PAID VOLUNTEERS

Name *

First

Last

Marital Status *

IRD Number *

What is your current income? *

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 *

Declaration *

I declare the information provided on this form is true and correct I have read and accept the Terms and Conditions I accept to receive the minimum hourly rates of the GAIN Foundation requires me to volunteer 10 Hours a week of Community Service with registered Business Directory Services I contract too, or I can only claim half the pay rates advertised.

PAID VOLUNTEER register