var captchaWidgetmpFrm2d8568497f36464d96294ff1d2d0de61; var mpCurrentScriptmpFrm2d8568497f36464d96294ff1d2d0de61Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm2d8568497f36464d96294ff1d2d0de61"; 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); mpFormmpFrm2d8568497f36464d96294ff1d2d0de61Find(); } })(); function mpFormmpFrm2d8568497f36464d96294ff1d2d0de61Find() { if(!mpCurrentScriptmpFrm2d8568497f36464d96294ff1d2d0de61Container) return; if (mpCurrentScriptmpFrm2d8568497f36464d96294ff1d2d0de61Container && mpCurrentScriptmpFrm2d8568497f36464d96294ff1d2d0de61Container.nodeName && mpCurrentScriptmpFrm2d8568497f36464d96294ff1d2d0de61Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm2d8568497f36464d96294ff1d2d0de61" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm2d8568497f36464d96294ff1d2d0de61Container.children).forEach(c => { if (c.id === "mpFrm2d8568497f36464d96294ff1d2d0de61") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptd42c4b0bd2ca413091892882dac0fd1aContainer.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm2d8568497f36464d96294ff1d2d0de61"; } } } } function mpFormd42c4b0bd2ca413091892882dac0fd1aCheck() { let checkBoxes = document.getElementById("mpform-d42c4b0bd2ca413091892882dac0fd1a").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 mpFormd42c4b0bd2ca413091892882dac0fd1aSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-d42c4b0bd2ca413091892882dac0fd1a").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-d42c4b0bd2ca413091892882dac0fd1a").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-d42c4b0bd2ca413091892882dac0fd1a").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-d42c4b0bd2ca413091892882dac0fd1a')), 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: getTrackingIdd42c4b0bd2ca413091892882dac0fd1a() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-d42c4b0bd2ca413091892882dac0fd1a").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-d42c4b0bd2ca413091892882dac0fd1a").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) { mpFormd42c4b0bd2ca413091892882dac0fd1aCheck(); 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-d42c4b0bd2ca413091892882dac0fd1a').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-d42c4b0bd2ca413091892882dac0fd1a").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-d42c4b0bd2ca413091892882dac0fd1a').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm2d8568497f36464d96294ff1d2d0de61); } else { mpFormd42c4b0bd2ca413091892882dac0fd1aCheck(); 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 mpmRecaptchaLoadedd42c4b0bd2ca413091892882dac0fd1a() { captchaWidgetmpFrm2d8568497f36464d96294ff1d2d0de61 = grecaptcha.render('mpmRecaptchampFrm2d8568497f36464d96294ff1d2d0de61', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdd42c4b0bd2ca413091892882dac0fd1a() { 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 mpmFormInitd42c4b0bd2ca413091892882dac0fd1a () { 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 finishedLoadingd42c4b0bd2ca413091892882dac0fd1a() { window.mpFormLoading = false; let container = document.getElementById('mpFrm2d8568497f36464d96294ff1d2d0de61'); if (!container) { mpFormmpFrm2d8568497f36464d96294ff1d2d0de61Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm2d8568497f36464d96294ff1d2d0de61'); return setTimeout(finishedLoadingd42c4b0bd2ca413091892882dac0fd1a, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-d42c4b0bd2ca413091892882dac0fd1a").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-d42c4b0bd2ca413091892882dac0fd1a").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-d42c4b0bd2ca413091892882dac0fd1a").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-d42c4b0bd2ca413091892882dac0fd1a").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-d42c4b0bd2ca413091892882dac0fd1a").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=mpmRecaptchaLoadedd42c4b0bd2ca413091892882dac0fd1a&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupd42c4b0bd2ca413091892882dac0fd1a() { let popups = document.getElementById("mpform-d42c4b0bd2ca413091892882dac0fd1a").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputd42c4b0bd2ca413091892882dac0fd1a() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingd42c4b0bd2ca413091892882dac0fd1a(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingd42c4b0bd2ca413091892882dac0fd1a(); } } 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); mploadTelInputd42c4b0bd2ca413091892882dac0fd1a(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitd42c4b0bd2ca413091892882dac0fd1a(); } else { function waitForOtherFormsmpFrm2d8568497f36464d96294ff1d2d0de61() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitd42c4b0bd2ca413091892882dac0fd1a(); } else { setTimeout(waitForOtherFormsmpFrm2d8568497f36464d96294ff1d2d0de61,300); } } waitForOtherFormsmpFrm2d8568497f36464d96294ff1d2d0de61(); }