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id="et_pb_contact_form_0" class="et_pb_module et_pb_contact_form_0 et_pb_recaptcha_enabled et_pb_contact_form_container clearfix" data-form_unique_num="0" data-form_unique_id="8ce43075-7719-4d8b-a9ba-e348085ab571"> <h1 class="et_pb_contact_main_title">Complete this form if you would like to be a mentor. All fields are required.</h1> <span class="et_pb_contact_spinner"></span><div class="et-pb-contact-message et_pb_contact_message_top"></div> <div class="et_pb_contact"> <form class="et_pb_contact_form clearfix" method="post" action="https://www.18twenty8.org/join-us/big-sister-registration/"> <?xml version="1.0" encoding="utf-8"?><p class="et_pb_contact_field et_pb_contact_field_0 et_pb_contact_field_half" data-id="fullname" data-type="input"> <label for="et_pb_contact_fullname_0" class="et_pb_contact_form_label">Name</label> <input type="text" id="et_pb_contact_fullname_0" class="input" value="" name="et_pb_contact_fullname_0" data-required_mark="required" data-field_type="input" data-original_id="fullname" placeholder="Name *" aria-required="true"> </p> <?xml version="1.0" encoding="utf-8"?><p class="et_pb_contact_field et_pb_contact_field_1 et_pb_contact_field_half et_pb_contact_field_last" data-id="surname" data-type="input"> <label for="et_pb_contact_surname_0" class="et_pb_contact_form_label">Surname</label> <input type="text" id="et_pb_contact_surname_0" class="input" value="" name="et_pb_contact_surname_0" data-required_mark="required" data-field_type="input" data-original_id="surname" placeholder="Surname *" aria-required="true"> </p> <?xml version="1.0" encoding="utf-8"?><p class="et_pb_contact_field et_pb_contact_field_2 et_pb_contact_field_last" data-id="id_number" data-type="input"> <label for="et_pb_contact_id_number_0" class="et_pb_contact_form_label">ID / Passport number</label> <input type="text" id="et_pb_contact_id_number_0" class="input" value="" name="et_pb_contact_id_number_0" data-required_mark="required" data-field_type="input" data-original_id="id_number" placeholder="ID / Passport number *" aria-required="true"> </p> <?xml version="1.0" encoding="utf-8"?><?xml version="1.0" encoding="utf-8"?><p class="et_pb_contact_field et_pb_contact_field_3 et_pb_contact_field_half" data-id="date_of_birth" data-type="input"> <label for="et_pb_contact_date_of_birth_0" class="et_pb_contact_form_label">Date of Birth</label> <input type="text" id="et_pb_contact_date_of_birth_0" class="input et_pb_datetimepicker_input" value="" name="et_pb_contact_date_of_birth_0" data-required_mark="required" data-field_type="input" data-original_id="date_of_birth" placeholder="Date of Birth *" aria-required="true" autocomplete="off" inputmode="none" readonly data-config='{"locale":"en","week_start":"0","disabled_weeks":"off","time_steps":30,"type":"date","date_format":"Y-m-d","time_format":"","disabled_week_days":""}'> </p> <?xml version="1.0" encoding="utf-8"?><p class="et_pb_contact_field et_pb_contact_field_4 et_pb_contact_field_half et_pb_contact_field_last" data-id="mnumber" data-type="input"> <label for="et_pb_contact_mnumber_0" class="et_pb_contact_form_label">Cell phone number</label> <input type="text" id="et_pb_contact_mnumber_0" class="input" value="" name="et_pb_contact_mnumber_0" data-required_mark="required" data-field_type="input" data-original_id="mnumber" placeholder="Cell phone number *" aria-required="true"> </p> <?xml version="1.0" encoding="utf-8"?><p class="et_pb_contact_field et_pb_contact_field_5 et_pb_contact_field_last" data-id="email" data-type="email"> <label for="et_pb_contact_email_0" class="et_pb_contact_form_label">Email Address</label> <input type="text" id="et_pb_contact_email_0" class="input" value="" name="et_pb_contact_email_0" data-required_mark="required" data-field_type="email" data-original_id="email" placeholder="Email Address *" aria-required="true"> </p> <?xml version="1.0" encoding="utf-8"?><p class="et_pb_contact_field et_pb_contact_field_6 et_pb_contact_field_last" data-id="street_address" data-type="input"> <label for="et_pb_contact_street_address_0" class="et_pb_contact_form_label">Street Address</label> <input type="text" id="et_pb_contact_street_address_0" class="input" value="" name="et_pb_contact_street_address_0" data-required_mark="required" data-field_type="input" data-original_id="street_address" placeholder="Street Address *" aria-required="true"> </p> <?xml version="1.0" encoding="utf-8"?><p class="et_pb_contact_field et_pb_contact_field_7 et_pb_contact_field_half" data-id="city" data-type="input"> <label for="et_pb_contact_city_0" class="et_pb_contact_form_label">City</label> <input type="text" id="et_pb_contact_city_0" class="input" value="" name="et_pb_contact_city_0" data-required_mark="required" data-field_type="input" data-original_id="city" placeholder="City *" aria-required="true"> </p> <?xml version="1.0" encoding="utf-8"?><p class="et_pb_contact_field et_pb_contact_field_8 et_pb_contact_field_half et_pb_contact_field_last" data-id="province" data-type="select"> <label for="et_pb_contact_province_0" class="et_pb_contact_form_label">Province</label> <select id="et_pb_contact_province_0" class="et_pb_contact_select input" name="et_pb_contact_province_0" data-required_mark="required" data-field_type="select" data-original_id="province" aria-required="true"> <option value="">Province *</option><option value="Eastern Cape">Eastern Cape</option><option value="Free State">Free State</option><option value="Gauteng">Gauteng</option><option value="KwaZulu-Natal">KwaZulu-Natal</option><option value="Limpopo">Limpopo</option><option value="Mpumalanga">Mpumalanga</option><option value="North West">North West</option><option value="Northern Cape">Northern Cape</option><option value="Western Cape">Western Cape</option> </select> </p> <?xml version="1.0" encoding="utf-8"?><p class="et_pb_contact_field et_pb_contact_field_9 et_pb_contact_field_half" data-id="zippost" data-type="input"> <label for="et_pb_contact_zippost_0" class="et_pb_contact_form_label">ZIP / Postal Code</label> <input type="text" id="et_pb_contact_zippost_0" class="input" value="" name="et_pb_contact_zippost_0" data-required_mark="required" data-field_type="input" data-original_id="zippost" placeholder="ZIP / Postal Code *" aria-required="true"> </p> <?xml version="1.0" encoding="utf-8"?><p class="et_pb_contact_field et_pb_contact_field_10 et_pb_contact_field_half et_pb_contact_field_last" data-id="country" data-type="select"> <label for="et_pb_contact_country_0" class="et_pb_contact_form_label">Country</label> <select id="et_pb_contact_country_0" class="et_pb_contact_select input" name="et_pb_contact_country_0" data-required_mark="required" data-field_type="select" data-original_id="country" aria-required="true"> <option value="">Country *</option><option value="Afghanistan">Afghanistan</option><option value="Albania">Albania</option><option value="Algeria">Algeria</option><option value="Andorra">Andorra</option><option value="Angola">Angola</option><option value="Antigua & Deps">Antigua & Deps</option><option value="Argentina">Argentina</option><option value="Armenia">Armenia</option><option value="Australia">Australia</option><option value="Austria">Austria</option><option value="Azerbaijan">Azerbaijan</option><option value="Bahamas">Bahamas</option><option value="Bahrain">Bahrain</option><option value="Bangladesh">Bangladesh</option><option value="Barbados">Barbados</option><option value="Belarus">Belarus</option><option value="Belgium">Belgium</option><option value="Belize">Belize</option><option value="Benin">Benin</option><option value="Bhutan">Bhutan</option><option value="Bolivia">Bolivia</option><option value="Bosnia Herzegovina">Bosnia Herzegovina</option><option value="Botswana">Botswana</option><option value="Brazil">Brazil</option><option value="Brunei">Brunei</option><option value="Bulgaria">Bulgaria</option><option value="Burkina">Burkina</option><option value="Burundi">Burundi</option><option value="Cambodia">Cambodia</option><option value="Cameroon">Cameroon</option><option value="Canada">Canada</option><option value="Cape Verde">Cape Verde</option><option value="Central African Rep">Central African Rep</option><option value="Chad">Chad</option><option value="Chile">Chile</option><option value="China">China</option><option value="Colombia">Colombia</option><option value="Comoros">Comoros</option><option value="Congo">Congo</option><option value="Congo Democratic Rep">Congo Democratic Rep</option><option value="Costa Rica">Costa Rica</option><option value="Croatia">Croatia</option><option value="Cuba">Cuba</option><option value="Cyprus">Cyprus</option><option value="Czech Republic">Czech Republic</option><option value="Denmark">Denmark</option><option value="Djibouti">Djibouti</option><option value="Dominica">Dominica</option><option value="Dominican Republic">Dominican Republic</option><option value="East Timor">East Timor</option><option value="Ecuador">Ecuador</option><option value="Egypt">Egypt</option><option value="El Salvador">El Salvador</option><option value="Equatorial Guinea">Equatorial Guinea</option><option value="Eritrea">Eritrea</option><option value="Estonia">Estonia</option><option value="Ethiopia">Ethiopia</option><option value="Fiji">Fiji</option><option value="Finland">Finland</option><option value="France">France</option><option value="Gabon">Gabon</option><option value="Gambia">Gambia</option><option value="Georgia">Georgia</option><option value="Germany">Germany</option><option value="Ghana">Ghana</option><option value="Greece">Greece</option><option value="Grenada">Grenada</option><option value="Guatemala">Guatemala</option><option value="Guinea">Guinea</option><option value="Guinea-Bissau">Guinea-Bissau</option><option value="Guyana">Guyana</option><option value="Haiti">Haiti</option><option value="Honduras">Honduras</option><option value="Hungary">Hungary</option><option value="Iceland">Iceland</option><option value="India">India</option><option value="Indonesia">Indonesia</option><option value="Iran">Iran</option><option value="Iraq">Iraq</option><option value="Ireland Republic">Ireland Republic</option><option value="Israel">Israel</option><option value="Italy">Italy</option><option value="Ivory Coast">Ivory Coast</option><option value="Jamaica">Jamaica</option><option value="Japan">Japan</option><option value="Jordan">Jordan</option><option value="Kazakhstan">Kazakhstan</option><option value="Kenya">Kenya</option><option value="Kiribati">Kiribati</option><option value="Korea North">Korea North</option><option value="Korea South">Korea South</option><option value="Kosovo">Kosovo</option><option value="Kuwait">Kuwait</option><option value="Kyrgyzstan">Kyrgyzstan</option><option value="Laos">Laos</option><option value="Latvia">Latvia</option><option value="Lebanon">Lebanon</option><option value="Lesotho">Lesotho</option><option value="Liberia">Liberia</option><option value="Libya">Libya</option><option value="Liechtenstein">Liechtenstein</option><option value="Lithuania">Lithuania</option><option value="Luxembourg">Luxembourg</option><option value="Macedonia">Macedonia</option><option value="Madagascar">Madagascar</option><option value="Malawi">Malawi</option><option value="Malaysia">Malaysia</option><option value="Maldives">Maldives</option><option value="Mali">Mali</option><option value="Malta">Malta</option><option value="Marshall Islands">Marshall Islands</option><option value="Mauritania">Mauritania</option><option value="Mauritius">Mauritius</option><option value="Mexico">Mexico</option><option value="Micronesia">Micronesia</option><option value="Moldova">Moldova</option><option value="Monaco">Monaco</option><option value="Mongolia">Mongolia</option><option value="Montenegro">Montenegro</option><option value="Morocco">Morocco</option><option value="Mozambique">Mozambique</option><option value="Myanmar">Myanmar</option><option value="Namibia">Namibia</option><option value="Nauru">Nauru</option><option value="Nepal">Nepal</option><option value="Netherlands">Netherlands</option><option value="New Zealand">New Zealand</option><option value="Nicaragua">Nicaragua</option><option value="Niger">Niger</option><option value="Nigeria">Nigeria</option><option value="Norway">Norway</option><option value="Oman">Oman</option><option value="Pakistan">Pakistan</option><option value="Palau">Palau</option><option value="Panama">Panama</option><option value="Papua New Guinea">Papua New Guinea</option><option value="Paraguay">Paraguay</option><option value="Peru">Peru</option><option value="Philippines">Philippines</option><option value="Poland">Poland</option><option value="Portugal">Portugal</option><option value="Qatar">Qatar</option><option value="Romania">Romania</option><option value="Russian Federation">Russian Federation</option><option value="Rwanda">Rwanda</option><option value="St Kitts Nevis">St Kitts Nevis</option><option value="St Lucia">St Lucia</option><option value="Saint Vincent the Grenadines">Saint Vincent the Grenadines</option><option value="Samoa">Samoa</option><option value="San Marino">San Marino</option><option value="Sao Tome Principe">Sao Tome Principe</option><option value="Saudi Arabia">Saudi Arabia</option><option value="Senegal">Senegal</option><option value="Serbia">Serbia</option><option value="Seychelles">Seychelles</option><option value="Sierra Leone">Sierra Leone</option><option value="Singapore">Singapore</option><option value="Slovakia">Slovakia</option><option value="Slovenia">Slovenia</option><option value="Solomon Islands">Solomon Islands</option><option value="Somalia">Somalia</option><option value="South Africa">South Africa</option><option value="South Sudan">South Sudan</option><option value="Spain">Spain</option><option value="Sri Lanka">Sri Lanka</option><option value="Sudan">Sudan</option><option value="Suriname">Suriname</option><option value="Swaziland">Swaziland</option><option value="Sweden">Sweden</option><option value="Switzerland">Switzerland</option><option value="Syria">Syria</option><option value="Taiwan">Taiwan</option><option value="Tajikistan">Tajikistan</option><option value="Tanzania">Tanzania</option><option value="Thailand">Thailand</option><option value="Togo">Togo</option><option value="Tonga">Tonga</option><option value="Trinidad Tobago">Trinidad Tobago</option><option value="Tunisia">Tunisia</option><option value="Turkey">Turkey</option><option value="Turkmenistan">Turkmenistan</option><option value="Tuvalu">Tuvalu</option><option value="Uganda">Uganda</option><option value="Ukraine">Ukraine</option><option value="United Arab Emirates">United Arab Emirates</option><option value="United Kingdom">United Kingdom</option><option value="United States">United States</option><option value="Uruguay">Uruguay</option><option value="Uzbekistan">Uzbekistan</option><option value="Vanuatu">Vanuatu</option><option value="Vatican City">Vatican City</option><option value="Venezuela">Venezuela</option><option value="Vietnam">Vietnam</option><option value="Yemen">Yemen</option><option value="Zambia">Zambia</option><option value="Zimbabwe">Zimbabwe</option> </select> </p> <?xml version="1.0" encoding="utf-8"?><p class="et_pb_contact_field et_pb_contact_field_11 et_pb_contact_field_last" data-id="emergcontact" data-type="text"> <label for="et_pb_contact_emergcontact_0" class="et_pb_contact_form_label">Names and phone numbers of two people we can contact in case of emergency *</label> <textarea name="et_pb_contact_emergcontact_0" id="et_pb_contact_emergcontact_0" class="et_pb_contact_message input" data-required_mark="required" data-field_type="text" data-original_id="emergcontact" placeholder="Names and phone numbers of two people we can contact in case of emergency * *" aria-required="true"></textarea> </p> <?xml version="1.0" encoding="utf-8"?><p class="et_pb_contact_field et_pb_contact_field_12 et_pb_contact_field_last" data-id="heardabout" data-type="text"> <label for="et_pb_contact_heardabout_0" class="et_pb_contact_form_label">How did you hear about 18twenty8®?</label> <textarea name="et_pb_contact_heardabout_0" id="et_pb_contact_heardabout_0" class="et_pb_contact_message input" data-required_mark="required" data-field_type="text" data-original_id="heardabout" placeholder="How did you hear about 18twenty8®? *" aria-required="true"></textarea> </p> <?xml version="1.0" encoding="utf-8"?><p class="et_pb_contact_field et_pb_contact_field_13 et_pb_contact_field_last" data-id="moreabout" data-type="text"> <label for="et_pb_contact_moreabout_0" class="et_pb_contact_form_label">Please tell us more about your background, personal, academic and professional aspirations </label> <textarea name="et_pb_contact_moreabout_0" id="et_pb_contact_moreabout_0" class="et_pb_contact_message input" data-required_mark="required" data-field_type="text" data-original_id="moreabout" placeholder="Please tell us more about your background, personal, academic and professional aspirations *" aria-required="true"></textarea> </p> <?xml version="1.0" encoding="utf-8"?><p class="et_pb_contact_field et_pb_contact_field_14 et_pb_contact_field_last" data-id="everamentor" data-type="radio"> <label for="et_pb_contact_everamentor_0" class="et_pb_contact_form_label">Have you ever been a mentor or participated in mentor training?</label> <span class="et_pb_contact_field_options_wrapper"> <span class="et_pb_contact_field_options_title">Have you ever been a mentor or participated in mentor training?</span> <span class="et_pb_contact_field_options_list"><span class="et_pb_contact_field_radio"> <input type="radio" id="et_pb_contact_everamentor_0_14_0" class="input" value="Yes" name="et_pb_contact_everamentor_0" data-required_mark="required" data-field_type="radio" data-original_id="everamentor" data-id="-1"> <label for="et_pb_contact_everamentor_0_14_0"><i></i>Yes</label> </span><span class="et_pb_contact_field_radio"> <input type="radio" id="et_pb_contact_everamentor_0_14_1" class="input" value="No" name="et_pb_contact_everamentor_0" data-required_mark="required" data-field_type="radio" data-original_id="everamentor" data-id="0"> <label for="et_pb_contact_everamentor_0_14_1"><i></i>No</label> </span></span> </span> </p> <?xml version="1.0" encoding="utf-8"?><?xml version="1.0" encoding="utf-8"?><p class="et_pb_contact_field et_pb_contact_field_15 et_pb_contact_field_last" data-conditional-logic='[["everamentor","is","Yes"]]' data-conditional-relation="any" data-id="yesmentor" data-type="text"> <label for="et_pb_contact_yesmentor_0" class="et_pb_contact_form_label">Please tell us more about your mentor experience</label> <textarea name="et_pb_contact_yesmentor_0" id="et_pb_contact_yesmentor_0" class="et_pb_contact_message input" data-required_mark="required" data-field_type="text" data-original_id="yesmentor" placeholder="Please tell us more about your mentor experience *" aria-required="true"></textarea> <input type="hidden" readonly name="et_pb_contact_yesmentor_0_field_label" value="Please tell us more about your mentor experience|text"></p> <?xml version="1.0" encoding="utf-8"?><p class="et_pb_contact_field et_pb_contact_field_16 et_pb_contact_field_last" data-id="everaconvicted" data-type="radio"> <label for="et_pb_contact_everaconvicted_0" class="et_pb_contact_form_label">Have you ever been arrested or convicted of a crime?</label> <span class="et_pb_contact_field_options_wrapper"> <span class="et_pb_contact_field_options_title">Have you ever been arrested or convicted of a crime?</span> <span class="et_pb_contact_field_options_list"><span class="et_pb_contact_field_radio"> <input type="radio" id="et_pb_contact_everaconvicted_0_16_0" class="input" value="Yes" name="et_pb_contact_everaconvicted_0" data-required_mark="required" data-field_type="radio" data-original_id="everaconvicted" data-id="-1"> <label for="et_pb_contact_everaconvicted_0_16_0"><i></i>Yes</label> </span><span class="et_pb_contact_field_radio"> <input type="radio" id="et_pb_contact_everaconvicted_0_16_1" class="input" value="No" name="et_pb_contact_everaconvicted_0" data-required_mark="required" data-field_type="radio" data-original_id="everaconvicted" data-id="0"> <label for="et_pb_contact_everaconvicted_0_16_1"><i></i>No</label> </span></span> </span> </p> <?xml version="1.0" encoding="utf-8"?><?xml version="1.0" encoding="utf-8"?><p class="et_pb_contact_field et_pb_contact_field_17 et_pb_contact_field_last" data-conditional-logic='[["everaconvicted","is","Yes"]]' data-conditional-relation="any" data-id="yesconvicted" data-type="text"> <label for="et_pb_contact_yesconvicted_0" class="et_pb_contact_form_label">Please give us more information</label> <textarea name="et_pb_contact_yesconvicted_0" id="et_pb_contact_yesconvicted_0" class="et_pb_contact_message input" data-required_mark="required" data-field_type="text" data-original_id="yesconvicted" placeholder="Please give us more information *" aria-required="true"></textarea> <input type="hidden" readonly name="et_pb_contact_yesconvicted_0_field_label" value="Please give us more information|text"></p> <?xml version="1.0" encoding="utf-8"?><p class="et_pb_contact_field et_pb_contact_field_18 et_pb_contact_field_last" data-id="interests" data-type="checkbox"> <label for="et_pb_contact_interests_0" class="et_pb_contact_form_label">Information on interests (Please select all applicable options)</label> <input class="et_pb_checkbox_handle" type="hidden" name="et_pb_contact_interests_0" data-required_mark="required" data-field_type="checkbox" data-original_id="interests"> <span class="et_pb_contact_field_options_wrapper"> <span class="et_pb_contact_field_options_title">Information on interests (Please select all applicable options)</span> <span class="et_pb_contact_field_options_list"><span class="et_pb_contact_field_checkbox"> <input type="checkbox" id="et_pb_contact_interests_18_0" class="input" value="Sports" data-id="-1"> <label for="et_pb_contact_interests_18_0"><i></i>Sports</label> </span><span class="et_pb_contact_field_checkbox"> <input type="checkbox" id="et_pb_contact_interests_18_1" class="input" value="Movies" data-id="0"> <label for="et_pb_contact_interests_18_1"><i></i>Movies</label> </span><span class="et_pb_contact_field_checkbox"> <input type="checkbox" id="et_pb_contact_interests_18_2" class="input" value="Music" data-id="1"> <label for="et_pb_contact_interests_18_2"><i></i>Music</label> </span><span class="et_pb_contact_field_checkbox"> <input type="checkbox" id="et_pb_contact_interests_18_3" class="input" value="Arts and Culture" data-id="2"> <label for="et_pb_contact_interests_18_3"><i></i>Arts and Culture</label> </span><span class="et_pb_contact_field_checkbox"> <input type="checkbox" id="et_pb_contact_interests_18_4" class="input" value="Religion / Faith / Spirituality" data-id="3"> <label for="et_pb_contact_interests_18_4"><i></i>Religion / Faith / Spirituality</label> </span><span class="et_pb_contact_field_checkbox"> <input type="checkbox" id="et_pb_contact_interests_18_5" class="input" value="Other" data-id="4"> <label for="et_pb_contact_interests_18_5"><i></i>Other</label> </span></span> </span> </p> <?xml version="1.0" encoding="utf-8"?><?xml version="1.0" encoding="utf-8"?><p class="et_pb_contact_field et_pb_contact_field_19 et_pb_contact_field_last" data-conditional-logic='[["interests","is","Other"]]' data-conditional-relation="any" data-id="otherinterests" data-type="text"> <label for="et_pb_contact_otherinterests_0" class="et_pb_contact_form_label">Other Interests</label> <textarea name="et_pb_contact_otherinterests_0" id="et_pb_contact_otherinterests_0" class="et_pb_contact_message input" data-required_mark="required" data-field_type="text" data-original_id="otherinterests" placeholder="Other Interests *" aria-required="true"></textarea> <input type="hidden" readonly name="et_pb_contact_otherinterests_0_field_label" value="Other Interests|text"></p> <?xml version="1.0" encoding="utf-8"?><p class="et_pb_contact_field et_pb_contact_field_20 et_pb_contact_field_last" data-id="interactionlevel" data-type="radio"> <label for="et_pb_contact_interactionlevel_0" class="et_pb_contact_form_label">Interaction Level</label> <span class="et_pb_contact_field_options_wrapper"> <span class="et_pb_contact_field_options_title">Interaction Level</span> <span id="et_pb_contact_field_desc_20" class="et_pb_contact_field_desc">Our Little Sisters require varying levels of interaction with their Big Sisters. In order to accurately and realistically assess your availability, please take transportation time, your lifestyle, family, social, academic and work obligations into consideration when answering the following question. I anticipate being able to meet my Little Sister</span><span class="et_pb_contact_field_options_list"><span class="et_pb_contact_field_radio"> <input type="radio" id="et_pb_contact_interactionlevel_0_20_0" class="input" value="Once a quarter" name="et_pb_contact_interactionlevel_0" data-required_mark="required" data-field_type="radio" data-original_id="interactionlevel" data-id="-1"> <label for="et_pb_contact_interactionlevel_0_20_0"><i></i>Once a quarter</label> </span><span class="et_pb_contact_field_radio"> <input type="radio" id="et_pb_contact_interactionlevel_0_20_1" class="input" value="Once every 2 months" name="et_pb_contact_interactionlevel_0" data-required_mark="required" data-field_type="radio" data-original_id="interactionlevel" data-id="0"> <label for="et_pb_contact_interactionlevel_0_20_1"><i></i>Once every 2 months</label> </span><span class="et_pb_contact_field_radio"> <input type="radio" id="et_pb_contact_interactionlevel_0_20_2" class="input" value="Once a month" name="et_pb_contact_interactionlevel_0" data-required_mark="required" data-field_type="radio" data-original_id="interactionlevel" data-id="1"> <label for="et_pb_contact_interactionlevel_0_20_2"><i></i>Once a month</label> </span><span class="et_pb_contact_field_radio"> <input type="radio" id="et_pb_contact_interactionlevel_0_20_3" class="input" value="Once a fortnight" name="et_pb_contact_interactionlevel_0" data-required_mark="required" data-field_type="radio" data-original_id="interactionlevel" data-id="2"> <label for="et_pb_contact_interactionlevel_0_20_3"><i></i>Once a fortnight</label> </span><span class="et_pb_contact_field_radio"> <input type="radio" id="et_pb_contact_interactionlevel_0_20_4" class="input" value="Once a week" name="et_pb_contact_interactionlevel_0" data-required_mark="required" data-field_type="radio" data-original_id="interactionlevel" data-id="3"> <label for="et_pb_contact_interactionlevel_0_20_4"><i></i>Once a week</label> </span><span class="et_pb_contact_field_radio"> <input type="radio" id="et_pb_contact_interactionlevel_0_20_5" class="input" value="Daily" name="et_pb_contact_interactionlevel_0" data-required_mark="required" data-field_type="radio" data-original_id="interactionlevel" data-id="4"> <label for="et_pb_contact_interactionlevel_0_20_5"><i></i>Daily</label> </span></span> </span> </p> <?xml version="1.0" encoding="utf-8"?><p class="et_pb_contact_field et_pb_contact_field_21 et_pb_contact_field_last" data-id="profession" data-type="text"> <label for="et_pb_contact_profession_0" class="et_pb_contact_form_label">Please provide details on the preferred university, degree programme and geographic area of Little Sister</label> <textarea name="et_pb_contact_profession_0" id="et_pb_contact_profession_0" class="et_pb_contact_message input" data-required_mark="required" data-field_type="text" data-original_id="profession" placeholder="Please provide details on the preferred university, degree programme and geographic area of Little Sister *" aria-required="true"></textarea> </p> <?xml version="1.0" encoding="utf-8"?><p class="et_pb_contact_field et_pb_contact_field_22 et_pb_contact_field_last" data-id="advice" data-type="text"> <label for="et_pb_contact_advice_0" class="et_pb_contact_form_label">What would your 28 year-old self say to your 18 year-old self?</label> <textarea name="et_pb_contact_advice_0" id="et_pb_contact_advice_0" class="et_pb_contact_message input" data-required_mark="required" data-field_type="text" data-original_id="advice" placeholder="What would your 28 year-old self say to your 18 year-old self? *" aria-required="true"></textarea> </p> <?xml version="1.0" encoding="utf-8"?><p class="et_pb_contact_field et_pb_contact_field_23 et_pb_contact_field_last" data-id="additionalsupport" data-type="checkbox"> <label for="et_pb_contact_additionalsupport_0" class="et_pb_contact_form_label">Additional Support</label> <input class="et_pb_checkbox_handle" type="hidden" name="et_pb_contact_additionalsupport_0" data-required_mark="required" data-field_type="checkbox" data-original_id="additionalsupport"> <span class="et_pb_contact_field_options_wrapper"> <span class="et_pb_contact_field_options_title">Additional Support</span> <span id="et_pb_contact_field_desc_23" class="et_pb_contact_field_desc">In addition to being a Big Sister, I would also like to (please select all applicable options):</span><span class="et_pb_contact_field_options_list"><span class="et_pb_contact_field_checkbox"> <input type="checkbox" id="et_pb_contact_additionalsupport_23_0" class="input" value="Financially sponsor student(s) undergraduate education costs" data-id="-1"> <label for="et_pb_contact_additionalsupport_23_0"><i></i>Financially sponsor student(s) undergraduate education costs</label> </span><span class="et_pb_contact_field_checkbox"> <input type="checkbox" id="et_pb_contact_additionalsupport_23_1" class="input" value="Assist with organisational fundraising for 18twenty8®" data-id="0"> <label for="et_pb_contact_additionalsupport_23_1"><i></i>Assist with organisational fundraising for 18twenty8®</label> </span><span class="et_pb_contact_field_checkbox"> <input type="checkbox" id="et_pb_contact_additionalsupport_23_2" class="input" value="Present at Big Sister Network events" data-id="1"> <label for="et_pb_contact_additionalsupport_23_2"><i></i>Present at Big Sister Network events</label> </span><span class="et_pb_contact_field_checkbox"> <input type="checkbox" id="et_pb_contact_additionalsupport_23_3" class="input" value="Grow the Big Sister Network" data-id="2"> <label for="et_pb_contact_additionalsupport_23_3"><i></i>Grow the Big Sister Network</label> </span></span> </span> </p> <?xml version="1.0" encoding="utf-8"?><p class="et_pb_contact_field et_pb_contact_field_24 et_pb_contact_field_last" data-id="expectations" data-type="text"> <label for="et_pb_contact_expectations_0" class="et_pb_contact_form_label">What expectations do you have about your Little Sister?</label> <textarea name="et_pb_contact_expectations_0" id="et_pb_contact_expectations_0" class="et_pb_contact_message input" data-required_mark="required" data-field_type="text" data-original_id="expectations" placeholder="What expectations do you have about your Little Sister? *" aria-required="true"></textarea> </p> <?xml version="1.0" encoding="utf-8"?><?xml version="1.0" encoding="utf-8"?><p class="et_pb_contact_field et_pb_contact_field_25 et_pb_contact_field_half et_pb_files_container" data-id="upload_photo" data-type="input"> <label for="et_pb_contact_upload_photo_0" class="et_pb_contact_form_label">Upload Profile Photo</label> <input type="text" id="et_pb_contact_upload_photo_0" class="et_pb_contact_hidden_files" value="" name="et_pb_contact_upload_photo_0" data-required_mark="required" data-field_type="input" data-original_id="upload_photo" placeholder="Upload Profile Photo *" aria-required="true" data-field-id="25"> <span id="et_pb_contact_field_desc_25" class="et_pb_contact_field_desc">Upload Profile Photo</span><label for="et_pb_file_input_25" class="et_pb_visually_hidden">File Input</label><input type="file" class="input et_pb_file_input" id="et_pb_file_input_25" name="et_pb_contact_upload_photo_0" data-limit="6" multiple data-field-id="25" data-size="20480000" data-size-formatted="20 MB"><button type="button" class="et_pb_file_upload_button et_pb_button et_pb_icon">Choose Files</button><span class="et_pb_file_chosen_desc">No Files Chosen</span><input type="hidden" name="et_pb_contact_upload_photo_0_is_file" value="yes"><input type="hidden" name="et_pb_contact_upload_photo_0_file_token" value="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"><span id="et_pb_accepted_files_desc_25" class="et_pb_accepted_files_desc" data-description="Accepted file types: jpg, jpeg, jpe, gif, png, bmp, mkv, 3gp, 3gpp, wma, mka, pdf, 7z, psd, xla, xls, xlt, xlw, mdb, mpp, docx, xltx, xltm. Max. file size: 20 MB">Accepted file types: jpg, jpeg, jpe, gif, png, bmp, mkv, 3gp, 3gpp, wma, mka, pdf, 7z, psd, xla, xls, xlt, xlw, mdb, mpp, docx, xltx, xltm. Max. file size: 20 MB</span><span id="et_pb_files_list_25" class="et_pb_files_list"></span></p> <?xml version="1.0" encoding="utf-8"?><?xml version="1.0" encoding="utf-8"?><p class="et_pb_contact_field et_pb_contact_field_26 et_pb_contact_field_half et_pb_contact_field_last et_pb_files_container" data-id="upload_cv" data-type="input"> <label for="et_pb_contact_upload_cv_0" class="et_pb_contact_form_label">Upload CV</label> <input type="text" id="et_pb_contact_upload_cv_0" class="et_pb_contact_hidden_files" value="" name="et_pb_contact_upload_cv_0" data-required_mark="required" data-field_type="input" data-original_id="upload_cv" placeholder="Upload CV *" aria-required="true" data-field-id="26"> <span id="et_pb_contact_field_desc_26" class="et_pb_contact_field_desc">Upload CV</span><label for="et_pb_file_input_26" class="et_pb_visually_hidden">File Input</label><input type="file" class="input et_pb_file_input" id="et_pb_file_input_26" name="et_pb_contact_upload_cv_0" data-limit="6" multiple data-field-id="26" data-size="20480000" data-size-formatted="20 MB"><button type="button" class="et_pb_file_upload_button et_pb_button et_pb_icon">Choose Files</button><span class="et_pb_file_chosen_desc">No Files Chosen</span><input type="hidden" name="et_pb_contact_upload_cv_0_is_file" value="yes"><input type="hidden" name="et_pb_contact_upload_cv_0_file_token" value="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"><span id="et_pb_accepted_files_desc_26" class="et_pb_accepted_files_desc" data-description="Accepted file types: jpg, jpeg, jpe, gif, png, bmp, mkv, 3gp, 3gpp, wma, mka, pdf, 7z, psd, xla, xls, xlt, xlw, mdb, mpp, docx, xltx, xltm. Max. file size: 20 MB">Accepted file types: jpg, jpeg, jpe, gif, png, bmp, mkv, 3gp, 3gpp, wma, mka, pdf, 7z, psd, xla, xls, xlt, xlw, mdb, mpp, docx, xltx, xltm. 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Max. file size: 20 MB">Accepted file types: jpg, jpeg, jpe, gif, png, bmp, mkv, 3gp, 3gpp, wma, mka, pdf, 7z, psd, xla, xls, xlt, xlw, mdb, mpp, docx, xltx, xltm. 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Max. file size: 20 MB</span><span id="et_pb_files_list_28" class="et_pb_files_list"></span></p> <?xml version="1.0" encoding="utf-8"?><p class="et_pb_contact_field et_pb_contact_field_29 et_pb_contact_field_last" data-id="availability" data-type="radio"> <label for="et_pb_contact_availability_0" class="et_pb_contact_form_label">I confirm that I can commit to being a Big Sister for no less than 12 months from the date of submission of this form</label> <span class="et_pb_contact_field_options_wrapper"> <span class="et_pb_contact_field_options_title">I confirm that I can commit to being a Big Sister for no less than 12 months from the date of submission of this form</span> <span class="et_pb_contact_field_options_list"><span class="et_pb_contact_field_radio"> <input type="radio" id="et_pb_contact_availability_0_29_0" class="input" value="Yes" name="et_pb_contact_availability_0" data-required_mark="required" data-field_type="radio" data-original_id="availability" data-id="-1"> <label for="et_pb_contact_availability_0_29_0"><i></i>Yes</label> </span></span> </span> </p> <?xml version="1.0" encoding="utf-8"?><?xml version="1.0" encoding="utf-8"?><p class="et_pb_contact_field et_pb_contact_field_30 et_clickable et_pb_contact_field_last" data-id="confirmed" data-type="checkbox"> <label for="et_pb_contact_confirmed_0" class="et_pb_contact_form_label">I have read, understand and accept the confidentiality statement.</label> <input class="et_pb_checkbox_handle" type="hidden" name="et_pb_contact_confirmed_0" data-required_mark="required" data-field_type="checkbox" data-original_id="confirmed"> <span class="et_pb_contact_field_options_wrapper" data-icon=""> <span class="et_pb_contact_field_options_title">I have read, understand and accept the confidentiality statement.</span> <span class="et_pb_contact_field_options_list"><span class="et_pb_contact_field_checkbox"> <input type="checkbox" id="et_pb_contact_confirmed_30_0" class="input" value="Confidentiality statement" data-id="-1"> <label for="et_pb_contact_confirmed_30_0"><i></i>Confidentiality statement</label> </span></span> </span> </p> <input type="hidden" value="et_contact_proccess" name="et_pb_contactform_submit_0"> <div class="et_contact_bottom_container"> <button type="submit" name="et_builder_submit_button" class="et_pb_contact_submit et_pb_button">Submit</button> </div> <input type="hidden" id="_wpnonce-et-pb-contact-form-submitted-0" name="_wpnonce-et-pb-contact-form-submitted-0" value="a4e83182c2"><input type="hidden" name="_wp_http_referer" value="/join-us/big-sister-registration/"> <input type="hidden" name="et_pb_contact_field_referer_url" value=""></form> </div> <div class="et-pb-contact-message et_pb_contact_message_bottom"></div></div> </div> </div> </div> </div> </div> </div> </article> </div> <footer class="et-l et-l--footer"> <div class="et_builder_inner_content et_pb_gutters3"><div class="et_pb_section et_pb_section_0_tb_footer et_pb_with_background et_section_regular" > <div class="et_pb_row et_pb_row_0_tb_footer et_pb_gutters2"> <div class="et_pb_column et_pb_column_1_4 et_pb_column_0_tb_footer et_pb_css_mix_blend_mode_passthrough"> <div class="et_pb_module et_pb_image et_pb_image_0_tb_footer et_pb_image_sticky"> <span class="et_pb_image_wrap "><img loading="lazy" decoding="async" width="300" height="98" src="https://www.18twenty8.org/wp-content/uploads/2023/11/footer_logo.svg" alt="" title="" class="wp-image-292" /></span> </div><div class="et_pb_module et_pb_text et_pb_text_0_tb_footer et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner">Reg. 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