var captchaWidgetmpFrm2109dd1f25644d3dbee38af9c9749b50; var mpCurrentScriptmpFrm2109dd1f25644d3dbee38af9c9749b50Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm2109dd1f25644d3dbee38af9c9749b50"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41943"); 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); mpFormmpFrm2109dd1f25644d3dbee38af9c9749b50Find(); } })(); function mpFormmpFrm2109dd1f25644d3dbee38af9c9749b50Find() { if(!mpCurrentScriptmpFrm2109dd1f25644d3dbee38af9c9749b50Container) return; if (mpCurrentScriptmpFrm2109dd1f25644d3dbee38af9c9749b50Container && mpCurrentScriptmpFrm2109dd1f25644d3dbee38af9c9749b50Container.nodeName && mpCurrentScriptmpFrm2109dd1f25644d3dbee38af9c9749b50Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm2109dd1f25644d3dbee38af9c9749b50" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm2109dd1f25644d3dbee38af9c9749b50Container.children).forEach(c => { if (c.id === "mpFrm2109dd1f25644d3dbee38af9c9749b50") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptd5d1043afd464675af77744683a3382bContainer.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm2109dd1f25644d3dbee38af9c9749b50"; } } } } function mpFormd5d1043afd464675af77744683a3382bCheck() { let checkBoxes = document.getElementById("mpform-d5d1043afd464675af77744683a3382b").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 mpFormd5d1043afd464675af77744683a3382bSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-d5d1043afd464675af77744683a3382b").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-d5d1043afd464675af77744683a3382b").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-d5d1043afd464675af77744683a3382b").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-d5d1043afd464675af77744683a3382b')), 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: getTrackingIdd5d1043afd464675af77744683a3382b() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-d5d1043afd464675af77744683a3382b").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-d5d1043afd464675af77744683a3382b").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=41943", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpFormd5d1043afd464675af77744683a3382bCheck(); 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-d5d1043afd464675af77744683a3382b').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-d5d1043afd464675af77744683a3382b").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-d5d1043afd464675af77744683a3382b').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm2109dd1f25644d3dbee38af9c9749b50); } else { mpFormd5d1043afd464675af77744683a3382bCheck(); 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 mpmRecaptchaLoadedd5d1043afd464675af77744683a3382b() { captchaWidgetmpFrm2109dd1f25644d3dbee38af9c9749b50 = grecaptcha.render('mpmRecaptchampFrm2109dd1f25644d3dbee38af9c9749b50', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdd5d1043afd464675af77744683a3382b() { 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 mpmFormInitd5d1043afd464675af77744683a3382b () { 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 finishedLoadingd5d1043afd464675af77744683a3382b() { window.mpFormLoading = false; let container = document.getElementById('mpFrm2109dd1f25644d3dbee38af9c9749b50'); if (!container) { mpFormmpFrm2109dd1f25644d3dbee38af9c9749b50Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm2109dd1f25644d3dbee38af9c9749b50'); return setTimeout(finishedLoadingd5d1043afd464675af77744683a3382b, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-d5d1043afd464675af77744683a3382b").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-d5d1043afd464675af77744683a3382b").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-d5d1043afd464675af77744683a3382b").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-d5d1043afd464675af77744683a3382b").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-d5d1043afd464675af77744683a3382b").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=mpmRecaptchaLoadedd5d1043afd464675af77744683a3382b&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupd5d1043afd464675af77744683a3382b() { let popups = document.getElementById("mpform-d5d1043afd464675af77744683a3382b").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputd5d1043afd464675af77744683a3382b() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingd5d1043afd464675af77744683a3382b(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingd5d1043afd464675af77744683a3382b(); } } 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); mploadTelInputd5d1043afd464675af77744683a3382b(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitd5d1043afd464675af77744683a3382b(); } else { function waitForOtherFormsmpFrm2109dd1f25644d3dbee38af9c9749b50() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitd5d1043afd464675af77744683a3382b(); } else { setTimeout(waitForOtherFormsmpFrm2109dd1f25644d3dbee38af9c9749b50,300); } } waitForOtherFormsmpFrm2109dd1f25644d3dbee38af9c9749b50(); }