KLS Workforce Solutions

Profile & Professional References

1. Personal Information

Full Legal Name *

Social Security Number (SSN) *

Phone Number *

Email Address *

Date of Birth *

2. Physical Address

Street Address *

City *

State *

Zip *

3. Emergency Contact

Contact Name *

Relationship *

Contact Phone Number *

4. Three Professional References

Reference #1

Reference #2

Reference #3

5. Reference Check Release Authorization

I hereby authorize KLS Workforce Solutions to contact my previous employers and professional references. I release all parties from any liability for disclosing information. To protect my privacy, I understand that any release form sent to former employers will display **only the last 4 digits of my Social Security Number**.

I authorize KLS Workforce Solutions to contact these references and verify my work history.

Electronic Signature (Type Full Name)

Background Search Authorization

Full Legal Name —

Home Address —

Cascaded SSN —

Fair Credit Reporting Act (FCRA) Disclosure

KLS Workforce Solutions may obtain a consumer report (commonly known as a background check) for employment purposes. This report may contain information regarding your character, general reputation, criminal history, driving record, education, and credentials from private or public records databases.

7-Year Residential Address Log

I hereby authorize KLS Workforce Solutions and its screening vendors to run a standard 7-year background check. I certify that all biographical information provided is complete, truthful, and accurate.

Electronic Signature (Type Full Legal Name)

Financial Forms & Direct Deposit

Verified Tax Filer Profile —

Filer Address & SSN —

No Physical Check Required: A physical voided check is not necessary. Simply type your Routing and Account numbers securely below.

Bank Name

Account Type

9-Digit Routing Number

Account Number

Confirm Account Number

Verification Document (Optional)

Upload direct deposit form or bank portal screenshot (Optional) PDF, PNG, JPG up to 10MB

I hereby authorize KLS Workforce Solutions to deposit my net pay via electronic transfer into the account designated above.

Form I-9 & Professional Credentials

1. Form I-9 Section 1 Attestation

LastName, FirstName —

Date of Birth —

Home Address —

Social Security Number —

Citizenship / Work Eligibility Status *

A citizen of the United States

A noncitizen national of the United States

A lawful permanent resident

A noncitizen authorized to work

I attest, under penalty of perjury, that I have selected the correct citizenship status above and that the details provided are true and accurate.

Electronic Signature (Type Full Name)

2. Verification Document Uploads

Select which documents you will present to KLS for verification. You must submit either **one document from List A** (Passport) OR **a combination of one from List B** (Driver's License) **AND one from List C** (Social Security Card).

Option A: Submit List A Empty

Select List A Document

Upload Document File JPEG, PNG, PDF up to 15MB

Option B: Submit List B & C Empty

Select List B Document (Identity)

Upload List B (Identity)

Select List C Document (Work Auth)

Upload List C (Work Auth)

3. Professional Licenses & Certifications (Role Specific)

Certification/License Title

Credential License Number

Expiration Date

Upload License/Certification Document File (Optional)

Active Packages 3

Completed Reviews 1

Awaiting Lab Screenings 1

Database Connection Active Cloud Sync

Active Onboarding Packages

Filer Name	Reference Status	Lab Testing	Action Pipeline

KLS Workspace Sync Hub

Instantly sync active onboarding files, signed releases, and scanned credentials to your corporate KLS Drive folders.

KLS_Onboarding_Track.xlsx Synced 2m ago

Drive Intake Folder Sync Auto-matching on

Candidate Name

Project Manager | submitted Oct 24, 2026

1. Active Requirement Configuration

Require Background Check (Step 2)

Require Drug Screen (Step 3)

Require Tax Sheets & DD (Step 4)

Require Form I-9 Verification (Step 5)

2. Clinical Lab Scheduler

Clinic Selection

Appointment Date

Appointment Time

3. Employer Verification (I-9 Section 2)

Candidate Identity Uploads

Employers must legally inspect the candidate's acceptable credentials and sign Section 2 within **3 business days** of the employee starting work.

Representative Signature Name

Internal Placement Notes

This panel is 100% secure. Any log statements, reference validation ratings, or coordinator comments written below are completely invisible to candidate screens.

Profile & Professional References

1. Personal Information

2. Physical Address

3. Emergency Contact

4. Three Professional References

5. Reference Check Release Authorization

Background Search Authorization

Fair Credit Reporting Act (FCRA) Disclosure

7-Year Residential Address Log

Pre-Paid Drug & Clinical Screening

Awaiting Scheduling Details

Quest Diagnostics Center

Financial Forms & Direct Deposit

Form I-9 & Professional Credentials

1. Form I-9 Section 1 Attestation

2. Verification Document Uploads

3. Professional Licenses & Certifications (Role Specific)

You're All Set!

Active Onboarding Packages

Candidate Name

1. Active Requirement Configuration

2. Clinical Lab Scheduler

3. Employer Verification (I-9 Section 2)

Profile & Professional References

1. Personal Information

2. Physical Address

3. Emergency Contact

4. Three Professional References

5. Reference Check Release Authorization

Background Search Authorization

Fair Credit Reporting Act (FCRA) Disclosure

7-Year Residential Address Log

Pre-Paid Drug & Clinical Screening

Awaiting Scheduling Details

Quest Diagnostics Center

Financial Forms & Direct Deposit

Form I-9 & Professional Credentials

1. Form I-9 Section 1 Attestation

2. Verification Document Uploads

3. Professional Licenses & Certifications (Role Specific)

You're All Set!

Active Onboarding Packages

Candidate Name

1. Active Requirement Configuration

2. Clinical Lab Scheduler

3. Employer Verification (I-9 Section 2)

KLS Pre-Employment Screening