var captchaWidgetmpFrma01ec4e69d124d41a67421fdeaf65d3d; var mpCurrentScriptmpFrma01ec4e69d124d41a67421fdeaf65d3dContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrma01ec4e69d124d41a67421fdeaf65d3d"; 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); mpFormmpFrma01ec4e69d124d41a67421fdeaf65d3dFind(); } })(); function mpFormmpFrma01ec4e69d124d41a67421fdeaf65d3dFind() { if(!mpCurrentScriptmpFrma01ec4e69d124d41a67421fdeaf65d3dContainer) return; if (mpCurrentScriptmpFrma01ec4e69d124d41a67421fdeaf65d3dContainer && mpCurrentScriptmpFrma01ec4e69d124d41a67421fdeaf65d3dContainer.nodeName && mpCurrentScriptmpFrma01ec4e69d124d41a67421fdeaf65d3dContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrma01ec4e69d124d41a67421fdeaf65d3d" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrma01ec4e69d124d41a67421fdeaf65d3dContainer.children).forEach(c => { if (c.id === "mpFrma01ec4e69d124d41a67421fdeaf65d3d") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript0c5c4fe05d5c4b97a9f5c199eac4de80Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrma01ec4e69d124d41a67421fdeaf65d3d"; } } } } function mpForm0c5c4fe05d5c4b97a9f5c199eac4de80Check() { let checkBoxes = document.getElementById("mpform-0c5c4fe05d5c4b97a9f5c199eac4de80").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 mpForm0c5c4fe05d5c4b97a9f5c199eac4de80Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-0c5c4fe05d5c4b97a9f5c199eac4de80").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-0c5c4fe05d5c4b97a9f5c199eac4de80").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-0c5c4fe05d5c4b97a9f5c199eac4de80").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-0c5c4fe05d5c4b97a9f5c199eac4de80')), 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: getTrackingId0c5c4fe05d5c4b97a9f5c199eac4de80() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-0c5c4fe05d5c4b97a9f5c199eac4de80").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-0c5c4fe05d5c4b97a9f5c199eac4de80").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) { mpForm0c5c4fe05d5c4b97a9f5c199eac4de80Check(); 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-0c5c4fe05d5c4b97a9f5c199eac4de80').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-0c5c4fe05d5c4b97a9f5c199eac4de80").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-0c5c4fe05d5c4b97a9f5c199eac4de80').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrma01ec4e69d124d41a67421fdeaf65d3d); } else { mpForm0c5c4fe05d5c4b97a9f5c199eac4de80Check(); 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 mpmRecaptchaLoaded0c5c4fe05d5c4b97a9f5c199eac4de80() { captchaWidgetmpFrma01ec4e69d124d41a67421fdeaf65d3d = grecaptcha.render('mpmRecaptchampFrma01ec4e69d124d41a67421fdeaf65d3d', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId0c5c4fe05d5c4b97a9f5c199eac4de80() { 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 mpmFormInit0c5c4fe05d5c4b97a9f5c199eac4de80 () { 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 finishedLoading0c5c4fe05d5c4b97a9f5c199eac4de80() { window.mpFormLoading = false; let container = document.getElementById('mpFrma01ec4e69d124d41a67421fdeaf65d3d'); if (!container) { mpFormmpFrma01ec4e69d124d41a67421fdeaf65d3dFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrma01ec4e69d124d41a67421fdeaf65d3d'); return setTimeout(finishedLoading0c5c4fe05d5c4b97a9f5c199eac4de80, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-0c5c4fe05d5c4b97a9f5c199eac4de80").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-0c5c4fe05d5c4b97a9f5c199eac4de80").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-0c5c4fe05d5c4b97a9f5c199eac4de80").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-0c5c4fe05d5c4b97a9f5c199eac4de80").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-0c5c4fe05d5c4b97a9f5c199eac4de80").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=mpmRecaptchaLoaded0c5c4fe05d5c4b97a9f5c199eac4de80&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup0c5c4fe05d5c4b97a9f5c199eac4de80() { let popups = document.getElementById("mpform-0c5c4fe05d5c4b97a9f5c199eac4de80").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput0c5c4fe05d5c4b97a9f5c199eac4de80() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading0c5c4fe05d5c4b97a9f5c199eac4de80(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading0c5c4fe05d5c4b97a9f5c199eac4de80(); } } 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); mploadTelInput0c5c4fe05d5c4b97a9f5c199eac4de80(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit0c5c4fe05d5c4b97a9f5c199eac4de80(); } else { function waitForOtherFormsmpFrma01ec4e69d124d41a67421fdeaf65d3d() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit0c5c4fe05d5c4b97a9f5c199eac4de80(); } else { setTimeout(waitForOtherFormsmpFrma01ec4e69d124d41a67421fdeaf65d3d,300); } } waitForOtherFormsmpFrma01ec4e69d124d41a67421fdeaf65d3d(); }