if (c.id === "mpFrm141d9c17f9c8419881c30d2fdeb0ef08") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptb5f1f87369574bb89f4513b1e885a60aContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm141d9c17f9c8419881c30d2fdeb0ef08"; } } } } function mpFormb5f1f87369574bb89f4513b1e885a60aCheck() { let checkBoxes = document.getElementById("mpform-b5f1f87369574bb89f4513b1e885a60a").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 mpFormb5f1f87369574bb89f4513b1e885a60aSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-b5f1f87369574bb89f4513b1e885a60a").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-b5f1f87369574bb89f4513b1e885a60a").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-b5f1f87369574bb89f4513b1e885a60a").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-b5f1f87369574bb89f4513b1e885a60a')), 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: getTrackingIdb5f1f87369574bb89f4513b1e885a60a() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-b5f1f87369574bb89f4513b1e885a60a").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-b5f1f87369574bb89f4513b1e885a60a").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) { mpFormb5f1f87369574bb89f4513b1e885a60aCheck(); 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-b5f1f87369574bb89f4513b1e885a60a').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-b5f1f87369574bb89f4513b1e885a60a").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-b5f1f87369574bb89f4513b1e885a60a').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm141d9c17f9c8419881c30d2fdeb0ef08); } else { mpFormb5f1f87369574bb89f4513b1e885a60aCheck(); 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 mpmRecaptchaLoadedb5f1f87369574bb89f4513b1e885a60a() { captchaWidgetmpFrm141d9c17f9c8419881c30d2fdeb0ef08 = grecaptcha.render('mpmRecaptchampFrm141d9c17f9c8419881c30d2fdeb0ef08', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdb5f1f87369574bb89f4513b1e885a60a() { 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 mpmFormInitb5f1f87369574bb89f4513b1e885a60a () { 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 finishedLoadingb5f1f87369574bb89f4513b1e885a60a() { window.mpFormLoading = false; let container = document.getElementById('mpFrm141d9c17f9c8419881c30d2fdeb0ef08'); if (!container) { mpFormmpFrm141d9c17f9c8419881c30d2fdeb0ef08Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm141d9c17f9c8419881c30d2fdeb0ef08'); return setTimeout(finishedLoadingb5f1f87369574bb89f4513b1e885a60a, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-b5f1f87369574bb89f4513b1e885a60a").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-b5f1f87369574bb89f4513b1e885a60a").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-b5f1f87369574bb89f4513b1e885a60a").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-b5f1f87369574bb89f4513b1e885a60a").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-b5f1f87369574bb89f4513b1e885a60a").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=mpmRecaptchaLoadedb5f1f87369574bb89f4513b1e885a60a&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupb5f1f87369574bb89f4513b1e885a60a() { let popups = document.getElementById("mpform-b5f1f87369574bb89f4513b1e885a60a").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputb5f1f87369574bb89f4513b1e885a60a() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingb5f1f87369574bb89f4513b1e885a60a(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingb5f1f87369574bb89f4513b1e885a60a(); } } 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); mploadTelInputb5f1f87369574bb89f4513b1e885a60a(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitb5f1f87369574bb89f4513b1e885a60a(); } else { function waitForOtherFormsmpFrm141d9c17f9c8419881c30d2fdeb0ef08() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitb5f1f87369574bb89f4513b1e885a60a(); } else { setTimeout(waitForOtherFormsmpFrm141d9c17f9c8419881c30d2fdeb0ef08,300); } } waitForOtherFormsmpFrm141d9c17f9c8419881c30d2fdeb0ef08(); }