var captchaWidgetmpFrmc5f57e7d0dde47e189ed7872ec86e5a1; var mpCurrentScriptmpFrmc5f57e7d0dde47e189ed7872ec86e5a1Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmc5f57e7d0dde47e189ed7872ec86e5a1"; 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); mpFormmpFrmc5f57e7d0dde47e189ed7872ec86e5a1Find(); } })(); function mpFormmpFrmc5f57e7d0dde47e189ed7872ec86e5a1Find() { if(!mpCurrentScriptmpFrmc5f57e7d0dde47e189ed7872ec86e5a1Container) return; if (mpCurrentScriptmpFrmc5f57e7d0dde47e189ed7872ec86e5a1Container && mpCurrentScriptmpFrmc5f57e7d0dde47e189ed7872ec86e5a1Container.nodeName && mpCurrentScriptmpFrmc5f57e7d0dde47e189ed7872ec86e5a1Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmc5f57e7d0dde47e189ed7872ec86e5a1" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmc5f57e7d0dde47e189ed7872ec86e5a1Container.children).forEach(c => { if (c.id === "mpFrmc5f57e7d0dde47e189ed7872ec86e5a1") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript7a63d1100b8f42ccbca53ab728064dbeContainer.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmc5f57e7d0dde47e189ed7872ec86e5a1"; } } } } function mpForm7a63d1100b8f42ccbca53ab728064dbeCheck() { let checkBoxes = document.getElementById("mpform-7a63d1100b8f42ccbca53ab728064dbe").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 mpForm7a63d1100b8f42ccbca53ab728064dbeSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-7a63d1100b8f42ccbca53ab728064dbe").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-7a63d1100b8f42ccbca53ab728064dbe").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-7a63d1100b8f42ccbca53ab728064dbe").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-7a63d1100b8f42ccbca53ab728064dbe')), 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: getTrackingId7a63d1100b8f42ccbca53ab728064dbe() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-7a63d1100b8f42ccbca53ab728064dbe").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-7a63d1100b8f42ccbca53ab728064dbe").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) { mpForm7a63d1100b8f42ccbca53ab728064dbeCheck(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; let response = JSON.parse(xhr.responseText); try { document.getElementById('mpform-7a63d1100b8f42ccbca53ab728064dbe').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-7a63d1100b8f42ccbca53ab728064dbe").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-7a63d1100b8f42ccbca53ab728064dbe').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmc5f57e7d0dde47e189ed7872ec86e5a1); } else { mpForm7a63d1100b8f42ccbca53ab728064dbeCheck(); 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 mpmRecaptchaLoaded7a63d1100b8f42ccbca53ab728064dbe() { captchaWidgetmpFrmc5f57e7d0dde47e189ed7872ec86e5a1 = grecaptcha.render('mpmRecaptchampFrmc5f57e7d0dde47e189ed7872ec86e5a1', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId7a63d1100b8f42ccbca53ab728064dbe() { 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 mpmFormInit7a63d1100b8f42ccbca53ab728064dbe () { 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 finishedLoading7a63d1100b8f42ccbca53ab728064dbe() { window.mpFormLoading = false; let container = document.getElementById('mpFrmc5f57e7d0dde47e189ed7872ec86e5a1'); if (!container) { mpFormmpFrmc5f57e7d0dde47e189ed7872ec86e5a1Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmc5f57e7d0dde47e189ed7872ec86e5a1'); return setTimeout(finishedLoading7a63d1100b8f42ccbca53ab728064dbe, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-7a63d1100b8f42ccbca53ab728064dbe").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-7a63d1100b8f42ccbca53ab728064dbe").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-7a63d1100b8f42ccbca53ab728064dbe").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-7a63d1100b8f42ccbca53ab728064dbe").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-7a63d1100b8f42ccbca53ab728064dbe").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=mpmRecaptchaLoaded7a63d1100b8f42ccbca53ab728064dbe&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup7a63d1100b8f42ccbca53ab728064dbe() { let popups = document.getElementById("mpform-7a63d1100b8f42ccbca53ab728064dbe").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput7a63d1100b8f42ccbca53ab728064dbe() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading7a63d1100b8f42ccbca53ab728064dbe(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading7a63d1100b8f42ccbca53ab728064dbe(); } } 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); mploadTelInput7a63d1100b8f42ccbca53ab728064dbe(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit7a63d1100b8f42ccbca53ab728064dbe(); } else { function waitForOtherFormsmpFrmc5f57e7d0dde47e189ed7872ec86e5a1() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit7a63d1100b8f42ccbca53ab728064dbe(); } else { setTimeout(waitForOtherFormsmpFrmc5f57e7d0dde47e189ed7872ec86e5a1,300); } } waitForOtherFormsmpFrmc5f57e7d0dde47e189ed7872ec86e5a1(); }