I acknowledge that any false statement on this application shall be considered sufficient cause to deny any further consideration or cause revocation of any signed agreement with Healthy Boost, Inc. I understand that any inquiry regarding MY character, general reputation, personal characteristics, financial background and general fitness for being a Healthy Boost Representative may be made as a result of this application. In addition, by signing below I release any and all former and/or present employers, and any other personal or business references, from any liability whatsoever in connection with Healthy Boost's attempt to investigate MY background and determine MY fitness to become a Healthy Boost Licensed sales manager. I specifically authorize Healthy Boost to obtain credit reports from one or more credit bureaus and conduct background checks on ME and MY business(es). A copy of this authorization may be used in place of and shall be valid as the original. I understand that this application is considered active for 180 days from the date below. By submitting this application I agree that this information is correct and I give Healthy Boost, Inc., permission to obtain a Credit Report and Background Report for the individuals listed on this application.