I certify that the answers to the foregoing questions are true and complete to the best of my knowledge and belief, and are made in good faith. I give ASMI and VIA the right to contact all persons and/or organizations names to gain information relevant to this application. I understand that any false information, willful or negligent misrepresentation, or failure to disclose any requested information will constitute sufficient grounds for ASMI/VIA to terminate my residency without notice. I acknowledge by my signature that I have read and understand these statements.
