* Required fields are marked with an asterisk.
(All education listed will be confirmed with the school(s).)
Start with your present or last job and go back five (5) years, listing former employers. You may include military service assignments and volunteer activities.
Most recent supervisors or instructors are required. Do not list friends or relatives.
The following information is needed for the background check and the motor vehicle check.
Please download the State of Montana Release of Information Form (PDF). The form can be filled electronically, but must be printed and notarized. Our office has notaries available. Please deliver the printed, notarized form to our office.
Adult Residential Services
Community & Family Services
Vocational Supports & Day Programs
ADA Title VI Complaint Form (mt.gov)
Ways to Support
215 Smelter Ave NE Ste 1
Great Falls, MT 59404
© 2023 Quality Life Concepts Great Falls, MT.