var captchaWidgetmpFrm7281a301d218476f9962ee1cfce89456; var mpCurrentScriptmpFrm7281a301d218476f9962ee1cfce89456Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm7281a301d218476f9962ee1cfce89456"; 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); mpFormmpFrm7281a301d218476f9962ee1cfce89456Find(); } })(); function mpFormmpFrm7281a301d218476f9962ee1cfce89456Find() { if(!mpCurrentScriptmpFrm7281a301d218476f9962ee1cfce89456Container) return; if (mpCurrentScriptmpFrm7281a301d218476f9962ee1cfce89456Container && mpCurrentScriptmpFrm7281a301d218476f9962ee1cfce89456Container.nodeName && mpCurrentScriptmpFrm7281a301d218476f9962ee1cfce89456Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm7281a301d218476f9962ee1cfce89456" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm7281a301d218476f9962ee1cfce89456Container.children).forEach(c => { if (c.id === "mpFrm7281a301d218476f9962ee1cfce89456") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript57c04271bc1a4f8594de5a031d2ea74bContainer.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm7281a301d218476f9962ee1cfce89456"; } } } } function mpForm57c04271bc1a4f8594de5a031d2ea74bCheck() { let checkBoxes = document.getElementById("mpform-57c04271bc1a4f8594de5a031d2ea74b").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 mpForm57c04271bc1a4f8594de5a031d2ea74bSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-57c04271bc1a4f8594de5a031d2ea74b").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-57c04271bc1a4f8594de5a031d2ea74b").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-57c04271bc1a4f8594de5a031d2ea74b").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-57c04271bc1a4f8594de5a031d2ea74b')), 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: getTrackingId57c04271bc1a4f8594de5a031d2ea74b() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-57c04271bc1a4f8594de5a031d2ea74b").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-57c04271bc1a4f8594de5a031d2ea74b").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) { mpForm57c04271bc1a4f8594de5a031d2ea74bCheck(); 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-57c04271bc1a4f8594de5a031d2ea74b').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-57c04271bc1a4f8594de5a031d2ea74b").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-57c04271bc1a4f8594de5a031d2ea74b').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm7281a301d218476f9962ee1cfce89456); } else { mpForm57c04271bc1a4f8594de5a031d2ea74bCheck(); 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 mpmRecaptchaLoaded57c04271bc1a4f8594de5a031d2ea74b() { captchaWidgetmpFrm7281a301d218476f9962ee1cfce89456 = grecaptcha.render('mpmRecaptchampFrm7281a301d218476f9962ee1cfce89456', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId57c04271bc1a4f8594de5a031d2ea74b() { 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 mpmFormInit57c04271bc1a4f8594de5a031d2ea74b () { 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 finishedLoading57c04271bc1a4f8594de5a031d2ea74b() { window.mpFormLoading = false; let container = document.getElementById('mpFrm7281a301d218476f9962ee1cfce89456'); if (!container) { mpFormmpFrm7281a301d218476f9962ee1cfce89456Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm7281a301d218476f9962ee1cfce89456'); return setTimeout(finishedLoading57c04271bc1a4f8594de5a031d2ea74b, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-57c04271bc1a4f8594de5a031d2ea74b").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-57c04271bc1a4f8594de5a031d2ea74b").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-57c04271bc1a4f8594de5a031d2ea74b").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-57c04271bc1a4f8594de5a031d2ea74b").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-57c04271bc1a4f8594de5a031d2ea74b").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=mpmRecaptchaLoaded57c04271bc1a4f8594de5a031d2ea74b&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup57c04271bc1a4f8594de5a031d2ea74b() { let popups = document.getElementById("mpform-57c04271bc1a4f8594de5a031d2ea74b").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput57c04271bc1a4f8594de5a031d2ea74b() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading57c04271bc1a4f8594de5a031d2ea74b(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading57c04271bc1a4f8594de5a031d2ea74b(); } } 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); mploadTelInput57c04271bc1a4f8594de5a031d2ea74b(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit57c04271bc1a4f8594de5a031d2ea74b(); } else { function waitForOtherFormsmpFrm7281a301d218476f9962ee1cfce89456() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit57c04271bc1a4f8594de5a031d2ea74b(); } else { setTimeout(waitForOtherFormsmpFrm7281a301d218476f9962ee1cfce89456,300); } } waitForOtherFormsmpFrm7281a301d218476f9962ee1cfce89456(); }