this application, I do hereby authorize The Dorothy Jemison Foundation for Excellence (DJF) to perform a
background check, including, but not limited to, a criminal, employment, and/or academic achievement.
I acknowledge that I am applying to be a consultant/sub-contractor and that this information may, and can,
be used to influence decisions on my selection. I agree that this authorization is effective immediately
and will continue until such time as the TEWS - Space Race 2012 project is complete and/or I notify DJF, in
writing, that I withdraw this authorization. I certify that the information provided is true and complete
to the best of my knowledge.