var captchaWidgetmpFrmb13ebcabb35e49d099c994a4036ec850; var mpCurrentScriptmpFrmb13ebcabb35e49d099c994a4036ec850Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmb13ebcabb35e49d099c994a4036ec850"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41939"); 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); mpFormmpFrmb13ebcabb35e49d099c994a4036ec850Find(); } })(); function mpFormmpFrmb13ebcabb35e49d099c994a4036ec850Find() { if(!mpCurrentScriptmpFrmb13ebcabb35e49d099c994a4036ec850Container) return; if (mpCurrentScriptmpFrmb13ebcabb35e49d099c994a4036ec850Container && mpCurrentScriptmpFrmb13ebcabb35e49d099c994a4036ec850Container.nodeName && mpCurrentScriptmpFrmb13ebcabb35e49d099c994a4036ec850Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmb13ebcabb35e49d099c994a4036ec850" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmb13ebcabb35e49d099c994a4036ec850Container.children).forEach(c => { if (c.id === "mpFrmb13ebcabb35e49d099c994a4036ec850") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScripta3201cfbe93943739c24f1eceaf7137eContainer.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmb13ebcabb35e49d099c994a4036ec850"; } } } } function mpForma3201cfbe93943739c24f1eceaf7137eCheck() { let checkBoxes = document.getElementById("mpform-a3201cfbe93943739c24f1eceaf7137e").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 mpForma3201cfbe93943739c24f1eceaf7137eSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-a3201cfbe93943739c24f1eceaf7137e").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-a3201cfbe93943739c24f1eceaf7137e").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-a3201cfbe93943739c24f1eceaf7137e").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-a3201cfbe93943739c24f1eceaf7137e')), 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: getTrackingIda3201cfbe93943739c24f1eceaf7137e() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-a3201cfbe93943739c24f1eceaf7137e").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-a3201cfbe93943739c24f1eceaf7137e").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=41939", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForma3201cfbe93943739c24f1eceaf7137eCheck(); 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-a3201cfbe93943739c24f1eceaf7137e').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-a3201cfbe93943739c24f1eceaf7137e").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-a3201cfbe93943739c24f1eceaf7137e').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmb13ebcabb35e49d099c994a4036ec850); } else { mpForma3201cfbe93943739c24f1eceaf7137eCheck(); 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 mpmRecaptchaLoadeda3201cfbe93943739c24f1eceaf7137e() { captchaWidgetmpFrmb13ebcabb35e49d099c994a4036ec850 = grecaptcha.render('mpmRecaptchampFrmb13ebcabb35e49d099c994a4036ec850', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIda3201cfbe93943739c24f1eceaf7137e() { 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 mpmFormInita3201cfbe93943739c24f1eceaf7137e () { 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 finishedLoadinga3201cfbe93943739c24f1eceaf7137e() { window.mpFormLoading = false; let container = document.getElementById('mpFrmb13ebcabb35e49d099c994a4036ec850'); if (!container) { mpFormmpFrmb13ebcabb35e49d099c994a4036ec850Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmb13ebcabb35e49d099c994a4036ec850'); return setTimeout(finishedLoadinga3201cfbe93943739c24f1eceaf7137e, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-a3201cfbe93943739c24f1eceaf7137e").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-a3201cfbe93943739c24f1eceaf7137e").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-a3201cfbe93943739c24f1eceaf7137e").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-a3201cfbe93943739c24f1eceaf7137e").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-a3201cfbe93943739c24f1eceaf7137e").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=mpmRecaptchaLoadeda3201cfbe93943739c24f1eceaf7137e&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupa3201cfbe93943739c24f1eceaf7137e() { let popups = document.getElementById("mpform-a3201cfbe93943739c24f1eceaf7137e").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputa3201cfbe93943739c24f1eceaf7137e() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadinga3201cfbe93943739c24f1eceaf7137e(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinga3201cfbe93943739c24f1eceaf7137e(); } } 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); mploadTelInputa3201cfbe93943739c24f1eceaf7137e(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInita3201cfbe93943739c24f1eceaf7137e(); } else { function waitForOtherFormsmpFrmb13ebcabb35e49d099c994a4036ec850() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInita3201cfbe93943739c24f1eceaf7137e(); } else { setTimeout(waitForOtherFormsmpFrmb13ebcabb35e49d099c994a4036ec850,300); } } waitForOtherFormsmpFrmb13ebcabb35e49d099c994a4036ec850(); }