var captchaWidgetmpFrm8308a7c8e05e4a4a8ce281f5756058ae; var mpCurrentScriptmpFrm8308a7c8e05e4a4a8ce281f5756058aeContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm8308a7c8e05e4a4a8ce281f5756058ae"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41911"); 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); mpFormmpFrm8308a7c8e05e4a4a8ce281f5756058aeFind(); } })(); function mpFormmpFrm8308a7c8e05e4a4a8ce281f5756058aeFind() { if(!mpCurrentScriptmpFrm8308a7c8e05e4a4a8ce281f5756058aeContainer) return; if (mpCurrentScriptmpFrm8308a7c8e05e4a4a8ce281f5756058aeContainer && mpCurrentScriptmpFrm8308a7c8e05e4a4a8ce281f5756058aeContainer.nodeName && mpCurrentScriptmpFrm8308a7c8e05e4a4a8ce281f5756058aeContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm8308a7c8e05e4a4a8ce281f5756058ae" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm8308a7c8e05e4a4a8ce281f5756058aeContainer.children).forEach(c => { if (c.id === "mpFrm8308a7c8e05e4a4a8ce281f5756058ae") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript764545964d464444b22510cd767c709eContainer.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm8308a7c8e05e4a4a8ce281f5756058ae"; } } } } function mpForm764545964d464444b22510cd767c709eCheck() { let checkBoxes = document.getElementById("mpform-764545964d464444b22510cd767c709e").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 mpForm764545964d464444b22510cd767c709eSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-764545964d464444b22510cd767c709e").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-764545964d464444b22510cd767c709e").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-764545964d464444b22510cd767c709e").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-764545964d464444b22510cd767c709e')), 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: getTrackingId764545964d464444b22510cd767c709e() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-764545964d464444b22510cd767c709e").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-764545964d464444b22510cd767c709e").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=41911", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm764545964d464444b22510cd767c709eCheck(); 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-764545964d464444b22510cd767c709e').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-764545964d464444b22510cd767c709e").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-764545964d464444b22510cd767c709e').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm8308a7c8e05e4a4a8ce281f5756058ae); } else { mpForm764545964d464444b22510cd767c709eCheck(); 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 mpmRecaptchaLoaded764545964d464444b22510cd767c709e() { captchaWidgetmpFrm8308a7c8e05e4a4a8ce281f5756058ae = grecaptcha.render('mpmRecaptchampFrm8308a7c8e05e4a4a8ce281f5756058ae', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId764545964d464444b22510cd767c709e() { 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 mpmFormInit764545964d464444b22510cd767c709e () { 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 finishedLoading764545964d464444b22510cd767c709e() { window.mpFormLoading = false; let container = document.getElementById('mpFrm8308a7c8e05e4a4a8ce281f5756058ae'); if (!container) { mpFormmpFrm8308a7c8e05e4a4a8ce281f5756058aeFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm8308a7c8e05e4a4a8ce281f5756058ae'); return setTimeout(finishedLoading764545964d464444b22510cd767c709e, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-764545964d464444b22510cd767c709e").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-764545964d464444b22510cd767c709e").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-764545964d464444b22510cd767c709e").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-764545964d464444b22510cd767c709e").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-764545964d464444b22510cd767c709e").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=mpmRecaptchaLoaded764545964d464444b22510cd767c709e&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup764545964d464444b22510cd767c709e() { let popups = document.getElementById("mpform-764545964d464444b22510cd767c709e").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput764545964d464444b22510cd767c709e() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading764545964d464444b22510cd767c709e(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading764545964d464444b22510cd767c709e(); } } 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); mploadTelInput764545964d464444b22510cd767c709e(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit764545964d464444b22510cd767c709e(); } else { function waitForOtherFormsmpFrm8308a7c8e05e4a4a8ce281f5756058ae() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit764545964d464444b22510cd767c709e(); } else { setTimeout(waitForOtherFormsmpFrm8308a7c8e05e4a4a8ce281f5756058ae,300); } } waitForOtherFormsmpFrm8308a7c8e05e4a4a8ce281f5756058ae(); }