Fiscal Year

2019

Case Number

A-19162-16551

Case Status

Certified

Received Date

2019-06-25

Decision Date

2019-08-12

Refile

Original File Date

2019-01-01 14:24:42

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Prospect CT Medical Foundation, Inc.

Employer Name Slug

prospect-ct-medical-foundation-inc

Employer Address 1

d/b/a Alliance Medical Group, Inc.

Employer Address 2

1625 Straits Turnpike

Employer City

Middlebury

Employer City Slug

middlebury

Employer State

CONNECTICUT

Employer State Slug

connecticut

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

06762

Employer Phone

203-573-9512

Employer Number of Employees

285

Employer Year Commenced Business

2016

NAICS Code

FW Ownership Interest

N

Employer Contact Name

Employer Contact Address 1

Employer Contact Address 2

Employer Contact City

Employer Contact State/Province

Employer Contact Country

Employer Contact Postal Code

Employer Contact Phone

Employer Contact Email

Agent Attorney Name

Agent Attorney Firm Name

LeClairRyan PLLC

Agent Attorney Phone

Agent Attorney Address 1

Agent Attorney Address 2

Agent Attorney City

New Haven

Agent Attorney State/Province

CONNECTICUT

Agent Attorney Country

Agent Attorney Postal Code

Agent Attorney Email

PW Track Number

P10018353983665

PW SOC Code

29-1069

PW SOC Title

Physicians and Surgeons, All Other

PW Skill Level

N/A

PW Wage

208.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

0

PW Expiration Date

0

Wage Offer From

287000.00

Wage Offer To

0.00

Average Salary

287000.00

Wage Unit of Pay

Year

Worksite Address 1

Worksite Address 2

Worksite City

Waterbury

Worksite City Slug

waterbury

Worksite State

CONNECTICUT

Worksite Postal Code

06708

Job Title

Hospitalist Nocturnist

Job Title Slug

hospitalist-nocturnist

Minimum Education

Other

Major Field of Study

Medicine

Required Training

N

Required Experience

Required Experience Months

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

Accept Alternative Combination

Accept Alternative Combination Education

Accept Alternative Combination Education Years

Accept Foreign Education

Y

Accept Alternative Occupation

N

Accept Alternative Occupation Months

Accept Alternative Job Title

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

Combination Occupation

N

Offered to Applicant Foreign Worker

Y

Foreign Worker Live on Premises

N

Foreign Worker Live in Domestic Service

N

Foreign Worker Live in Domestic Service Count

Professional Occupation

Y

Application for College/University Teacher

N

SWA Job Order Start Date

0

SWA Job Order End Date

0

Sunday Edition Newspaper

Y

First Newspaper Name

Republican American

First Advertisement Start Date

0

Second Newspaper Ad Name

Republican American

Second Advertisement Type

Newspaper

Second Ad Start Date

0

Employer Website From Date

0

Employer Website To Date

0

Professional Organization Ad From Date

2019-01-01 14:24:42

Professional Organization Advertisement To Date

2019-01-01 14:24:42

Job Search Website From Date

2019-01-01 14:24:42

Job Search Website To Date

2019-01-01 14:24:42

Employee Referral Program From Date

2019-01-01 14:24:42

Employee Referral Program To Date

2019-01-01 14:24:42

Local Ethnic Paper From Date

2019-01-01 14:24:42

Local Ethnic Paper To Date

0

Radio/TV Ad From Date

0

Radio/TV Ad To Date

0

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

INDIA

Foreign Worker Birth Country

INDIA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2007

Foreign Worker Institution of Education

GURU GOBIND SINGH MEDICAL SCHOOL

Foreign Worker Education Institution Address 1

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

Foreign Worker Education Institution Postal Code

Foreign Worker Experience with Employer

Foreign Worker Employer Pays for Education

Foreign Worker Currently Employed

Employer Completed Application

Preparer Name

Preparer Title

Attorney

Preparer Email

Employer Information Declaration Name

Employer Information Declaration Title

Vice President Human Resources