Employment Application

The application must be fully completed to be considered.  Complete each section even if you attach a resume.


  • We are an Equal Opportunity Employer and are committed to excellence through diversity.

    Federal law prohibits the employment of unauthorized aliens. All persons hired must submit satisfactory proof of employment authorization and identity (valid driver's license, birth certificate, Green Card, etc.) within three days of being hired. Failure to submit such proof within the required time shall result in immediate employment termination.

  • Education

  • Employment

  • Reference

  • It is our policy to check references as part of our hiring process. This may include contacting your former employers, as well as other business associates. We will ask a series of questions about your work experience, character, education and personality.

    After reading this policy, please indicate your agreement by checking "Yes" and typing your name in the space provided.

    I have read and fully understand the foregoing and voluntarily consent to allow the Organization to check my references. Questions may be asked about my work experience, personality, and personal habits and education.

  • Drop files here or
© Copyright 2018 Urology Centers of Alabama