By submitting an application for an interview you hereby give permission to BusinessIntegrity Matters™, a production of Chrysalis Consulting, LLC (224 Thompson Street #156, Hendersonville, NC 28792, 828-367-7809):

1) to interview you / photograph you (still or moving images) / record my voice,

2) and to use, reuse, publish and republish the same in whole or in part for any lawful purposes in any and all media whether now known or hereafter existing, including print, broadcast and the World Wide Web,

3) and to use my full name in connection therewith.

You will make no monetary or other claim, including any and all claims for libel, for the use of the interview and/or the photograph(s)/video/recording of your voice.

This authorization and release also applies to the organization(s) / publication(s) for which the photographer/interviewer took the photos/video, recorded my voice and/or conducted the interview, and to their legal representatives, licensees and assignees.

You reserves the right to decline to answer certain questions and to stop the interview if you become uncomfortable. You may refuse the use of your full name and/or of your address, and may refuse to have your full face photographed.