var captchaWidgetmpFrmd140b1cb59ab41c2912dc7951ef97558; var mpCurrentScriptmpFrmd140b1cb59ab41c2912dc7951ef97558Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmd140b1cb59ab41c2912dc7951ef97558"; 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); mpFormmpFrmd140b1cb59ab41c2912dc7951ef97558Find(); } })(); function mpFormmpFrmd140b1cb59ab41c2912dc7951ef97558Find() { if(!mpCurrentScriptmpFrmd140b1cb59ab41c2912dc7951ef97558Container) return; if (mpCurrentScriptmpFrmd140b1cb59ab41c2912dc7951ef97558Container && mpCurrentScriptmpFrmd140b1cb59ab41c2912dc7951ef97558Container.nodeName && mpCurrentScriptmpFrmd140b1cb59ab41c2912dc7951ef97558Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmd140b1cb59ab41c2912dc7951ef97558" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmd140b1cb59ab41c2912dc7951ef97558Container.children).forEach(c => { if (c.id === "mpFrmd140b1cb59ab41c2912dc7951ef97558") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript426c26748eca4a6ba878a3b4f7f8973eContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmd140b1cb59ab41c2912dc7951ef97558"; } } } } function mpForm426c26748eca4a6ba878a3b4f7f8973eCheck() { let checkBoxes = document.getElementById("mpform-426c26748eca4a6ba878a3b4f7f8973e").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 mpForm426c26748eca4a6ba878a3b4f7f8973eSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-426c26748eca4a6ba878a3b4f7f8973e").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-426c26748eca4a6ba878a3b4f7f8973e").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-426c26748eca4a6ba878a3b4f7f8973e").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-426c26748eca4a6ba878a3b4f7f8973e')), 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: getTrackingId426c26748eca4a6ba878a3b4f7f8973e() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-426c26748eca4a6ba878a3b4f7f8973e").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-426c26748eca4a6ba878a3b4f7f8973e").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) { mpForm426c26748eca4a6ba878a3b4f7f8973eCheck(); 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-426c26748eca4a6ba878a3b4f7f8973e').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-426c26748eca4a6ba878a3b4f7f8973e").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-426c26748eca4a6ba878a3b4f7f8973e').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmd140b1cb59ab41c2912dc7951ef97558); } else { mpForm426c26748eca4a6ba878a3b4f7f8973eCheck(); 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 mpmRecaptchaLoaded426c26748eca4a6ba878a3b4f7f8973e() { captchaWidgetmpFrmd140b1cb59ab41c2912dc7951ef97558 = grecaptcha.render('mpmRecaptchampFrmd140b1cb59ab41c2912dc7951ef97558', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId426c26748eca4a6ba878a3b4f7f8973e() { 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 mpmFormInit426c26748eca4a6ba878a3b4f7f8973e () { 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 finishedLoading426c26748eca4a6ba878a3b4f7f8973e() { window.mpFormLoading = false; let container = document.getElementById('mpFrmd140b1cb59ab41c2912dc7951ef97558'); if (!container) { mpFormmpFrmd140b1cb59ab41c2912dc7951ef97558Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmd140b1cb59ab41c2912dc7951ef97558'); return setTimeout(finishedLoading426c26748eca4a6ba878a3b4f7f8973e, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-426c26748eca4a6ba878a3b4f7f8973e").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-426c26748eca4a6ba878a3b4f7f8973e").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-426c26748eca4a6ba878a3b4f7f8973e").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-426c26748eca4a6ba878a3b4f7f8973e").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-426c26748eca4a6ba878a3b4f7f8973e").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=mpmRecaptchaLoaded426c26748eca4a6ba878a3b4f7f8973e&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup426c26748eca4a6ba878a3b4f7f8973e() { let popups = document.getElementById("mpform-426c26748eca4a6ba878a3b4f7f8973e").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput426c26748eca4a6ba878a3b4f7f8973e() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading426c26748eca4a6ba878a3b4f7f8973e(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading426c26748eca4a6ba878a3b4f7f8973e(); } } 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); mploadTelInput426c26748eca4a6ba878a3b4f7f8973e(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit426c26748eca4a6ba878a3b4f7f8973e(); } else { function waitForOtherFormsmpFrmd140b1cb59ab41c2912dc7951ef97558() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit426c26748eca4a6ba878a3b4f7f8973e(); } else { setTimeout(waitForOtherFormsmpFrmd140b1cb59ab41c2912dc7951ef97558,300); } } waitForOtherFormsmpFrmd140b1cb59ab41c2912dc7951ef97558(); }