205-206-8200 Menu Our Physicians Our Services ▼ Patients About Book an Appointment Careers Creating a higher standard of care for patients, our community, and each other. In the healthcare industry, our work is more than just a job. From doctors to nurses to receptionists and everything in between, each and every role in our clinic is crucial in maintaining a welcoming environment for our patients every day. Our patients put their health in our hands, which is why it’s important to know that every task goes toward a greater good — keeping our patients safe and healthy. At Simon-Williamson Clinic, we are proud of our hardworking staff members who continuously go above and beyond to meet the needs of our patients. SWC seeks to hire employees who will make our patients’ health and wellbeing the highest priority. Interested in one of our current openings? Please complete our job application below. Job Application Form PERSONAL INFORMATION Date 12/5/2021 Position Applying For Position Applying For Name Street Address City/Zip Code ST Minimum Acceptable Salary Start Date Home Phone Cell Phone Email Specify Type: Specify Type Full Time Part Time Specify Days & Hours willing to Work Do You Smoke? Yes No Do You Smoke? Whom Should We Notify in Case of Emergency? Emergency Name Emergency Address Emergency Phone Emergency Relation Have You Ever Been Associated With SWC in Any Employment Capacity? Have You Ever Been Associated With SWC in Any Employment Capacity? Yes No Are You A Relative Of Anyone Working for SWC Clinic? Are You A Relative Of Anyone Working for SWC Clinic? Yes No Have You Ever Been Convicted of Any Crime(s (Felony or Misdemeanor Including DUI) Other then Traffic Citations? Have You Ever Been Convicted of Any Crime(s)(Felony orMisdemeanor Including DUI) Other then Traffic Citations? Yes No Are You Now Under Pending Investigation or Charges of Violation of Criminal Law? Are You Now Under Pending Investigation or Charges of Violation of Criminal Law? Yes No Have You Ever Been The Subject of Any Adverse Actions By Any Authorized Sanctioning Or Disciplinary Agency? Have You Ever Been The Subject of Any Adverse Actions By Any Authorized Sanctioning Or Disciplinary Agency? Yes No Are You Now Or Have You Ever Been Excluded Or Debarred From Participating In Medicare Or Medicaid Programs? Are You Now Or Have You Ever Been Excluded Or Debarred From Participating In Medicare Or Medicaid Programs? Yes No Are you a new patient? Are you a new patient? Yes No EDUCATION High School HS City / State HS Dates Attended HS Did You Graduate? Yes No Did You Graduate? Vocational/Technical VT City / State VT Dates Attended VT Did You Graduate? Yes No Did You Graduate? Nursing School NS City / State NS Dates Attended NS Did You Graduate? Yes No Did You Graduate? College or University CU City / State CU Dates Attended CU Did You Graduate? Yes No Did You Graduate? LICENSES AND SPECIAL SKILLS State/Number of Current Driver’s License Number/Expiration Date of Professional or Occupational Licenses Computer Skills You Are Familiar With: Computer Skills You Are Familiar With Windows Word Excel Email Please List Other Job-Related Skills You Have, Including Medical Procedures You Are Qualified to Perform or electronic medical records you are proficient in Resumé Upload Upload or drag files here. Simon-Williamson Clinic, P.C. STATEMENT OF POLICY Simon-Williamson Clinic, P.C. is an Equal Opportunity Employer. As such, Simon-Williamson Clinic pledges to take the necessary action to preclude discrimination in recruiting, employment, training, promoting, disciplining and/or termination of employees because of race, color, creed, age, sex, national origin, disability, veteran status or other reason in accordance with all applicable state and federal statutes, executive orders and regulation which prohibit discriminatory personnel practices. Submit Application CONTACT US Phone: (205) 780-7053 Fax: (205) 206-8300 Monday - Friday (8 AM to 5 PM) OUR LOCATION Simon-Williamson Clinic, P.C. 832 Princeton Avenue SW Birmingham, AL 35211 DIRECTIONS Parking is maintained by the hospital, adjacent to the SWC building. Valet parking is available. QUICK LINKS Privacy Policy Nondiscrimination Notice Join us on Careers Patient Portal © Simon Williamson Clinic, 2021. All rights reserved. Web Development By Infomedia