NGF'S

Business Trading Name *

Status *

Business Registration Number *

IRD / GST Number *

Contact Name *

First

Last

Business Address *

Line 1

Line 2

City

State

Zip Code

Country

Mobile Phone Number *

Business Phone Number *

Home Phone Number *

Fax Phone Number *

Primary Email *

Secondary Email *

Website *

What Type of person are you looking for? *

Additional Information *

Position *

Start Date *

Expected Hourly Rate *

Additional Information *

Declaration *

I declare the information provided on this form is true and correct I have read and accept the Terms and Conditions I agree to the minimum pay scale of the GAIN Foundation and will comply to the terms of payment. I understand that if an individual does not accept 10 hours a week voluntary Community Service, I am only obligated to pay half the minimum pay rates of the GAIN Foundation.

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