var captchaWidgetmpFrm58c89e9dee834849ac44639313f399b7; var mpCurrentScriptmpFrm58c89e9dee834849ac44639313f399b7Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm58c89e9dee834849ac44639313f399b7"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41863"); 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); mpFormmpFrm58c89e9dee834849ac44639313f399b7Find(); } })(); function mpFormmpFrm58c89e9dee834849ac44639313f399b7Find() { if(!mpCurrentScriptmpFrm58c89e9dee834849ac44639313f399b7Container) return; if (mpCurrentScriptmpFrm58c89e9dee834849ac44639313f399b7Container && mpCurrentScriptmpFrm58c89e9dee834849ac44639313f399b7Container.nodeName && mpCurrentScriptmpFrm58c89e9dee834849ac44639313f399b7Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41863']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm58c89e9dee834849ac44639313f399b7" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm58c89e9dee834849ac44639313f399b7Container.children).forEach(c => { if (c.id === "mpFrm58c89e9dee834849ac44639313f399b7") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript772440e4d8414d52a49d2d84d4cee9b5Container.children).filter(e => e.dataset && e.dataset.mpid === "41863"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm58c89e9dee834849ac44639313f399b7"; } } } } function mpForm772440e4d8414d52a49d2d84d4cee9b5Check() { let checkBoxes = document.getElementById("mpform-772440e4d8414d52a49d2d84d4cee9b5").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 mpForm772440e4d8414d52a49d2d84d4cee9b5Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-772440e4d8414d52a49d2d84d4cee9b5").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-772440e4d8414d52a49d2d84d4cee9b5").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-772440e4d8414d52a49d2d84d4cee9b5").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-772440e4d8414d52a49d2d84d4cee9b5')), 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: getTrackingId772440e4d8414d52a49d2d84d4cee9b5() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-772440e4d8414d52a49d2d84d4cee9b5").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-772440e4d8414d52a49d2d84d4cee9b5").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=41863", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm772440e4d8414d52a49d2d84d4cee9b5Check(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; let response = JSON.parse(xhr.responseText); try { document.getElementById('mpform-772440e4d8414d52a49d2d84d4cee9b5').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-772440e4d8414d52a49d2d84d4cee9b5").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-772440e4d8414d52a49d2d84d4cee9b5').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm58c89e9dee834849ac44639313f399b7); } else { mpForm772440e4d8414d52a49d2d84d4cee9b5Check(); 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 mpmRecaptchaLoaded772440e4d8414d52a49d2d84d4cee9b5() { captchaWidgetmpFrm58c89e9dee834849ac44639313f399b7 = grecaptcha.render('mpmRecaptchampFrm58c89e9dee834849ac44639313f399b7', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId772440e4d8414d52a49d2d84d4cee9b5() { 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 mpmFormInit772440e4d8414d52a49d2d84d4cee9b5 () { 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 finishedLoading772440e4d8414d52a49d2d84d4cee9b5() { window.mpFormLoading = false; let container = document.getElementById('mpFrm58c89e9dee834849ac44639313f399b7'); if (!container) { mpFormmpFrm58c89e9dee834849ac44639313f399b7Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm58c89e9dee834849ac44639313f399b7'); return setTimeout(finishedLoading772440e4d8414d52a49d2d84d4cee9b5, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-772440e4d8414d52a49d2d84d4cee9b5").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-772440e4d8414d52a49d2d84d4cee9b5").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-772440e4d8414d52a49d2d84d4cee9b5").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-772440e4d8414d52a49d2d84d4cee9b5").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-772440e4d8414d52a49d2d84d4cee9b5").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=mpmRecaptchaLoaded772440e4d8414d52a49d2d84d4cee9b5&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup772440e4d8414d52a49d2d84d4cee9b5() { let popups = document.getElementById("mpform-772440e4d8414d52a49d2d84d4cee9b5").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput772440e4d8414d52a49d2d84d4cee9b5() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading772440e4d8414d52a49d2d84d4cee9b5(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading772440e4d8414d52a49d2d84d4cee9b5(); } } 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); mploadTelInput772440e4d8414d52a49d2d84d4cee9b5(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit772440e4d8414d52a49d2d84d4cee9b5(); } else { function waitForOtherFormsmpFrm58c89e9dee834849ac44639313f399b7() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit772440e4d8414d52a49d2d84d4cee9b5(); } else { setTimeout(waitForOtherFormsmpFrm58c89e9dee834849ac44639313f399b7,300); } } waitForOtherFormsmpFrm58c89e9dee834849ac44639313f399b7(); }