var captchaWidgetmpFrm12e620d270184af19b94a98ca3d3f3d3; var mpCurrentScriptmpFrm12e620d270184af19b94a98ca3d3f3d3Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm12e620d270184af19b94a98ca3d3f3d3"; 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); mpFormmpFrm12e620d270184af19b94a98ca3d3f3d3Find(); } })(); function mpFormmpFrm12e620d270184af19b94a98ca3d3f3d3Find() { if(!mpCurrentScriptmpFrm12e620d270184af19b94a98ca3d3f3d3Container) return; if (mpCurrentScriptmpFrm12e620d270184af19b94a98ca3d3f3d3Container && mpCurrentScriptmpFrm12e620d270184af19b94a98ca3d3f3d3Container.nodeName && mpCurrentScriptmpFrm12e620d270184af19b94a98ca3d3f3d3Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm12e620d270184af19b94a98ca3d3f3d3" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm12e620d270184af19b94a98ca3d3f3d3Container.children).forEach(c => { if (c.id === "mpFrm12e620d270184af19b94a98ca3d3f3d3") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript52bd03dcf9f343ea8243a4473f402c3bContainer.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm12e620d270184af19b94a98ca3d3f3d3"; } } } } function mpForm52bd03dcf9f343ea8243a4473f402c3bCheck() { let checkBoxes = document.getElementById("mpform-52bd03dcf9f343ea8243a4473f402c3b").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 mpForm52bd03dcf9f343ea8243a4473f402c3bSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-52bd03dcf9f343ea8243a4473f402c3b").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-52bd03dcf9f343ea8243a4473f402c3b").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-52bd03dcf9f343ea8243a4473f402c3b").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-52bd03dcf9f343ea8243a4473f402c3b')), 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: getTrackingId52bd03dcf9f343ea8243a4473f402c3b() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-52bd03dcf9f343ea8243a4473f402c3b").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-52bd03dcf9f343ea8243a4473f402c3b").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) { mpForm52bd03dcf9f343ea8243a4473f402c3bCheck(); 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-52bd03dcf9f343ea8243a4473f402c3b').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-52bd03dcf9f343ea8243a4473f402c3b").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-52bd03dcf9f343ea8243a4473f402c3b').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm12e620d270184af19b94a98ca3d3f3d3); } else { mpForm52bd03dcf9f343ea8243a4473f402c3bCheck(); 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 mpmRecaptchaLoaded52bd03dcf9f343ea8243a4473f402c3b() { captchaWidgetmpFrm12e620d270184af19b94a98ca3d3f3d3 = grecaptcha.render('mpmRecaptchampFrm12e620d270184af19b94a98ca3d3f3d3', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId52bd03dcf9f343ea8243a4473f402c3b() { 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 mpmFormInit52bd03dcf9f343ea8243a4473f402c3b () { 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 finishedLoading52bd03dcf9f343ea8243a4473f402c3b() { window.mpFormLoading = false; let container = document.getElementById('mpFrm12e620d270184af19b94a98ca3d3f3d3'); if (!container) { mpFormmpFrm12e620d270184af19b94a98ca3d3f3d3Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm12e620d270184af19b94a98ca3d3f3d3'); return setTimeout(finishedLoading52bd03dcf9f343ea8243a4473f402c3b, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-52bd03dcf9f343ea8243a4473f402c3b").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-52bd03dcf9f343ea8243a4473f402c3b").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-52bd03dcf9f343ea8243a4473f402c3b").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-52bd03dcf9f343ea8243a4473f402c3b").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-52bd03dcf9f343ea8243a4473f402c3b").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=mpmRecaptchaLoaded52bd03dcf9f343ea8243a4473f402c3b&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup52bd03dcf9f343ea8243a4473f402c3b() { let popups = document.getElementById("mpform-52bd03dcf9f343ea8243a4473f402c3b").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput52bd03dcf9f343ea8243a4473f402c3b() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading52bd03dcf9f343ea8243a4473f402c3b(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading52bd03dcf9f343ea8243a4473f402c3b(); } } 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); mploadTelInput52bd03dcf9f343ea8243a4473f402c3b(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit52bd03dcf9f343ea8243a4473f402c3b(); } else { function waitForOtherFormsmpFrm12e620d270184af19b94a98ca3d3f3d3() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit52bd03dcf9f343ea8243a4473f402c3b(); } else { setTimeout(waitForOtherFormsmpFrm12e620d270184af19b94a98ca3d3f3d3,300); } } waitForOtherFormsmpFrm12e620d270184af19b94a98ca3d3f3d3(); }