var captchaWidgetmpFrm6413ee57bfd349e4b7c9df5e93158f3c; var mpCurrentScriptmpFrm6413ee57bfd349e4b7c9df5e93158f3cContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm6413ee57bfd349e4b7c9df5e93158f3c"; 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); mpFormmpFrm6413ee57bfd349e4b7c9df5e93158f3cFind(); } })(); function mpFormmpFrm6413ee57bfd349e4b7c9df5e93158f3cFind() { if(!mpCurrentScriptmpFrm6413ee57bfd349e4b7c9df5e93158f3cContainer) return; if (mpCurrentScriptmpFrm6413ee57bfd349e4b7c9df5e93158f3cContainer && mpCurrentScriptmpFrm6413ee57bfd349e4b7c9df5e93158f3cContainer.nodeName && mpCurrentScriptmpFrm6413ee57bfd349e4b7c9df5e93158f3cContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm6413ee57bfd349e4b7c9df5e93158f3c" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm6413ee57bfd349e4b7c9df5e93158f3cContainer.children).forEach(c => { if (c.id === "mpFrm6413ee57bfd349e4b7c9df5e93158f3c") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptfacfa323f96f43d7abc44bf12af84617Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm6413ee57bfd349e4b7c9df5e93158f3c"; } } } } function mpFormfacfa323f96f43d7abc44bf12af84617Check() { let checkBoxes = document.getElementById("mpform-facfa323f96f43d7abc44bf12af84617").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 mpFormfacfa323f96f43d7abc44bf12af84617Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-facfa323f96f43d7abc44bf12af84617").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-facfa323f96f43d7abc44bf12af84617").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-facfa323f96f43d7abc44bf12af84617").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-facfa323f96f43d7abc44bf12af84617')), 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: getTrackingIdfacfa323f96f43d7abc44bf12af84617() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-facfa323f96f43d7abc44bf12af84617").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-facfa323f96f43d7abc44bf12af84617").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) { mpFormfacfa323f96f43d7abc44bf12af84617Check(); 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-facfa323f96f43d7abc44bf12af84617').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-facfa323f96f43d7abc44bf12af84617").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-facfa323f96f43d7abc44bf12af84617').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm6413ee57bfd349e4b7c9df5e93158f3c); } else { mpFormfacfa323f96f43d7abc44bf12af84617Check(); 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 mpmRecaptchaLoadedfacfa323f96f43d7abc44bf12af84617() { captchaWidgetmpFrm6413ee57bfd349e4b7c9df5e93158f3c = grecaptcha.render('mpmRecaptchampFrm6413ee57bfd349e4b7c9df5e93158f3c', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdfacfa323f96f43d7abc44bf12af84617() { 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 mpmFormInitfacfa323f96f43d7abc44bf12af84617 () { 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 finishedLoadingfacfa323f96f43d7abc44bf12af84617() { window.mpFormLoading = false; let container = document.getElementById('mpFrm6413ee57bfd349e4b7c9df5e93158f3c'); if (!container) { mpFormmpFrm6413ee57bfd349e4b7c9df5e93158f3cFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm6413ee57bfd349e4b7c9df5e93158f3c'); return setTimeout(finishedLoadingfacfa323f96f43d7abc44bf12af84617, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-facfa323f96f43d7abc44bf12af84617").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-facfa323f96f43d7abc44bf12af84617").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-facfa323f96f43d7abc44bf12af84617").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-facfa323f96f43d7abc44bf12af84617").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-facfa323f96f43d7abc44bf12af84617").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=mpmRecaptchaLoadedfacfa323f96f43d7abc44bf12af84617&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupfacfa323f96f43d7abc44bf12af84617() { let popups = document.getElementById("mpform-facfa323f96f43d7abc44bf12af84617").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputfacfa323f96f43d7abc44bf12af84617() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingfacfa323f96f43d7abc44bf12af84617(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingfacfa323f96f43d7abc44bf12af84617(); } } 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); mploadTelInputfacfa323f96f43d7abc44bf12af84617(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitfacfa323f96f43d7abc44bf12af84617(); } else { function waitForOtherFormsmpFrm6413ee57bfd349e4b7c9df5e93158f3c() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitfacfa323f96f43d7abc44bf12af84617(); } else { setTimeout(waitForOtherFormsmpFrm6413ee57bfd349e4b7c9df5e93158f3c,300); } } waitForOtherFormsmpFrm6413ee57bfd349e4b7c9df5e93158f3c(); }