MENU Skip to footer Foundation Online Application LifeQuest in Mitchell South Dakota is an Equal Opportunity Employer and fully subscribes to the principles of Equal Opportunity. Applicants will not be discriminated for or against on the basis of race, color, ethnic or national origin, ancestry, religion, gender, political affiliation, veteran status, physical or mental disability, marital status, or age. To protect the interests of the people we serve, all job offers are conditional pending acceptable results of a criminal background check, a substance abuse screening, a tuberculin test, and a motor vehicle record check. All applicants must be 18 years old, have a valid drivers license, and have a High School Diploma or GED. PERSONAL INFORMATION Name (required) Address - Street, City, State, Zip Code (required) Email Address Example: janedoe@fakeemail.com Phone Number (required) Example: (###)###-#### EMPLOYMENT DESIRED Position Desired (required) Hours Wanted (required) Full Time Part Time Either Shifts Available check all that apply (required) Mornings Days Evenings Nights Weekends Overnights Any Hour Days Available check all that apply (required) Sunday Monday Tuesday Wednesday Thursday Friday Saturday Any Day Have you applied to LifeQuest Before (required) Select an option Yes No If yes, when did you apply Have you been employed by LifeQuest previously (required) Select an option Yes No If yes, when If you currently have a relative employed by LifeQuest please give their name and relationship How did you learn of the opening (required) Print Advertisement Online Advertisement Radio Advertisement SD Career Center/DOL Walk-in LifeQuest Employee LifeQuest Website Other If you marked Other please specify If you were referred by a LifeQuest employee please give their full name MISCELLANEOUS Do you require special accommodations for an interview (required) Select an option Yes No If yes, please explain Do you have a valid driver's liscense (required) Select an option Yes No Have you ever been convicted of a felony (required) Select an option Yes No List special skills or experiences that may be related to the position applied for EDUCATION Have you earn a High School Diploma or GED (required) Select an option Yes No Name and Location of School Attended, Highest Degree Earned, Course of Study (required) WORK EXPERIENCE May we contact you present or most recent employer (required) Select an option Yes No Please provide the following information for three work experiences: Name of Employer, Employer Address and Phone Number, Your Supervisors Name, Your Dates of Employment, Your Job Title and Brief Description of Duties, and Reason for Leaving Work Experience #1 (required) Work Experience #2 (required) Work Experience #3 (required) REFERENCES List three references. One of your references may be a personal reference but not related to you. Include name, occupation, phone number, and type of reference (personal or business). Reference #1 (required) Reference #2 (required) Reference #3 (required) PLEASE READ THE FOLLOWING CAREFULLY I certify that the information contained in this application is correct to the best of my knowledge and that any misstatement or omission of information is cause for cancellation of the application and/or separation from employment. Signature (required) Date (required) Upload a Cover Letter Click to add File Drop files here to upload Upload Your Resume Click to add File Drop files here to upload Upload Certification or Licensure Click to add File Drop files here to upload Contact General Information: Brian Loken Executive Director: Pam Hanna Phone: 605-996-2032 Fax: 605-996-0972 LifeQuest 804 North Mentzer Mitchell, SD 57301 The ‘LifeQuest’ name, logos and product logos are trademarks of LifeQuest. All Rights Reserved.