var captchaWidgetmpFrm13918f7fde414b0ba18632721d72ec2f; var mpCurrentScriptmpFrm13918f7fde414b0ba18632721d72ec2fContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm13918f7fde414b0ba18632721d72ec2f"; 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); mpFormmpFrm13918f7fde414b0ba18632721d72ec2fFind(); } })(); function mpFormmpFrm13918f7fde414b0ba18632721d72ec2fFind() { if(!mpCurrentScriptmpFrm13918f7fde414b0ba18632721d72ec2fContainer) return; if (mpCurrentScriptmpFrm13918f7fde414b0ba18632721d72ec2fContainer && mpCurrentScriptmpFrm13918f7fde414b0ba18632721d72ec2fContainer.nodeName && mpCurrentScriptmpFrm13918f7fde414b0ba18632721d72ec2fContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm13918f7fde414b0ba18632721d72ec2f" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm13918f7fde414b0ba18632721d72ec2fContainer.children).forEach(c => { if (c.id === "mpFrm13918f7fde414b0ba18632721d72ec2f") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript08eb0d8a6f894a0c981379241c68eb36Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm13918f7fde414b0ba18632721d72ec2f"; } } } } function mpForm08eb0d8a6f894a0c981379241c68eb36Check() { let checkBoxes = document.getElementById("mpform-08eb0d8a6f894a0c981379241c68eb36").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 mpForm08eb0d8a6f894a0c981379241c68eb36Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-08eb0d8a6f894a0c981379241c68eb36").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-08eb0d8a6f894a0c981379241c68eb36").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-08eb0d8a6f894a0c981379241c68eb36").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-08eb0d8a6f894a0c981379241c68eb36')), 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: getTrackingId08eb0d8a6f894a0c981379241c68eb36() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-08eb0d8a6f894a0c981379241c68eb36").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-08eb0d8a6f894a0c981379241c68eb36").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) { mpForm08eb0d8a6f894a0c981379241c68eb36Check(); 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-08eb0d8a6f894a0c981379241c68eb36').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-08eb0d8a6f894a0c981379241c68eb36").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-08eb0d8a6f894a0c981379241c68eb36').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm13918f7fde414b0ba18632721d72ec2f); } else { mpForm08eb0d8a6f894a0c981379241c68eb36Check(); 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 mpmRecaptchaLoaded08eb0d8a6f894a0c981379241c68eb36() { captchaWidgetmpFrm13918f7fde414b0ba18632721d72ec2f = grecaptcha.render('mpmRecaptchampFrm13918f7fde414b0ba18632721d72ec2f', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId08eb0d8a6f894a0c981379241c68eb36() { 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 mpmFormInit08eb0d8a6f894a0c981379241c68eb36 () { 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 finishedLoading08eb0d8a6f894a0c981379241c68eb36() { window.mpFormLoading = false; let container = document.getElementById('mpFrm13918f7fde414b0ba18632721d72ec2f'); if (!container) { mpFormmpFrm13918f7fde414b0ba18632721d72ec2fFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm13918f7fde414b0ba18632721d72ec2f'); return setTimeout(finishedLoading08eb0d8a6f894a0c981379241c68eb36, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-08eb0d8a6f894a0c981379241c68eb36").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-08eb0d8a6f894a0c981379241c68eb36").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-08eb0d8a6f894a0c981379241c68eb36").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-08eb0d8a6f894a0c981379241c68eb36").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-08eb0d8a6f894a0c981379241c68eb36").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=mpmRecaptchaLoaded08eb0d8a6f894a0c981379241c68eb36&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup08eb0d8a6f894a0c981379241c68eb36() { let popups = document.getElementById("mpform-08eb0d8a6f894a0c981379241c68eb36").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput08eb0d8a6f894a0c981379241c68eb36() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading08eb0d8a6f894a0c981379241c68eb36(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading08eb0d8a6f894a0c981379241c68eb36(); } } 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); mploadTelInput08eb0d8a6f894a0c981379241c68eb36(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit08eb0d8a6f894a0c981379241c68eb36(); } else { function waitForOtherFormsmpFrm13918f7fde414b0ba18632721d72ec2f() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit08eb0d8a6f894a0c981379241c68eb36(); } else { setTimeout(waitForOtherFormsmpFrm13918f7fde414b0ba18632721d72ec2f,300); } } waitForOtherFormsmpFrm13918f7fde414b0ba18632721d72ec2f(); }