var captchaWidgetmpFrm48775520c3ff47fb9433ce13a8464345; var mpCurrentScriptmpFrm48775520c3ff47fb9433ce13a8464345Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm48775520c3ff47fb9433ce13a8464345"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41943"); 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); mpFormmpFrm48775520c3ff47fb9433ce13a8464345Find(); } })(); function mpFormmpFrm48775520c3ff47fb9433ce13a8464345Find() { if(!mpCurrentScriptmpFrm48775520c3ff47fb9433ce13a8464345Container) return; if (mpCurrentScriptmpFrm48775520c3ff47fb9433ce13a8464345Container && mpCurrentScriptmpFrm48775520c3ff47fb9433ce13a8464345Container.nodeName && mpCurrentScriptmpFrm48775520c3ff47fb9433ce13a8464345Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm48775520c3ff47fb9433ce13a8464345" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm48775520c3ff47fb9433ce13a8464345Container.children).forEach(c => { if (c.id === "mpFrm48775520c3ff47fb9433ce13a8464345") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript36d3a2751f6445d49358742518875e30Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm48775520c3ff47fb9433ce13a8464345"; } } } } function mpForm36d3a2751f6445d49358742518875e30Check() { let checkBoxes = document.getElementById("mpform-36d3a2751f6445d49358742518875e30").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 mpForm36d3a2751f6445d49358742518875e30Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-36d3a2751f6445d49358742518875e30").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-36d3a2751f6445d49358742518875e30").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-36d3a2751f6445d49358742518875e30").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-36d3a2751f6445d49358742518875e30')), 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: getTrackingId36d3a2751f6445d49358742518875e30() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-36d3a2751f6445d49358742518875e30").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-36d3a2751f6445d49358742518875e30").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=41943", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm36d3a2751f6445d49358742518875e30Check(); 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-36d3a2751f6445d49358742518875e30').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-36d3a2751f6445d49358742518875e30").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-36d3a2751f6445d49358742518875e30').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm48775520c3ff47fb9433ce13a8464345); } else { mpForm36d3a2751f6445d49358742518875e30Check(); 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 mpmRecaptchaLoaded36d3a2751f6445d49358742518875e30() { captchaWidgetmpFrm48775520c3ff47fb9433ce13a8464345 = grecaptcha.render('mpmRecaptchampFrm48775520c3ff47fb9433ce13a8464345', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId36d3a2751f6445d49358742518875e30() { 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 mpmFormInit36d3a2751f6445d49358742518875e30 () { 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 finishedLoading36d3a2751f6445d49358742518875e30() { window.mpFormLoading = false; let container = document.getElementById('mpFrm48775520c3ff47fb9433ce13a8464345'); if (!container) { mpFormmpFrm48775520c3ff47fb9433ce13a8464345Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm48775520c3ff47fb9433ce13a8464345'); return setTimeout(finishedLoading36d3a2751f6445d49358742518875e30, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-36d3a2751f6445d49358742518875e30").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-36d3a2751f6445d49358742518875e30").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-36d3a2751f6445d49358742518875e30").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-36d3a2751f6445d49358742518875e30").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-36d3a2751f6445d49358742518875e30").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=mpmRecaptchaLoaded36d3a2751f6445d49358742518875e30&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup36d3a2751f6445d49358742518875e30() { let popups = document.getElementById("mpform-36d3a2751f6445d49358742518875e30").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput36d3a2751f6445d49358742518875e30() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading36d3a2751f6445d49358742518875e30(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading36d3a2751f6445d49358742518875e30(); } } 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); mploadTelInput36d3a2751f6445d49358742518875e30(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit36d3a2751f6445d49358742518875e30(); } else { function waitForOtherFormsmpFrm48775520c3ff47fb9433ce13a8464345() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit36d3a2751f6445d49358742518875e30(); } else { setTimeout(waitForOtherFormsmpFrm48775520c3ff47fb9433ce13a8464345,300); } } waitForOtherFormsmpFrm48775520c3ff47fb9433ce13a8464345(); }