var captchaWidgetmpFrmfc3c57d0f6b34b69b3147c46bd3bfefc; var mpCurrentScriptmpFrmfc3c57d0f6b34b69b3147c46bd3bfefcContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmfc3c57d0f6b34b69b3147c46bd3bfefc"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41939"); 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); mpFormmpFrmfc3c57d0f6b34b69b3147c46bd3bfefcFind(); } })(); function mpFormmpFrmfc3c57d0f6b34b69b3147c46bd3bfefcFind() { if(!mpCurrentScriptmpFrmfc3c57d0f6b34b69b3147c46bd3bfefcContainer) return; if (mpCurrentScriptmpFrmfc3c57d0f6b34b69b3147c46bd3bfefcContainer && mpCurrentScriptmpFrmfc3c57d0f6b34b69b3147c46bd3bfefcContainer.nodeName && mpCurrentScriptmpFrmfc3c57d0f6b34b69b3147c46bd3bfefcContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmfc3c57d0f6b34b69b3147c46bd3bfefc" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmfc3c57d0f6b34b69b3147c46bd3bfefcContainer.children).forEach(c => { if (c.id === "mpFrmfc3c57d0f6b34b69b3147c46bd3bfefc") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptf87b79364f9347c7bb169a981eda22e6Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmfc3c57d0f6b34b69b3147c46bd3bfefc"; } } } } function mpFormf87b79364f9347c7bb169a981eda22e6Check() { let checkBoxes = document.getElementById("mpform-f87b79364f9347c7bb169a981eda22e6").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 mpFormf87b79364f9347c7bb169a981eda22e6Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-f87b79364f9347c7bb169a981eda22e6").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-f87b79364f9347c7bb169a981eda22e6").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-f87b79364f9347c7bb169a981eda22e6").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-f87b79364f9347c7bb169a981eda22e6')), 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: getTrackingIdf87b79364f9347c7bb169a981eda22e6() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-f87b79364f9347c7bb169a981eda22e6").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-f87b79364f9347c7bb169a981eda22e6").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=41939", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpFormf87b79364f9347c7bb169a981eda22e6Check(); 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-f87b79364f9347c7bb169a981eda22e6').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-f87b79364f9347c7bb169a981eda22e6").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-f87b79364f9347c7bb169a981eda22e6').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmfc3c57d0f6b34b69b3147c46bd3bfefc); } else { mpFormf87b79364f9347c7bb169a981eda22e6Check(); 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 mpmRecaptchaLoadedf87b79364f9347c7bb169a981eda22e6() { captchaWidgetmpFrmfc3c57d0f6b34b69b3147c46bd3bfefc = grecaptcha.render('mpmRecaptchampFrmfc3c57d0f6b34b69b3147c46bd3bfefc', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdf87b79364f9347c7bb169a981eda22e6() { 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 mpmFormInitf87b79364f9347c7bb169a981eda22e6 () { 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 finishedLoadingf87b79364f9347c7bb169a981eda22e6() { window.mpFormLoading = false; let container = document.getElementById('mpFrmfc3c57d0f6b34b69b3147c46bd3bfefc'); if (!container) { mpFormmpFrmfc3c57d0f6b34b69b3147c46bd3bfefcFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmfc3c57d0f6b34b69b3147c46bd3bfefc'); return setTimeout(finishedLoadingf87b79364f9347c7bb169a981eda22e6, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-f87b79364f9347c7bb169a981eda22e6").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-f87b79364f9347c7bb169a981eda22e6").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-f87b79364f9347c7bb169a981eda22e6").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-f87b79364f9347c7bb169a981eda22e6").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-f87b79364f9347c7bb169a981eda22e6").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=mpmRecaptchaLoadedf87b79364f9347c7bb169a981eda22e6&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupf87b79364f9347c7bb169a981eda22e6() { let popups = document.getElementById("mpform-f87b79364f9347c7bb169a981eda22e6").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputf87b79364f9347c7bb169a981eda22e6() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingf87b79364f9347c7bb169a981eda22e6(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingf87b79364f9347c7bb169a981eda22e6(); } } 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); mploadTelInputf87b79364f9347c7bb169a981eda22e6(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitf87b79364f9347c7bb169a981eda22e6(); } else { function waitForOtherFormsmpFrmfc3c57d0f6b34b69b3147c46bd3bfefc() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitf87b79364f9347c7bb169a981eda22e6(); } else { setTimeout(waitForOtherFormsmpFrmfc3c57d0f6b34b69b3147c46bd3bfefc,300); } } waitForOtherFormsmpFrmfc3c57d0f6b34b69b3147c46bd3bfefc(); }