var captchaWidgetmpFrm605a6094ddc249c2933e2a615349c3f1; var mpCurrentScriptmpFrm605a6094ddc249c2933e2a615349c3f1Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm605a6094ddc249c2933e2a615349c3f1"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41899"); 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); mpFormmpFrm605a6094ddc249c2933e2a615349c3f1Find(); } })(); function mpFormmpFrm605a6094ddc249c2933e2a615349c3f1Find() { if(!mpCurrentScriptmpFrm605a6094ddc249c2933e2a615349c3f1Container) return; if (mpCurrentScriptmpFrm605a6094ddc249c2933e2a615349c3f1Container && mpCurrentScriptmpFrm605a6094ddc249c2933e2a615349c3f1Container.nodeName && mpCurrentScriptmpFrm605a6094ddc249c2933e2a615349c3f1Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41899']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm605a6094ddc249c2933e2a615349c3f1" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm605a6094ddc249c2933e2a615349c3f1Container.children).forEach(c => { if (c.id === "mpFrm605a6094ddc249c2933e2a615349c3f1") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptea146522e7444363a3eb1773012959cbContainer.children).filter(e => e.dataset && e.dataset.mpid === "41899"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm605a6094ddc249c2933e2a615349c3f1"; } } } } function mpFormea146522e7444363a3eb1773012959cbCheck() { let checkBoxes = document.getElementById("mpform-ea146522e7444363a3eb1773012959cb").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 mpFormea146522e7444363a3eb1773012959cbSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-ea146522e7444363a3eb1773012959cb").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-ea146522e7444363a3eb1773012959cb").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-ea146522e7444363a3eb1773012959cb").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-ea146522e7444363a3eb1773012959cb')), 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: getTrackingIdea146522e7444363a3eb1773012959cb() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-ea146522e7444363a3eb1773012959cb").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-ea146522e7444363a3eb1773012959cb").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=41899", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpFormea146522e7444363a3eb1773012959cbCheck(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; let response = JSON.parse(xhr.responseText); try { document.getElementById('mpform-ea146522e7444363a3eb1773012959cb').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-ea146522e7444363a3eb1773012959cb").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-ea146522e7444363a3eb1773012959cb').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm605a6094ddc249c2933e2a615349c3f1); } else { mpFormea146522e7444363a3eb1773012959cbCheck(); 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 mpmRecaptchaLoadedea146522e7444363a3eb1773012959cb() { captchaWidgetmpFrm605a6094ddc249c2933e2a615349c3f1 = grecaptcha.render('mpmRecaptchampFrm605a6094ddc249c2933e2a615349c3f1', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdea146522e7444363a3eb1773012959cb() { 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 mpmFormInitea146522e7444363a3eb1773012959cb () { 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 finishedLoadingea146522e7444363a3eb1773012959cb() { window.mpFormLoading = false; let container = document.getElementById('mpFrm605a6094ddc249c2933e2a615349c3f1'); if (!container) { mpFormmpFrm605a6094ddc249c2933e2a615349c3f1Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm605a6094ddc249c2933e2a615349c3f1'); return setTimeout(finishedLoadingea146522e7444363a3eb1773012959cb, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-ea146522e7444363a3eb1773012959cb").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-ea146522e7444363a3eb1773012959cb").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-ea146522e7444363a3eb1773012959cb").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-ea146522e7444363a3eb1773012959cb").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-ea146522e7444363a3eb1773012959cb").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=mpmRecaptchaLoadedea146522e7444363a3eb1773012959cb&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupea146522e7444363a3eb1773012959cb() { let popups = document.getElementById("mpform-ea146522e7444363a3eb1773012959cb").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputea146522e7444363a3eb1773012959cb() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingea146522e7444363a3eb1773012959cb(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingea146522e7444363a3eb1773012959cb(); } } 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); mploadTelInputea146522e7444363a3eb1773012959cb(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitea146522e7444363a3eb1773012959cb(); } else { function waitForOtherFormsmpFrm605a6094ddc249c2933e2a615349c3f1() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitea146522e7444363a3eb1773012959cb(); } else { setTimeout(waitForOtherFormsmpFrm605a6094ddc249c2933e2a615349c3f1,300); } } waitForOtherFormsmpFrm605a6094ddc249c2933e2a615349c3f1(); }