Bristol Location
350 Steeles Road, Suite 1
Bristol, TN 37620
(423) 844-6600

Johnson City Location
2340 Knob Creek Rd, Ste 720
Johnson City, TN 37604
(423) 926-6112

Online Job Application


If you’d like to work with us, please fill out an application here.

The Urology Clinic is an Equal Opportunity Employer.

 

  • Personal Information

    Examples: Driver's license, Social Security card, birth certificate, Immigration/Naturalization Service documents
  • Position

  • Personal History

    (A conviction will not necessarily disqualify you from employment.)
  • Education

  • Type of SchoolName of SchoolAddress of SchoolCourses Majored InLast Year CompletedGraduated/Degree? 
    Please include any high school, college, post graduate or trade school you attended.
  • Work History

  • Employer NameAddressPhoneImmediate SupervisorJob Title/DutiesDate HiredDate LeftStarting RateEnding RateReason for LeavingMay we contact this employer? 
    Start with most recent or present employer and complete in full. You may enter up to 5 employers.
  • NameAddressTelephone 
    Enter up to three. Do not list relatives or former employers.
  • Agreement and Certification

  • Please read carefully and check the box below to acknowledge that you agree with our application policies. You may be required to fill out a paper application if you are interviewed to provide a signature.

    "I certify that the information given by me in this application is true in all aspects, and I agree that if the information given is found to be false in any way, it shall be considered sufficient cause for denial of employment or discharge. I authorize the use of any information in this application to verify my statements, and I authorize past employers, all references, and any other persons to answer all questions asked concerning my ability, character, reputation, and previous employment record. I release all such persons from any liability or damages on account of having furnished such information. I understand that a consumer credit report may be obtained."

    I understand that nothing contained in this employment application or in the granting of an interview is intended to create an employment contract between the company and myself or for either employment or for the providing of any benefit. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon the company unless made in writing. If an employment relationship is established, I understand that I have the right to terminate my employment at any time and that the company retains the same right."

    "If I am offered employment, I agree to submit to a physical examination whenever requested, and I understand my becoming employed and/or my continued employment are subject to the results of any physical examination related to my job duties in accordance with company policies and procedures."

    "I understand that if employed, policies and rules which are issued are not conditions of employment and that the employer may revise policies or procedures in whole or in part at any time."

    I understand that this application will be kept on active file for 90 days from the date completed, after which time I would have to reapply in accordance with established company procedures."