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Application to Register to be a GrandFriends Member.
Grandie looking for a Family
Primary Applicant
*
First name
Last name
Previous names
*
Include alias or maiden name
Email address
*
Primary Phone Number
*
Can be landline or cellphone
Secondary Phone Number
Gender
*
Female
Male
Other
Prefer not to say
Primary Applicant Date of Birth
*
Place of birth
*
Town/City/State
Country of birth
*
Primary Applicants address
*
Address line 1
Address line 2
Address line 3
Address line 4
Town/Suburb
City
Postcode/Zip
Prefer vaccinated family?
*
Please let us know if you would prefer a family that has been vaccinated.
Yes
No
I don't mind
Notes/Comments
Please provide us with any additional notes or comments related to your application.
Evidence of Identity
Please supply us with two(2) forms of your identity. One form must have your photograph. If you have a Drivers Licence then you can enter the licence number below and use this as one form of identity.
To send a picture or documentation of other forms of identity please use one of the below:
Email: policevetting@grandfriends.nz
Text: 021 2888 875
Drivers Licence no:
Additional Adults (18yrs+) in the household
*
Additional adults in the household will be asked for further information on submission of this application
No
Yes
What region are you from?
*
Auckland Central
Auckland East
Auckland North
Auckland North West
Auckland South
Auckland West
Bay of Plenty
Christchurch/Canterbury
Gisborne
Hawkes Bay
Manuawatu/Whanganui
Marlborough
Nelson Bays
North Auckland
Northland
Otago
Southland
Taranaki
Tasman
Test
Waikato
Wairarapa
Wellington
West Coast
_Unknown
Please provide us with a referee - please note you must have known these people for over 2 years, and they must NOT be family members.
Referee Name
*
Referee Phone Number
*
Referee Email Address
*
How did you hear about us?
Social Media
Google
Other Search engine
Website
Printed material
Talk/Event
Word of Mouth
Other
Consent to Release Information
Click here to read Consent Release Information
I have read the Consent Release Information above
*
Information I have supplied relates to me and is correct
*
Police vetting consent
*
I agree to NZ Police Vetting releasing information about me to GrandFriends NZ
Terms & Conditions
Click here to read the Terms & Conditions for membership
I agree to the Terms and Conditions
*
Please check the highlighted fields
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