var captchaWidgetmpFrma38d215e108c4a8292041a6097d2c68b; var mpCurrentScriptmpFrma38d215e108c4a8292041a6097d2c68bContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrma38d215e108c4a8292041a6097d2c68b"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41783"); 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); mpFormmpFrma38d215e108c4a8292041a6097d2c68bFind(); } })(); function mpFormmpFrma38d215e108c4a8292041a6097d2c68bFind() { if(!mpCurrentScriptmpFrma38d215e108c4a8292041a6097d2c68bContainer) return; if (mpCurrentScriptmpFrma38d215e108c4a8292041a6097d2c68bContainer && mpCurrentScriptmpFrma38d215e108c4a8292041a6097d2c68bContainer.nodeName && mpCurrentScriptmpFrma38d215e108c4a8292041a6097d2c68bContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrma38d215e108c4a8292041a6097d2c68b" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrma38d215e108c4a8292041a6097d2c68bContainer.children).forEach(c => { if (c.id === "mpFrma38d215e108c4a8292041a6097d2c68b") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript24193e0ba379438aaa761b39fffefda3Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrma38d215e108c4a8292041a6097d2c68b"; } } } } function mpForm24193e0ba379438aaa761b39fffefda3Check() { let checkBoxes = document.getElementById("mpform-24193e0ba379438aaa761b39fffefda3").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 mpForm24193e0ba379438aaa761b39fffefda3Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-24193e0ba379438aaa761b39fffefda3").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-24193e0ba379438aaa761b39fffefda3").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-24193e0ba379438aaa761b39fffefda3").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-24193e0ba379438aaa761b39fffefda3')), 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: getTrackingId24193e0ba379438aaa761b39fffefda3() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-24193e0ba379438aaa761b39fffefda3").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-24193e0ba379438aaa761b39fffefda3").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=41783", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm24193e0ba379438aaa761b39fffefda3Check(); 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-24193e0ba379438aaa761b39fffefda3').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-24193e0ba379438aaa761b39fffefda3").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-24193e0ba379438aaa761b39fffefda3').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrma38d215e108c4a8292041a6097d2c68b); } else { mpForm24193e0ba379438aaa761b39fffefda3Check(); 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 mpmRecaptchaLoaded24193e0ba379438aaa761b39fffefda3() { captchaWidgetmpFrma38d215e108c4a8292041a6097d2c68b = grecaptcha.render('mpmRecaptchampFrma38d215e108c4a8292041a6097d2c68b', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId24193e0ba379438aaa761b39fffefda3() { 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 mpmFormInit24193e0ba379438aaa761b39fffefda3 () { 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 finishedLoading24193e0ba379438aaa761b39fffefda3() { window.mpFormLoading = false; let container = document.getElementById('mpFrma38d215e108c4a8292041a6097d2c68b'); if (!container) { mpFormmpFrma38d215e108c4a8292041a6097d2c68bFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrma38d215e108c4a8292041a6097d2c68b'); return setTimeout(finishedLoading24193e0ba379438aaa761b39fffefda3, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-24193e0ba379438aaa761b39fffefda3").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-24193e0ba379438aaa761b39fffefda3").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-24193e0ba379438aaa761b39fffefda3").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-24193e0ba379438aaa761b39fffefda3").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-24193e0ba379438aaa761b39fffefda3").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=mpmRecaptchaLoaded24193e0ba379438aaa761b39fffefda3&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup24193e0ba379438aaa761b39fffefda3() { let popups = document.getElementById("mpform-24193e0ba379438aaa761b39fffefda3").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput24193e0ba379438aaa761b39fffefda3() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading24193e0ba379438aaa761b39fffefda3(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading24193e0ba379438aaa761b39fffefda3(); } } 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); mploadTelInput24193e0ba379438aaa761b39fffefda3(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit24193e0ba379438aaa761b39fffefda3(); } else { function waitForOtherFormsmpFrma38d215e108c4a8292041a6097d2c68b() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit24193e0ba379438aaa761b39fffefda3(); } else { setTimeout(waitForOtherFormsmpFrma38d215e108c4a8292041a6097d2c68b,300); } } waitForOtherFormsmpFrma38d215e108c4a8292041a6097d2c68b(); }