var captchaWidgetmpFrmb803f16583914c65bd1865a25b5b0693; var mpCurrentScriptmpFrmb803f16583914c65bd1865a25b5b0693Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmb803f16583914c65bd1865a25b5b0693"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41903"); 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); mpFormmpFrmb803f16583914c65bd1865a25b5b0693Find(); } })(); function mpFormmpFrmb803f16583914c65bd1865a25b5b0693Find() { if(!mpCurrentScriptmpFrmb803f16583914c65bd1865a25b5b0693Container) return; if (mpCurrentScriptmpFrmb803f16583914c65bd1865a25b5b0693Container && mpCurrentScriptmpFrmb803f16583914c65bd1865a25b5b0693Container.nodeName && mpCurrentScriptmpFrmb803f16583914c65bd1865a25b5b0693Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41903']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmb803f16583914c65bd1865a25b5b0693" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmb803f16583914c65bd1865a25b5b0693Container.children).forEach(c => { if (c.id === "mpFrmb803f16583914c65bd1865a25b5b0693") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript5b751cdfec944e1b8902106105b34da9Container.children).filter(e => e.dataset && e.dataset.mpid === "41903"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmb803f16583914c65bd1865a25b5b0693"; } } } } function mpForm5b751cdfec944e1b8902106105b34da9Check() { let checkBoxes = document.getElementById("mpform-5b751cdfec944e1b8902106105b34da9").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 mpForm5b751cdfec944e1b8902106105b34da9Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-5b751cdfec944e1b8902106105b34da9").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-5b751cdfec944e1b8902106105b34da9").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-5b751cdfec944e1b8902106105b34da9").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-5b751cdfec944e1b8902106105b34da9')), 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: getTrackingId5b751cdfec944e1b8902106105b34da9() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-5b751cdfec944e1b8902106105b34da9").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-5b751cdfec944e1b8902106105b34da9").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=41903", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm5b751cdfec944e1b8902106105b34da9Check(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; let response = JSON.parse(xhr.responseText); try { document.getElementById('mpform-5b751cdfec944e1b8902106105b34da9').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-5b751cdfec944e1b8902106105b34da9").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-5b751cdfec944e1b8902106105b34da9').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmb803f16583914c65bd1865a25b5b0693); } else { mpForm5b751cdfec944e1b8902106105b34da9Check(); 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 mpmRecaptchaLoaded5b751cdfec944e1b8902106105b34da9() { captchaWidgetmpFrmb803f16583914c65bd1865a25b5b0693 = grecaptcha.render('mpmRecaptchampFrmb803f16583914c65bd1865a25b5b0693', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId5b751cdfec944e1b8902106105b34da9() { 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 mpmFormInit5b751cdfec944e1b8902106105b34da9 () { 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 finishedLoading5b751cdfec944e1b8902106105b34da9() { window.mpFormLoading = false; let container = document.getElementById('mpFrmb803f16583914c65bd1865a25b5b0693'); if (!container) { mpFormmpFrmb803f16583914c65bd1865a25b5b0693Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmb803f16583914c65bd1865a25b5b0693'); return setTimeout(finishedLoading5b751cdfec944e1b8902106105b34da9, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-5b751cdfec944e1b8902106105b34da9").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-5b751cdfec944e1b8902106105b34da9").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-5b751cdfec944e1b8902106105b34da9").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-5b751cdfec944e1b8902106105b34da9").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-5b751cdfec944e1b8902106105b34da9").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=mpmRecaptchaLoaded5b751cdfec944e1b8902106105b34da9&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup5b751cdfec944e1b8902106105b34da9() { let popups = document.getElementById("mpform-5b751cdfec944e1b8902106105b34da9").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput5b751cdfec944e1b8902106105b34da9() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading5b751cdfec944e1b8902106105b34da9(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading5b751cdfec944e1b8902106105b34da9(); } } 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); mploadTelInput5b751cdfec944e1b8902106105b34da9(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit5b751cdfec944e1b8902106105b34da9(); } else { function waitForOtherFormsmpFrmb803f16583914c65bd1865a25b5b0693() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit5b751cdfec944e1b8902106105b34da9(); } else { setTimeout(waitForOtherFormsmpFrmb803f16583914c65bd1865a25b5b0693,300); } } waitForOtherFormsmpFrmb803f16583914c65bd1865a25b5b0693(); }