var captchaWidgetmpFrmb1f2924d37264f05a4d6bcb6ff385044; var mpCurrentScriptmpFrmb1f2924d37264f05a4d6bcb6ff385044Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmb1f2924d37264f05a4d6bcb6ff385044"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41955"); 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); mpFormmpFrmb1f2924d37264f05a4d6bcb6ff385044Find(); } })(); function mpFormmpFrmb1f2924d37264f05a4d6bcb6ff385044Find() { if(!mpCurrentScriptmpFrmb1f2924d37264f05a4d6bcb6ff385044Container) return; if (mpCurrentScriptmpFrmb1f2924d37264f05a4d6bcb6ff385044Container && mpCurrentScriptmpFrmb1f2924d37264f05a4d6bcb6ff385044Container.nodeName && mpCurrentScriptmpFrmb1f2924d37264f05a4d6bcb6ff385044Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmb1f2924d37264f05a4d6bcb6ff385044" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmb1f2924d37264f05a4d6bcb6ff385044Container.children).forEach(c => { if (c.id === "mpFrmb1f2924d37264f05a4d6bcb6ff385044") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript9ea874fa050249a2b29d7961c6d29916Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmb1f2924d37264f05a4d6bcb6ff385044"; } } } } function mpForm9ea874fa050249a2b29d7961c6d29916Check() { let checkBoxes = document.getElementById("mpform-9ea874fa050249a2b29d7961c6d29916").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 mpForm9ea874fa050249a2b29d7961c6d29916Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-9ea874fa050249a2b29d7961c6d29916").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-9ea874fa050249a2b29d7961c6d29916").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-9ea874fa050249a2b29d7961c6d29916").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-9ea874fa050249a2b29d7961c6d29916')), 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: getTrackingId9ea874fa050249a2b29d7961c6d29916() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-9ea874fa050249a2b29d7961c6d29916").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-9ea874fa050249a2b29d7961c6d29916").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=41955", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm9ea874fa050249a2b29d7961c6d29916Check(); 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-9ea874fa050249a2b29d7961c6d29916').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-9ea874fa050249a2b29d7961c6d29916").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-9ea874fa050249a2b29d7961c6d29916').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmb1f2924d37264f05a4d6bcb6ff385044); } else { mpForm9ea874fa050249a2b29d7961c6d29916Check(); 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 mpmRecaptchaLoaded9ea874fa050249a2b29d7961c6d29916() { captchaWidgetmpFrmb1f2924d37264f05a4d6bcb6ff385044 = grecaptcha.render('mpmRecaptchampFrmb1f2924d37264f05a4d6bcb6ff385044', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId9ea874fa050249a2b29d7961c6d29916() { 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 mpmFormInit9ea874fa050249a2b29d7961c6d29916 () { 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 finishedLoading9ea874fa050249a2b29d7961c6d29916() { window.mpFormLoading = false; let container = document.getElementById('mpFrmb1f2924d37264f05a4d6bcb6ff385044'); if (!container) { mpFormmpFrmb1f2924d37264f05a4d6bcb6ff385044Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmb1f2924d37264f05a4d6bcb6ff385044'); return setTimeout(finishedLoading9ea874fa050249a2b29d7961c6d29916, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-9ea874fa050249a2b29d7961c6d29916").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-9ea874fa050249a2b29d7961c6d29916").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-9ea874fa050249a2b29d7961c6d29916").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-9ea874fa050249a2b29d7961c6d29916").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-9ea874fa050249a2b29d7961c6d29916").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=mpmRecaptchaLoaded9ea874fa050249a2b29d7961c6d29916&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup9ea874fa050249a2b29d7961c6d29916() { let popups = document.getElementById("mpform-9ea874fa050249a2b29d7961c6d29916").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput9ea874fa050249a2b29d7961c6d29916() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading9ea874fa050249a2b29d7961c6d29916(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading9ea874fa050249a2b29d7961c6d29916(); } } 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); mploadTelInput9ea874fa050249a2b29d7961c6d29916(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit9ea874fa050249a2b29d7961c6d29916(); } else { function waitForOtherFormsmpFrmb1f2924d37264f05a4d6bcb6ff385044() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit9ea874fa050249a2b29d7961c6d29916(); } else { setTimeout(waitForOtherFormsmpFrmb1f2924d37264f05a4d6bcb6ff385044,300); } } waitForOtherFormsmpFrmb1f2924d37264f05a4d6bcb6ff385044(); }