var captchaWidgetmpFrm41bf16d472b84c348ba352b52115a215; var mpCurrentScriptmpFrm41bf16d472b84c348ba352b52115a215Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm41bf16d472b84c348ba352b52115a215"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41859"); 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); mpFormmpFrm41bf16d472b84c348ba352b52115a215Find(); } })(); function mpFormmpFrm41bf16d472b84c348ba352b52115a215Find() { if(!mpCurrentScriptmpFrm41bf16d472b84c348ba352b52115a215Container) return; if (mpCurrentScriptmpFrm41bf16d472b84c348ba352b52115a215Container && mpCurrentScriptmpFrm41bf16d472b84c348ba352b52115a215Container.nodeName && mpCurrentScriptmpFrm41bf16d472b84c348ba352b52115a215Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41859']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm41bf16d472b84c348ba352b52115a215" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm41bf16d472b84c348ba352b52115a215Container.children).forEach(c => { if (c.id === "mpFrm41bf16d472b84c348ba352b52115a215") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript456405e34e904dcca2821b2f35bb65d0Container.children).filter(e => e.dataset && e.dataset.mpid === "41859"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm41bf16d472b84c348ba352b52115a215"; } } } } function mpForm456405e34e904dcca2821b2f35bb65d0Check() { let checkBoxes = document.getElementById("mpform-456405e34e904dcca2821b2f35bb65d0").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 mpForm456405e34e904dcca2821b2f35bb65d0Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-456405e34e904dcca2821b2f35bb65d0").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-456405e34e904dcca2821b2f35bb65d0").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-456405e34e904dcca2821b2f35bb65d0").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-456405e34e904dcca2821b2f35bb65d0')), 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: getTrackingId456405e34e904dcca2821b2f35bb65d0() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-456405e34e904dcca2821b2f35bb65d0").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-456405e34e904dcca2821b2f35bb65d0").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=41859", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm456405e34e904dcca2821b2f35bb65d0Check(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; let response = JSON.parse(xhr.responseText); try { document.getElementById('mpform-456405e34e904dcca2821b2f35bb65d0').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-456405e34e904dcca2821b2f35bb65d0").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-456405e34e904dcca2821b2f35bb65d0').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm41bf16d472b84c348ba352b52115a215); } else { mpForm456405e34e904dcca2821b2f35bb65d0Check(); 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 mpmRecaptchaLoaded456405e34e904dcca2821b2f35bb65d0() { captchaWidgetmpFrm41bf16d472b84c348ba352b52115a215 = grecaptcha.render('mpmRecaptchampFrm41bf16d472b84c348ba352b52115a215', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId456405e34e904dcca2821b2f35bb65d0() { 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 mpmFormInit456405e34e904dcca2821b2f35bb65d0 () { 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 finishedLoading456405e34e904dcca2821b2f35bb65d0() { window.mpFormLoading = false; let container = document.getElementById('mpFrm41bf16d472b84c348ba352b52115a215'); if (!container) { mpFormmpFrm41bf16d472b84c348ba352b52115a215Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm41bf16d472b84c348ba352b52115a215'); return setTimeout(finishedLoading456405e34e904dcca2821b2f35bb65d0, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-456405e34e904dcca2821b2f35bb65d0").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-456405e34e904dcca2821b2f35bb65d0").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-456405e34e904dcca2821b2f35bb65d0").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-456405e34e904dcca2821b2f35bb65d0").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-456405e34e904dcca2821b2f35bb65d0").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=mpmRecaptchaLoaded456405e34e904dcca2821b2f35bb65d0&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup456405e34e904dcca2821b2f35bb65d0() { let popups = document.getElementById("mpform-456405e34e904dcca2821b2f35bb65d0").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput456405e34e904dcca2821b2f35bb65d0() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading456405e34e904dcca2821b2f35bb65d0(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading456405e34e904dcca2821b2f35bb65d0(); } } 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); mploadTelInput456405e34e904dcca2821b2f35bb65d0(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit456405e34e904dcca2821b2f35bb65d0(); } else { function waitForOtherFormsmpFrm41bf16d472b84c348ba352b52115a215() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit456405e34e904dcca2821b2f35bb65d0(); } else { setTimeout(waitForOtherFormsmpFrm41bf16d472b84c348ba352b52115a215,300); } } waitForOtherFormsmpFrm41bf16d472b84c348ba352b52115a215(); }