{"id":8862,"date":"2026-04-10T17:16:59","date_gmt":"2026-04-10T17:16:59","guid":{"rendered":"https:\/\/prrf.org\/?page_id=8862"},"modified":"2026-04-18T02:39:25","modified_gmt":"2026-04-18T02:39:25","slug":"mentorship-program-become-a-mentor-form","status":"publish","type":"page","link":"https:\/\/prrf.org\/zh\/mentorship-program-become-a-mentor-form\/","title":{"rendered":"Mentorship Program: Become a Mentor FORM"},"content":{"rendered":"\n\t\t<div id=\"fws_69e37073ad979\"  data-column-margin=\"default\" data-midnight=\"dark\"  class=\"wpb_row vc_row-fluid vc_row\"  style=\"padding-top: 0px; padding-bottom: 0px; \"><div class=\"row-bg-wrap\" data-bg-animation=\"none\" data-bg-animation-delay=\"\" data-bg-overlay=\"false\"><div class=\"inner-wrap row-bg-layer\" ><div class=\"row-bg viewport-desktop\"  style=\"\"><\/div><\/div><\/div><div class=\"row_col_wrap_12 col span_12 dark left\">\n\t<div  class=\"vc_col-sm-12 wpb_column column_container vc_column_container col no-extra-padding inherit_tablet inherit_phone \"  data-padding-pos=\"all\" data-has-bg-color=\"false\" data-bg-color=\"\" data-bg-opacity=\"1\" data-animation=\"\" data-delay=\"0\" >\n\t\t<div class=\"vc_column-inner\" >\n\t\t\t<div class=\"wpb_wrapper\">\n\t\t\t\t<div class=\"nectar-split-heading  font_size_9vw \" data-align=\"default\" data-m-align=\"inherit\" data-text-effect=\"default\" data-animation-type=\"line-reveal-by-space\" data-animation-delay=\"0\" data-animation-offset=\"\" data-m-rm-animation=\"\" data-stagger=\"\" data-custom-font-size=\"true\" style=\"font-size: 9vw; line-height: 9.9vw;\"><h1 >Become a Mentor<\/h1><\/div>\n<div class=\"wpb_text_column wpb_content_element \" >\n\t<div class=\"wpb_wrapper\">\n\t\t<p>Becoming a mentor in the Stronger Together Mentor Program is a powerful way to turn your experience into meaningful support for another individual or family.<\/p>\n<p>You\u2019ve navigated challenges, gathered insights, and found ways forward\u2014lessons that can make a real difference to someone just beginning their journey. By sharing your perspective, listening with understanding, and offering steady encouragement, you help another individual or family feel more grounded, informed, and connected.<\/p>\n<p>Mentorship doesn\u2019t require having all the answers. It\u2019s about showing up, being real, and reminding someone that they\u2019re not navigating this alone. And along the way, many mentors find that giving back brings a renewed sense of purpose and connection to their own journey.<\/p>\n<p>Together, we build a community where every family has someone who understands\u2014and where your experience becomes a source of strength for others.<\/p>\n<p><strong>Complete the application below and a PRRF team member will reach out within two business days. <\/strong><\/p>\n<p>Questions? Contact us at info@prrf.org.<\/p>\n\t<\/div>\n<\/div>\n\n\n\n<style id=\"wpforms-css-vars-8853\">\n\t\t\t\t#wpforms-8853 {\n\t\t\t\t--wpforms-field-border-size: 3px;\n--wpforms-field-border-color: rgba(0, 0, 0, 0.25);\n--wpforms-field-border-color-spare: rgba(0, 0, 0, 0.25);\n--wpforms-field-text-color: rgba(0, 0, 0, 0.7);\n--wpforms-label-color: rgba(0, 0, 0, 0.85);\n--wpforms-label-sublabel-color: rgba(0, 0, 0, 0.55);\n--wpforms-background-color: rgba(0, 0, 0, 0);\n--wpforms-field-size-input-height: 50px;\n--wpforms-field-size-input-spacing: 20px;\n--wpforms-field-size-font-size: 18px;\n--wpforms-field-size-line-height: 21px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 18px;\n--wpforms-field-size-sublabel-spacing: 10px;\n--wpforms-field-size-icon-size: 1.25;\n--wpforms-label-size-font-size: 18px;\n--wpforms-label-size-line-height: 21px;\n--wpforms-label-size-sublabel-font-size: 16px;\n--wpforms-label-size-sublabel-line-height: 19px;\n--wpforms-button-size-font-size: 20px;\n--wpforms-button-size-height: 48px;\n--wpforms-button-size-padding-h: 20px;\n--wpforms-button-size-margin-top: 15px;\n--wpforms-container-shadow-size-box-shadow: none;\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-8853\"><form id=\"wpforms-form-8853\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"8853\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/zh\/wp-json\/wp\/v2\/pages\/8862\" data-token=\"8e036acc43ca0dedc4bbd1100bf4dff1\" data-token-time=\"1776513139\"><noscript class=\"wpforms-error-noscript\">\u8bf7\u5728\u6d4f\u89c8\u5668\u4e2d\u542f\u7528JavaScript\u6765\u5b8c\u6210\u6b64\u8868\u5355\u3002<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">\u8bf7\u5728\u6d4f\u89c8\u5668\u4e2d\u542f\u7528JavaScript\u6765\u5b8c\u6210\u6b64\u8868\u5355\u3002<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-8853-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><fieldset><legend class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-8853-field_1\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][1][first]\" aria-errormessage=\"wpforms-8853-field_1-error\" required><label for=\"wpforms-8853-field_1\" class=\"wpforms-field-sublabel after\">\u524d\u4e00\u9875<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-8853-field_1-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][1][last]\" aria-errormessage=\"wpforms-8853-field_1-last-error\" required><label for=\"wpforms-8853-field_1-last\" class=\"wpforms-field-sublabel after\">\u540e\u4e00\u9875<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-8853-field_2-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-8853-field_2\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-8853-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" spellcheck=\"false\" aria-errormessage=\"wpforms-8853-field_2-error\" required><\/div><div id=\"wpforms-8853-field_4-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-8853-field_4\">Phone <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-8853-field_4\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][4]\" aria-label=\"Phone\" aria-errormessage=\"wpforms-8853-field_4-error\" required><\/div><div id=\"wpforms-8853-field_5-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"5\"><fieldset><legend class=\"wpforms-field-label\">Address <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-8853-field_5\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][5][address1]\" aria-errormessage=\"wpforms-8853-field_5-error\" required><label for=\"wpforms-8853-field_5\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-8853-field_5-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][5][address2]\" aria-errormessage=\"wpforms-8853-field_5-address2-error\" ><label for=\"wpforms-8853-field_5-address2\" class=\"wpforms-field-sublabel after\">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-8853-field_5-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][5][city]\" aria-errormessage=\"wpforms-8853-field_5-city-error\" required><label for=\"wpforms-8853-field_5-city\" class=\"wpforms-field-sublabel after\">\u5e02<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-8853-field_5-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][5][state]\" aria-errormessage=\"wpforms-8853-field_5-state-error\" required><option class=\"placeholder\" value=\"\" selected disabled>--- Select state ---<\/option><option value=\"AL\" >\u4e9a\u62c9\u5df4\u9a6c\u5dde<\/option><option value=\"AK\" >\u963f\u62c9\u65af\u52a0\u5dde<\/option><option value=\"AZ\" >\u4e9a\u5229\u6851\u90a3\u5dde<\/option><option value=\"AR\" >\u963f\u80af\u8272\u5dde<\/option><option value=\"CA\" >\u52a0\u5229\u798f\u5c3c\u4e9a<\/option><option value=\"CO\" >\u79d1\u7f57\u62c9\u591a\u5dde<\/option><option value=\"CT\" >\u5eb7\u4e43\u72c4\u514b\u5dde<\/option><option value=\"DE\" >\u7279\u62c9\u534e\u5dde<\/option><option value=\"DC\" >\u54e5\u4f26\u6bd4\u4e9a\u7279\u533a<\/option><option value=\"FL\" >\u4f5b\u7f57\u91cc\u8fbe<\/option><option value=\"GA\" >\u683c\u9c81\u5409\u4e9a<\/option><option value=\"HI\" >\u590f\u5a01\u5937\u5dde<\/option><option value=\"ID\" >\u7231\u8fbe\u8377<\/option><option value=\"IL\" >\u4f0a\u5229\u8bfa\u65af\u5dde<\/option><option value=\"IN\" >\u5370\u7b2c\u5b89\u7eb3\u5dde<\/option><option value=\"IA\" >\u7231\u8377\u534e\u5dde<\/option><option value=\"KS\" >\u582a\u8428\u65af\u5dde<\/option><option value=\"KY\" >\u80af\u5854\u57fa\u5dde<\/option><option value=\"LA\" >\u7f8e\u56fd\u8def\u6613\u65af\u5b89\u90a3\u5dde<\/option><option value=\"ME\" >\u66fc\u6069\u6cb3<\/option><option value=\"MD\" >\u9a6c\u91cc\u5170<\/option><option value=\"MA\" >\u9a6c\u8428\u8bf8\u585e\u5dde<\/option><option value=\"MI\" >\u5bc6\u6b47\u6839\u5dde<\/option><option value=\"MN\" >\u660e\u5c3c\u82cf\u8fbe\u5dde<\/option><option value=\"MS\" >\u5bc6\u897f\u897f\u6bd4\u5dde<\/option><option value=\"MO\" >\u5bc6\u82cf\u91cc<\/option><option value=\"MT\" >\u8499\u5854\u7eb3\u5dde<\/option><option value=\"NE\" >\u5185\u5e03\u62c9\u65af\u52a0\u5dde<\/option><option value=\"NV\" >\u5185\u5e03\u62c9\u65af\u52a0\u5dde<\/option><option value=\"NH\" >\u65b0\u6c49\u666e\u90e1<\/option><option value=\"NJ\" >\u65b0\u6cfd\u897f<\/option><option value=\"NM\" >\u65b0\u58a8\u897f\u54e5<\/option><option value=\"NY\" >\u7ebd\u7ea6<\/option><option value=\"NC\" >\u5317\u5361\u7f57\u83b1\u7eb3\u5dde<\/option><option value=\"ND\" >\u5317\u8fbe\u79d1\u4ed6\u5dde<\/option><option value=\"OH\" >\u4fc4\u4ea5\u4fc4\u5dde<\/option><option value=\"OK\" >\u4fc4\u514b\u62c9\u8377\u9a6c\u5dde<\/option><option value=\"OR\" >\u4fc4\u52d2\u5188\u5dde<\/option><option value=\"PA\" >\u5bbe\u5915\u6cd5\u5c3c\u4e9a\u5dde<\/option><option value=\"RI\" >\u7f57\u5fb7\u5c9b\u5dde<\/option><option value=\"SC\" >\u5357\u5361\u7f57\u6765\u7eb3\u5dde<\/option><option value=\"SD\" >\u5357\u8fbe\u79d1\u4ed6\u5dde<\/option><option value=\"TN\" >\u7530\u7eb3\u897f\u5dde<\/option><option value=\"TX\" >\u5fb7\u514b\u8428\u65af\u5dde<\/option><option value=\"UT\" >\u72b9\u4ed6\u5dde<\/option><option value=\"VT\" >\u4f5b\u8499\u7279\u5dde<\/option><option value=\"VA\" >\u5f17\u5409\u5c3c\u4e9a<\/option><option value=\"WA\" >\u534e\u76db\u987f\u5dde<\/option><option value=\"WV\" >\u897f\u7ef4\u5409\u5c3c\u4e9a\u5dde<\/option><option value=\"WI\" >\u5a01\u65af\u5eb7\u8f9b\u5dde<\/option><option value=\"WY\" >\u6000\u4fc4\u660e\u5dde<\/option><\/select><label for=\"wpforms-8853-field_5-state\" class=\"wpforms-field-sublabel after\">State<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-8853-field_5-postal\" class=\"wpforms-field-address-postal wpforms-field-required wpforms-masked-input\" data-inputmask-mask=\"(99999)|(99999-9999)\" data-inputmask-keepstatic=\"true\" data-rule-inputmask-incomplete=\"1\" name=\"wpforms[fields][5][postal]\" aria-errormessage=\"wpforms-8853-field_5-postal-error\" required><label for=\"wpforms-8853-field_5-postal\" class=\"wpforms-field-sublabel after\">Zip Code<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-8853-field_21-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-8853-field_21\">Age <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-8853-field_21\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][21]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>--- Select Choice ---<\/option><option value=\"I am 18 years of age or older\"  class=\"choice-1 depth-1\"  >I am 18 years of age or older<\/option><option value=\"I am UNDER 18 years old\"  class=\"choice-2 depth-1\"  >I am UNDER 18 years old<\/option><\/select><\/div><div id=\"wpforms-8853-field_6-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"6\"><h3 id=\"wpforms-8853-field_6\" aria-errormessage=\"wpforms-8853-field_6-error\">About your connection to rare retinal disease(s)<\/h3><\/div><div id=\"wpforms-8853-field_7-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-8853-field_7\">What rare retinal disease (or eye disease) do you or your family have experience with? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><textarea id=\"wpforms-8853-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" aria-errormessage=\"wpforms-8853-field_7-error\" required><\/textarea><\/div><div id=\"wpforms-8853-field_8-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-8853-field_8\">What is your connection to the condition? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-8853-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>--- Select Choice ---<\/option><option value=\"Individual living with a condition\"  class=\"choice-1 depth-1\"  >Individual living with a condition<\/option><option value=\"Parent\/Guardian\"  class=\"choice-2 depth-1\"  >Parent\/Guardian<\/option><option value=\"Family member\"  class=\"choice-3 depth-1\"  >Family member<\/option><option value=\"Caregiver\"  class=\"choice-4 depth-1\"  >Caregiver<\/option><option value=\"Other\"  class=\"choice-5 depth-1\"  >Other<\/option><\/select><\/div><div id=\"wpforms-8853-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-8853-field_9\">How long have you or your family been living with the condition? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-8853-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" aria-errormessage=\"wpforms-8853-field_9-error\" required><\/div>\t\t<div id=\"wpforms-8853-field_10-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"10\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-8853-field_10\" >affected condition, should<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-8853-field_10\" class=\"wpforms-field-medium\" name=\"wpforms[fields][10]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-8853-field_11-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-8853-field_11\">Are you open to being matched to someone affected by the same condition, or are you willing to help with other eye diseases as well? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-8853-field_11\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>--- Select Choice ---<\/option><option value=\"Same condition only\"  class=\"choice-1 depth-1\"  >Same condition only<\/option><option value=\"Any eye condition\"  class=\"choice-2 depth-1\"  >Any eye condition<\/option><option value=\"Undecided\"  class=\"choice-3 depth-1\"  >Undecided<\/option><\/select><\/div><div id=\"wpforms-8853-field_12-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"12\"><h3 id=\"wpforms-8853-field_12\" aria-errormessage=\"wpforms-8853-field_12-error\">Your Experience &amp; Perspective<\/h3><\/div><div id=\"wpforms-8853-field_25-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"25\"><fieldset><legend class=\"wpforms-field-label\">What topics are you comfortable discussing with a mentee? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-8853-field_25\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-8853-field_25_1\" name=\"wpforms[fields][25][]\" value=\"Diagnosis journey\" aria-errormessage=\"wpforms-8853-field_25_1-error\" aria-describedby=\"wpforms-8853-field_25-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8853-field_25_1\">Diagnosis journey<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-8853-field_25_2\" name=\"wpforms[fields][25][]\" value=\"Navigating school\" aria-errormessage=\"wpforms-8853-field_25_2-error\" aria-describedby=\"wpforms-8853-field_25-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8853-field_25_2\">Navigating school<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-8853-field_25_3\" name=\"wpforms[fields][25][]\" value=\"Daily living\" aria-errormessage=\"wpforms-8853-field_25_3-error\" aria-describedby=\"wpforms-8853-field_25-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8853-field_25_3\">Daily living<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-8853-field_25_4\" name=\"wpforms[fields][25][]\" value=\"Emotional adjustment\" aria-errormessage=\"wpforms-8853-field_25_4-error\" aria-describedby=\"wpforms-8853-field_25-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8853-field_25_4\">Emotional adjustment<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-8853-field_25_5\" name=\"wpforms[fields][25][]\" value=\"Advocacy\" aria-errormessage=\"wpforms-8853-field_25_5-error\" aria-describedby=\"wpforms-8853-field_25-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8853-field_25_5\">Advocacy<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-8853-field_25_6\" name=\"wpforms[fields][25][]\" value=\"Resources\" aria-errormessage=\"wpforms-8853-field_25_6-error\" aria-describedby=\"wpforms-8853-field_25-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8853-field_25_6\">Resources<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-8853-field_25_7\" name=\"wpforms[fields][25][]\" value=\"Other\" aria-errormessage=\"wpforms-8853-field_25_7-error\" aria-describedby=\"wpforms-8853-field_25-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8853-field_25_7\">Other<\/label><\/li><\/ul><div id=\"wpforms-8853-field_25-description\" class=\"wpforms-field-description\">Check all that apply<\/div><\/fieldset><\/div><div id=\"wpforms-8853-field_3-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-8853-field_3\">Why do you want to become a mentor? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><textarea id=\"wpforms-8853-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" aria-errormessage=\"wpforms-8853-field_3-error\" aria-describedby=\"wpforms-8853-field_3-description\" required><\/textarea><div id=\"wpforms-8853-field_3-description\" class=\"wpforms-field-description\">In a few sentences, describe your personal experience with pediatric retinal disease and what you hope to offer someone earlier in their journey.<\/div><\/div><div id=\"wpforms-8853-field_22-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-8853-field_22\">Are there any preferences or considerations we should keep in mind when matching you?<\/label><textarea id=\"wpforms-8853-field_22\" class=\"wpforms-field-medium\" name=\"wpforms[fields][22]\" aria-errormessage=\"wpforms-8853-field_22-error\" ><\/textarea><\/div><div id=\"wpforms-8853-field_24-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-8853-field_24\">Is there anything else you would like us to know about you as a potential mentor?<\/label><textarea id=\"wpforms-8853-field_24\" class=\"wpforms-field-medium\" name=\"wpforms[fields][24]\" aria-errormessage=\"wpforms-8853-field_24-error\" ><\/textarea><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-8853-field_10-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-8853-field_10-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-8853-field_10-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"8853\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/prrf.org\/zh\/wp-json\/wp\/v2\/pages\/8862\"><input type=\"hidden\" name=\"url_referer\" value=\"https:\/\/prrf.org\/zh\/mentorship-program-become-a-mentor-form\/\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-8853\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/prrf.org\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"\u52a0\u8f7d\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n\t\t\t<\/div> \n\t\t<\/div>\n\t<\/div> \n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"Become a Mentor Becoming a mentor in the Stronger Together Mentor Program is a powerful way to turn your experience into meaningful support for another...","protected":false},"author":27,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","om_disable_all_campaigns":false,"footnotes":""},"class_list":["post-8862","page","type-page","status-publish"],"_links":{"self":[{"href":"https:\/\/prrf.org\/zh\/wp-json\/wp\/v2\/pages\/8862","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/prrf.org\/zh\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/prrf.org\/zh\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/prrf.org\/zh\/wp-json\/wp\/v2\/users\/27"}],"replies":[{"embeddable":true,"href":"https:\/\/prrf.org\/zh\/wp-json\/wp\/v2\/comments?post=8862"}],"version-history":[{"count":6,"href":"https:\/\/prrf.org\/zh\/wp-json\/wp\/v2\/pages\/8862\/revisions"}],"predecessor-version":[{"id":8894,"href":"https:\/\/prrf.org\/zh\/wp-json\/wp\/v2\/pages\/8862\/revisions\/8894"}],"wp:attachment":[{"href":"https:\/\/prrf.org\/zh\/wp-json\/wp\/v2\/media?parent=8862"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}