I certify that my answers are true and complete to the best of my knowledge. If this application leads to a sub contractor referral partnership between Pure Knead Massage and I (the applicant), I understand that false of misleading information in my application or interview may result in the severance of any agreement made between us. I authorize Pure Knead Massage to contact my references, previous employers and educational facilities to verify and confirm that the information provided is correct. I authorize Pure Knead Massage to execute a background check and credit check using the information I have provided in order to determine if I am a qualified candidate to be enrolled as a sub contracted referral partner with Pure Knead Massage. I hereby authorize Pure Knead Massage and their affiliates to print and post my photo, name, qualifications and likeness on all marketing material they may use.