var captchaWidgetmpFrmc7b6c5e0d7d34fbe9b0542cb959a941d; var mpCurrentScriptmpFrmc7b6c5e0d7d34fbe9b0542cb959a941dContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmc7b6c5e0d7d34fbe9b0542cb959a941d"; 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); mpFormmpFrmc7b6c5e0d7d34fbe9b0542cb959a941dFind(); } })(); function mpFormmpFrmc7b6c5e0d7d34fbe9b0542cb959a941dFind() { if(!mpCurrentScriptmpFrmc7b6c5e0d7d34fbe9b0542cb959a941dContainer) return; if (mpCurrentScriptmpFrmc7b6c5e0d7d34fbe9b0542cb959a941dContainer && mpCurrentScriptmpFrmc7b6c5e0d7d34fbe9b0542cb959a941dContainer.nodeName && mpCurrentScriptmpFrmc7b6c5e0d7d34fbe9b0542cb959a941dContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmc7b6c5e0d7d34fbe9b0542cb959a941d" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmc7b6c5e0d7d34fbe9b0542cb959a941dContainer.children).forEach(c => { if (c.id === "mpFrmc7b6c5e0d7d34fbe9b0542cb959a941d") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScripte6053327905845fa9fcf707c7adb8864Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmc7b6c5e0d7d34fbe9b0542cb959a941d"; } } } } function mpForme6053327905845fa9fcf707c7adb8864Check() { let checkBoxes = document.getElementById("mpform-e6053327905845fa9fcf707c7adb8864").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 mpForme6053327905845fa9fcf707c7adb8864Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-e6053327905845fa9fcf707c7adb8864").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-e6053327905845fa9fcf707c7adb8864").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-e6053327905845fa9fcf707c7adb8864").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-e6053327905845fa9fcf707c7adb8864')), 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: getTrackingIde6053327905845fa9fcf707c7adb8864() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-e6053327905845fa9fcf707c7adb8864").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-e6053327905845fa9fcf707c7adb8864").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) { mpForme6053327905845fa9fcf707c7adb8864Check(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; let response = JSON.parse(xhr.responseText); try { document.getElementById('mpform-e6053327905845fa9fcf707c7adb8864').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-e6053327905845fa9fcf707c7adb8864").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-e6053327905845fa9fcf707c7adb8864').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmc7b6c5e0d7d34fbe9b0542cb959a941d); } else { mpForme6053327905845fa9fcf707c7adb8864Check(); 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 mpmRecaptchaLoadede6053327905845fa9fcf707c7adb8864() { captchaWidgetmpFrmc7b6c5e0d7d34fbe9b0542cb959a941d = grecaptcha.render('mpmRecaptchampFrmc7b6c5e0d7d34fbe9b0542cb959a941d', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIde6053327905845fa9fcf707c7adb8864() { 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 mpmFormInite6053327905845fa9fcf707c7adb8864 () { 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 finishedLoadinge6053327905845fa9fcf707c7adb8864() { window.mpFormLoading = false; let container = document.getElementById('mpFrmc7b6c5e0d7d34fbe9b0542cb959a941d'); if (!container) { mpFormmpFrmc7b6c5e0d7d34fbe9b0542cb959a941dFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmc7b6c5e0d7d34fbe9b0542cb959a941d'); return setTimeout(finishedLoadinge6053327905845fa9fcf707c7adb8864, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-e6053327905845fa9fcf707c7adb8864").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-e6053327905845fa9fcf707c7adb8864").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-e6053327905845fa9fcf707c7adb8864").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-e6053327905845fa9fcf707c7adb8864").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-e6053327905845fa9fcf707c7adb8864").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=mpmRecaptchaLoadede6053327905845fa9fcf707c7adb8864&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupe6053327905845fa9fcf707c7adb8864() { let popups = document.getElementById("mpform-e6053327905845fa9fcf707c7adb8864").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInpute6053327905845fa9fcf707c7adb8864() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadinge6053327905845fa9fcf707c7adb8864(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinge6053327905845fa9fcf707c7adb8864(); } } 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); mploadTelInpute6053327905845fa9fcf707c7adb8864(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInite6053327905845fa9fcf707c7adb8864(); } else { function waitForOtherFormsmpFrmc7b6c5e0d7d34fbe9b0542cb959a941d() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInite6053327905845fa9fcf707c7adb8864(); } else { setTimeout(waitForOtherFormsmpFrmc7b6c5e0d7d34fbe9b0542cb959a941d,300); } } waitForOtherFormsmpFrmc7b6c5e0d7d34fbe9b0542cb959a941d(); }