var captchaWidgetmpFrm8e6cd04d7d3b496eb141f8258e368b73; var mpCurrentScriptmpFrm8e6cd04d7d3b496eb141f8258e368b73Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm8e6cd04d7d3b496eb141f8258e368b73"; 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); mpFormmpFrm8e6cd04d7d3b496eb141f8258e368b73Find(); } })(); function mpFormmpFrm8e6cd04d7d3b496eb141f8258e368b73Find() { if(!mpCurrentScriptmpFrm8e6cd04d7d3b496eb141f8258e368b73Container) return; if (mpCurrentScriptmpFrm8e6cd04d7d3b496eb141f8258e368b73Container && mpCurrentScriptmpFrm8e6cd04d7d3b496eb141f8258e368b73Container.nodeName && mpCurrentScriptmpFrm8e6cd04d7d3b496eb141f8258e368b73Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm8e6cd04d7d3b496eb141f8258e368b73" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm8e6cd04d7d3b496eb141f8258e368b73Container.children).forEach(c => { if (c.id === "mpFrm8e6cd04d7d3b496eb141f8258e368b73") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript6de6746b076f422986f72ca571405d60Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm8e6cd04d7d3b496eb141f8258e368b73"; } } } } function mpForm6de6746b076f422986f72ca571405d60Check() { let checkBoxes = document.getElementById("mpform-6de6746b076f422986f72ca571405d60").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 mpForm6de6746b076f422986f72ca571405d60Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-6de6746b076f422986f72ca571405d60").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-6de6746b076f422986f72ca571405d60").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-6de6746b076f422986f72ca571405d60").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-6de6746b076f422986f72ca571405d60')), 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: getTrackingId6de6746b076f422986f72ca571405d60() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-6de6746b076f422986f72ca571405d60").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-6de6746b076f422986f72ca571405d60").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) { mpForm6de6746b076f422986f72ca571405d60Check(); 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-6de6746b076f422986f72ca571405d60').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-6de6746b076f422986f72ca571405d60").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-6de6746b076f422986f72ca571405d60').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm8e6cd04d7d3b496eb141f8258e368b73); } else { mpForm6de6746b076f422986f72ca571405d60Check(); 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 mpmRecaptchaLoaded6de6746b076f422986f72ca571405d60() { captchaWidgetmpFrm8e6cd04d7d3b496eb141f8258e368b73 = grecaptcha.render('mpmRecaptchampFrm8e6cd04d7d3b496eb141f8258e368b73', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId6de6746b076f422986f72ca571405d60() { 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 mpmFormInit6de6746b076f422986f72ca571405d60 () { 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 finishedLoading6de6746b076f422986f72ca571405d60() { window.mpFormLoading = false; let container = document.getElementById('mpFrm8e6cd04d7d3b496eb141f8258e368b73'); if (!container) { mpFormmpFrm8e6cd04d7d3b496eb141f8258e368b73Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm8e6cd04d7d3b496eb141f8258e368b73'); return setTimeout(finishedLoading6de6746b076f422986f72ca571405d60, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-6de6746b076f422986f72ca571405d60").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-6de6746b076f422986f72ca571405d60").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-6de6746b076f422986f72ca571405d60").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-6de6746b076f422986f72ca571405d60").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-6de6746b076f422986f72ca571405d60").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=mpmRecaptchaLoaded6de6746b076f422986f72ca571405d60&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup6de6746b076f422986f72ca571405d60() { let popups = document.getElementById("mpform-6de6746b076f422986f72ca571405d60").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput6de6746b076f422986f72ca571405d60() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading6de6746b076f422986f72ca571405d60(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading6de6746b076f422986f72ca571405d60(); } } 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); mploadTelInput6de6746b076f422986f72ca571405d60(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit6de6746b076f422986f72ca571405d60(); } else { function waitForOtherFormsmpFrm8e6cd04d7d3b496eb141f8258e368b73() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit6de6746b076f422986f72ca571405d60(); } else { setTimeout(waitForOtherFormsmpFrm8e6cd04d7d3b496eb141f8258e368b73,300); } } waitForOtherFormsmpFrm8e6cd04d7d3b496eb141f8258e368b73(); }