var captchaWidgetmpFrm3c468e4ccc384a2eb4c6abd6e7aff5ac; var mpCurrentScriptmpFrm3c468e4ccc384a2eb4c6abd6e7aff5acContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm3c468e4ccc384a2eb4c6abd6e7aff5ac"; 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); mpFormmpFrm3c468e4ccc384a2eb4c6abd6e7aff5acFind(); } })(); function mpFormmpFrm3c468e4ccc384a2eb4c6abd6e7aff5acFind() { if(!mpCurrentScriptmpFrm3c468e4ccc384a2eb4c6abd6e7aff5acContainer) return; if (mpCurrentScriptmpFrm3c468e4ccc384a2eb4c6abd6e7aff5acContainer && mpCurrentScriptmpFrm3c468e4ccc384a2eb4c6abd6e7aff5acContainer.nodeName && mpCurrentScriptmpFrm3c468e4ccc384a2eb4c6abd6e7aff5acContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm3c468e4ccc384a2eb4c6abd6e7aff5ac" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm3c468e4ccc384a2eb4c6abd6e7aff5acContainer.children).forEach(c => { if (c.id === "mpFrm3c468e4ccc384a2eb4c6abd6e7aff5ac") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript35dc5e71b0e744c5b88c43cac13d8bb5Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm3c468e4ccc384a2eb4c6abd6e7aff5ac"; } } } } function mpForm35dc5e71b0e744c5b88c43cac13d8bb5Check() { let checkBoxes = document.getElementById("mpform-35dc5e71b0e744c5b88c43cac13d8bb5").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 mpForm35dc5e71b0e744c5b88c43cac13d8bb5Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-35dc5e71b0e744c5b88c43cac13d8bb5").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-35dc5e71b0e744c5b88c43cac13d8bb5").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-35dc5e71b0e744c5b88c43cac13d8bb5").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-35dc5e71b0e744c5b88c43cac13d8bb5')), 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: getTrackingId35dc5e71b0e744c5b88c43cac13d8bb5() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-35dc5e71b0e744c5b88c43cac13d8bb5").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-35dc5e71b0e744c5b88c43cac13d8bb5").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) { mpForm35dc5e71b0e744c5b88c43cac13d8bb5Check(); 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-35dc5e71b0e744c5b88c43cac13d8bb5').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-35dc5e71b0e744c5b88c43cac13d8bb5").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-35dc5e71b0e744c5b88c43cac13d8bb5').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm3c468e4ccc384a2eb4c6abd6e7aff5ac); } else { mpForm35dc5e71b0e744c5b88c43cac13d8bb5Check(); 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 mpmRecaptchaLoaded35dc5e71b0e744c5b88c43cac13d8bb5() { captchaWidgetmpFrm3c468e4ccc384a2eb4c6abd6e7aff5ac = grecaptcha.render('mpmRecaptchampFrm3c468e4ccc384a2eb4c6abd6e7aff5ac', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId35dc5e71b0e744c5b88c43cac13d8bb5() { 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 mpmFormInit35dc5e71b0e744c5b88c43cac13d8bb5 () { 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 finishedLoading35dc5e71b0e744c5b88c43cac13d8bb5() { window.mpFormLoading = false; let container = document.getElementById('mpFrm3c468e4ccc384a2eb4c6abd6e7aff5ac'); if (!container) { mpFormmpFrm3c468e4ccc384a2eb4c6abd6e7aff5acFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm3c468e4ccc384a2eb4c6abd6e7aff5ac'); return setTimeout(finishedLoading35dc5e71b0e744c5b88c43cac13d8bb5, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-35dc5e71b0e744c5b88c43cac13d8bb5").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-35dc5e71b0e744c5b88c43cac13d8bb5").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-35dc5e71b0e744c5b88c43cac13d8bb5").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-35dc5e71b0e744c5b88c43cac13d8bb5").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-35dc5e71b0e744c5b88c43cac13d8bb5").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=mpmRecaptchaLoaded35dc5e71b0e744c5b88c43cac13d8bb5&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup35dc5e71b0e744c5b88c43cac13d8bb5() { let popups = document.getElementById("mpform-35dc5e71b0e744c5b88c43cac13d8bb5").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput35dc5e71b0e744c5b88c43cac13d8bb5() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading35dc5e71b0e744c5b88c43cac13d8bb5(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading35dc5e71b0e744c5b88c43cac13d8bb5(); } } 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); mploadTelInput35dc5e71b0e744c5b88c43cac13d8bb5(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit35dc5e71b0e744c5b88c43cac13d8bb5(); } else { function waitForOtherFormsmpFrm3c468e4ccc384a2eb4c6abd6e7aff5ac() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit35dc5e71b0e744c5b88c43cac13d8bb5(); } else { setTimeout(waitForOtherFormsmpFrm3c468e4ccc384a2eb4c6abd6e7aff5ac,300); } } waitForOtherFormsmpFrm3c468e4ccc384a2eb4c6abd6e7aff5ac(); }