Click the LinkedIn link to use your LinkedIn profile to pre-fill this application form.
Click the Upload Resume to use your resume to pre-fill this application form. Please note that uploading your resume in this section is only used to pre-fill your application to save time. You will also need to ATTACH your resume in the Resume ATTACHMENT section of this application.
Full Legal First name:
Full Legal Last name:
Lao Democratic Republic
Papua New Guinea
Saint Vincent Grenadines
Sao Tome and Principe
Trinidad and Tobago
United Arab Emirates
United States Minor Outlying Islands
U.S Virgin Islands
Previous KGS Employee?:
In order to check your employment and education records, please list any other names that you have previously used:
Other names used:
Your email address will be used as your login name allowing you to return to our website and update your profile. If you do not have an email address, you can obtain a free account from several online providers, such as Yahoo, Hotmail or Google Mail. Please make sure that the syntax of your email address is in the following form: email@example.com NOTE: Special characters are not allowed in a password. Please use only alphabetic characters (A-Z) and numeric characters (0-9) in your password. It is recommended that you include a mix of upper case and lower case characters as well as numeric characters in your password.
Please create your password
Passwords must be at least six(6) characters
Re-type new password: *
Date Available to Start:
Type(s) Employment Sought:
Part-time (less than 32 hours per week)
Available to Interview in Person?
In-Person Int. Answer:
If yes, dates/time:
Available to Interview via Phone?
Phone Interview Answer:
If yes, best time to call:
Other (Please Specify)
Recruiter (Please Specify)
Relative or Friend (Please Specify)
State Employment Agency
Relative or Friend Name:
Other (Please Specify):
Current Work Status:
May we contact your current employer?
Contact Employer Answer:
If no, please explain:
May we contact you at work?
Contact at Work Answer:
If yes, work number/time:
Are you currently on lay-off status and subject to recall?
Subject to recall Answer:
If yes, recall date:
Will you relocate if the job requires it?
Will you travel if the job requires it?
If yes, what percentage?:
Willing to commute if the job requires it?
If yes, how far? (mi/min):
12 hour shifts
Are you unavailable to work any time during the next 3-6 months?
If Yes, unavailable dates:
Resume Attachment: NOTE RESUME MUST ALSO BE UPLOADED HERE!
Your resume can be uploaded in any of the following formats: DOC, DOCX, RTF, PDF, TXT, HTML.
Employment Reference Sections (Reference to resume is not acceptable):
Companies Won't Work For:
Highest Education Level:
I am authorized to work in this country for any employer
I am authorized to work in this country for my present employer only
I require sponsorship to work in this country
My status to work in this country is unknown
Are you legally authorized to work in the United States?
Legally Auth. Answer:
Do you now or in the future require sponsorship for employment visa status? (NOTE: If answer is no, please skip the below related questions.)
If yes, visa type:
Company that holds visa:
Do you prefer to stay with this company?
If you do not have a visa, do you have a Work Authorization card?
Work Authorization Answer:
Government Security Clearances:
Have you held a government security clearance? (NOTE: If answer is no, please skip the below related questions)
Security Clearance Answer:
Educational Background - Please include the following educational information: Secondary, Post-Secondary.:
Business References - Please include a supervisor or manager as one of your references. All references provided below will be contacted.:
Certifications and Licenses (If applicable, a copy of each license may be requested for verification):
Certification and Licenses Explanation
Please identify any professional certifications or licenses that you currently hold. Please do not include personal driver's license information unless required by the position to which you are applying.
Certifications and Licenses History:
Have you ever had a disciplinary action taken against any of your licenses?
License Discipl. Answer:
If yes, please explain:
If you have executed any agreement which may impose restrictions on your potential employment with KGS, you must consult your own counsel as to the enforceability and application of the contract or agreement. By submitting this application, you agree to hold harmless and indemnify KGS as to any liability incurred by KGS as a result of your application for employment with KGS, your actual employment with KGS, or any claim by any previous employer that you have violated the terms of any agreement imposing restrictions on your potential or actual employment with KGS.
I have reviewed the information provided on this application and acknowledge by my signature below that it is true, complete, and accurate.
I understand my employment or continued employment with KGS is contingent upon successful completion of any reference, employment and/or drug screening. I further understand that all statements made by me in connection with my application for employment may be checked by KGS and that any misstatements or omissions in this application, regardless of the time of discovery, may result in a decision not to hire me, or to discharge me if discovered after I am hired. I authorize KGS to contact my prior employers and other sources of information regarding my background, and I authorize each such employer and source of information to answer any and all questions regarding my prior employment and background. I hereby indemnify KGS and any of my prior employers or any other sources of information contacted for, and agree to hold them harmless from, any claims arising from the disclosure of information concerning my prior employment and background.
I agree that, if at any time during my application and interviewing process, I believe I have been subjected to improper discrimination or harassment, I will immediately contact a KGS manager or a Corporate Human Resources Representative immediately to obtain assistance in resolving the matter.
I understand that should I receive an offer of employment from KGS, I may be required to sign a Non-Solicitation and/or Confidentiality Agreement as a condition of my employment.
I acknowledge that this application does not constitute an agreement or contract for employment. I understand that if KGS hires me my employment will be on an “at will” basis. KGS may terminate my employment at any time, with or without cause, and I may resign at any time, with or without cause, unless otherwise agreed in writing in a separate agreement signed by myself and an authorized representative of KGS.
I understand KGS’s Client(s) may require me to consent to a drug test, background check, consumer report and/or investigative consumer report (“Investigations”) prior to commencing services. If such Investigations are conducted directly by Client(s), my signature below indicates that I consent to release of the results to KGS, and that any authorization or release form I sign shall be deemed to include consent for KGS to receive the results. I agree that this page of my Application may be presented to Client(s) as notice of my express written consent to release of the results of Investigations to KGS. I agree to cooperate with KGS and to take any further reasonable steps required to ensure the results of Investigations are released to KGS.
KGS is an Equal Opportunity Employer and, as such, does not discriminate on the basis of race, color, religion, creed, sex, gender, sexual orientation, age, disability, national origin, marital status, citizenship status, or any other status protected by local, state, or federal law(s). If you need a reasonable accommodation during the application or interviewing process, please let us know.
Voluntary Equal Opportunity/Affirmative Action Questionnaire:
The Company is legally required to submit data regarding the race and gender of its employees, so you may voluntarily indicate your race and gender on this form. This is voluntary and submitted information will remain confidential to the extent provided by law. If you do not self-identify, the Company will make its own determination of your race and gender based on visual observation or other method of its choosing.
Choose Not to Disclose
White (Not Hispanic or Latino)
Black or African American (Not Hispanic or Latino)
Hispanic or Latino
Asian (Not Hispanic or Latino)
American Indian or Alaskan Native (Not Hispanic or Latino)
Native Hawaiian or Pacific Islander (Not Hispanic or Latino)
Two or more races (Not Hispanic or Latino)
Choose Not to Disclose
To the extent we are subject to the Vietnam Era Veterans’ Readjustment Assistance Act of 1974 or section 503 of the Rehabilitation Act of 1973, we comply with requirements to take affirmative action regarding qualified individuals with a disability, special disabled veterans, and veterans of the Vietnam era or other covered veterans. If you come within any of those categories, and would like to be included in our affirmative action program, you may tell us now or at any time in the future. We also invite you to tell us now, or at any time in the future, about any reasonable accommodations that you believe we could make which would better enable you to perform the essential functions of the job properly and safely. Submitting this information is voluntary. Providing it or declining to provide it will not affect your employment in any way. The information will be used only in ways consistent with the law. It will be kept confidential, except that it may be used to determine necessary accommodations and to inform first aid/safety personnel or government officials enforcing applicable laws.
Newly Separated Veteran (within last 3 years)
Special Disabled Veteran*
Other Protected Veteran**
Do not wish to disclose
Disability Status: Disabled
*If you checked Special Disabled Veteran or Disabled, you may identify any reasonable accommodation now or in the future that we could make that would better enable you to perform the essential functions of the job properly and safely:
**Veteran who served on active duty in a campaign or expedition for which a campaign badge has been authorized
List service medal:
Voluntary Self-Identification of Disability
Why are you being asked to complete this form?
Because we do business with the government, we must reach out to, hire, and promote equal opportunity to qualified people with disabilities. i To help us measure how well we are doing, we are asking you to tell us if you have a disability or if you ever had a disability. Completing this form is voluntary, but we that you will choose to fill it out. If you are applying for a job, any answer you give will be kept private and will not be used against you in any way. If you already work for us, your answer will not be used against you in any way. Because a person may become disabled at any time, we are required to ask all of our employees to update their information every five years. You may voluntarily self-identify as having a disability on this form without fear of any punishment because you did not identify as having a disability earlier.
How do I know if I have a disability?
You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition.
Disabilities include, but are not limited to:
• Blindness • Autism • Bipolar disorder • Post-traumatic stress disorder (PTSD)
• Deafness • Cerebral Palsy • Major Depression • Obsessive compulsive disorder
• Cancer • HIV/AIDS • Multiple sclerosis (MS) • Impairments requiring the use of a wheelchair
• Diabetes • Schizophrenia • Missing limbs or partially • Intellectual disability (previously called mental
• Epilepsy • Muscular dystrophy missing limbs retardation)
Self-ID of Disabiliy:
I Don't Wish To Answer
YES, I Have a Disability (or previously had a disability)
NO, I Don't Have a Disability
Self-ID (Your Name):
Self-ID (Today's Date):
Reasonable Accommodation Notice
Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.
iSection 503 of the Rehabilitation Act of 1973, as amended. For more information about this form or the equal employment obligations of Federal contractors, visit the U.S. Department of Labor's Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.
PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.