var captchaWidgetmpFrmc49531f030c342569c4c957976b13b93; var mpCurrentScriptmpFrmc49531f030c342569c4c957976b13b93Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmc49531f030c342569c4c957976b13b93"; 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); mpFormmpFrmc49531f030c342569c4c957976b13b93Find(); } })(); function mpFormmpFrmc49531f030c342569c4c957976b13b93Find() { if(!mpCurrentScriptmpFrmc49531f030c342569c4c957976b13b93Container) return; if (mpCurrentScriptmpFrmc49531f030c342569c4c957976b13b93Container && mpCurrentScriptmpFrmc49531f030c342569c4c957976b13b93Container.nodeName && mpCurrentScriptmpFrmc49531f030c342569c4c957976b13b93Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmc49531f030c342569c4c957976b13b93" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmc49531f030c342569c4c957976b13b93Container.children).forEach(c => { if (c.id === "mpFrmc49531f030c342569c4c957976b13b93") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript5c561da1410e439d8e6ec6435030cc14Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmc49531f030c342569c4c957976b13b93"; } } } } function mpForm5c561da1410e439d8e6ec6435030cc14Check() { let checkBoxes = document.getElementById("mpform-5c561da1410e439d8e6ec6435030cc14").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 mpForm5c561da1410e439d8e6ec6435030cc14Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-5c561da1410e439d8e6ec6435030cc14").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-5c561da1410e439d8e6ec6435030cc14").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-5c561da1410e439d8e6ec6435030cc14").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-5c561da1410e439d8e6ec6435030cc14')), 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: getTrackingId5c561da1410e439d8e6ec6435030cc14() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-5c561da1410e439d8e6ec6435030cc14").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-5c561da1410e439d8e6ec6435030cc14").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) { mpForm5c561da1410e439d8e6ec6435030cc14Check(); 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-5c561da1410e439d8e6ec6435030cc14').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-5c561da1410e439d8e6ec6435030cc14").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-5c561da1410e439d8e6ec6435030cc14').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmc49531f030c342569c4c957976b13b93); } else { mpForm5c561da1410e439d8e6ec6435030cc14Check(); 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 mpmRecaptchaLoaded5c561da1410e439d8e6ec6435030cc14() { captchaWidgetmpFrmc49531f030c342569c4c957976b13b93 = grecaptcha.render('mpmRecaptchampFrmc49531f030c342569c4c957976b13b93', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId5c561da1410e439d8e6ec6435030cc14() { 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 mpmFormInit5c561da1410e439d8e6ec6435030cc14 () { 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 finishedLoading5c561da1410e439d8e6ec6435030cc14() { window.mpFormLoading = false; let container = document.getElementById('mpFrmc49531f030c342569c4c957976b13b93'); if (!container) { mpFormmpFrmc49531f030c342569c4c957976b13b93Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmc49531f030c342569c4c957976b13b93'); return setTimeout(finishedLoading5c561da1410e439d8e6ec6435030cc14, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-5c561da1410e439d8e6ec6435030cc14").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-5c561da1410e439d8e6ec6435030cc14").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-5c561da1410e439d8e6ec6435030cc14").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-5c561da1410e439d8e6ec6435030cc14").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-5c561da1410e439d8e6ec6435030cc14").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=mpmRecaptchaLoaded5c561da1410e439d8e6ec6435030cc14&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup5c561da1410e439d8e6ec6435030cc14() { let popups = document.getElementById("mpform-5c561da1410e439d8e6ec6435030cc14").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput5c561da1410e439d8e6ec6435030cc14() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading5c561da1410e439d8e6ec6435030cc14(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading5c561da1410e439d8e6ec6435030cc14(); } } 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); mploadTelInput5c561da1410e439d8e6ec6435030cc14(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit5c561da1410e439d8e6ec6435030cc14(); } else { function waitForOtherFormsmpFrmc49531f030c342569c4c957976b13b93() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit5c561da1410e439d8e6ec6435030cc14(); } else { setTimeout(waitForOtherFormsmpFrmc49531f030c342569c4c957976b13b93,300); } } waitForOtherFormsmpFrmc49531f030c342569c4c957976b13b93(); }