If your answer is YES to any of the preceding questions or any part of the questions, please provide the detail below to include the date, place and nature of each such conviction(s) or pending charge(s). (The existence of a conviction or pending charge will not necessarily preclude you from leasing or employment. The nature of the crime and its relationship to the lease or position applied for, the degree of rehabilitation and the time elapsed since the crime or release from confinement will all be considered.)

ACKNOWLEDGMENT AND CONSENT STATEMENT * I hereby state that the information given by me in this application is true and correct in all respects. I agree that if I am accepted for leasing and the information is found to be false in any respect, I will be subject to dismissal without notice at any time. I hereby authorize my former employers or salon owners to release information pertaining to my work record, my work habits and my work performance while in their employ or salon. I hereby authorize A Suite Salon to obtain my credit report. I will read and I hereby agree to be bound by the rules outlined in any procedure manuals, lease documents, rules and regulations publications that I may receive. I agree my electronic signature is the legal equivalent of my manual signature on this application. I understand and agree that, if I am accepted for leasing by A Suite Salon, my lease will be for a duration of at least one year. By checking the box below I acknowledge that I have read and understand the Consent Statement on this Application.