Fiscal Year

2020

Case Number

A-20101-41636

Case Status

Certified

Received Date

2020-04-10

Decision Date

2020-09-01

Refile

N

Original File Date

2020-01-01 19:59:19

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

SANFORD CLINIC NORTH

Employer Name Slug

sanford-clinic-north

Employer Address 1

AKA SANFORD HEALTH NORTH

Employer Address 2

801 NORTH BROADWAY

Employer City

FARGO

Employer City Slug

fargo

Employer State

NORTH DAKOTA

Employer State Slug

north-dakota

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

58122

Employer Phone

7012346919

Employer Number of Employees

1850

Employer Year Commenced Business

1909

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

Sandi Haeuszer

Employer Contact Address 1

1305 W. 18th Street

Employer Contact Address 2

Employer Contact City

Sioux Falls

Employer Contact State/Province

SOUTH DAKOTA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

57105

Employer Contact Phone

6053126582

Employer Contact Email

sandi.haeuszer@sanfordhealth.org

Agent Attorney Name

Agent Attorney Firm Name

Agent Attorney Phone

Agent Attorney Address 1

Agent Attorney Address 2

Agent Attorney City

Agent Attorney State/Province

Agent Attorney Country

Agent Attorney Postal Code

Agent Attorney Email

PW Track Number

P10019309128050

PW SOC Code

29-1063

PW SOC Title

Internists, General

PW Skill Level

Level I

PW Wage

44034.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-03-02

PW Expiration Date

2020-06-30

Wage Offer From

287339.00

Wage Offer To

0.00

Average Salary

287339.00

Wage Unit of Pay

Year

Worksite Address 1

5225 23rd Avenue S

Worksite Address 2

Worksite City

Fargo

Worksite City Slug

fargo

Worksite State

NORTH DAKOTA

Worksite Postal Code

58104

Job Title

Hospitalist

Job Title Slug

hospitalist

Minimum Education

Other

Major Field of Study

Medicine

Required Training

Y

Required Experience

N

Required Experience Months

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

Accept Alternative Combination

N

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

North Dakota state medical license or ability to obtain. BCBE. Number of months of training required is dependent upon the number of months necessary to complete medical training leading to completion of a residency program in Internal Medicine.

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

2020-01-20

SWA Job Order End Date

2020-02-24

Sunday Edition Newspaper

Y

First Newspaper Name

Forum

First Advertisement Start Date

2020-01-26

Second Newspaper Ad Name

Forum

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-02-02

Employer Website From Date

2020-01-20

Employer Website To Date

2020-02-24

Professional Organization Ad From Date

2020-01-20

Professional Organization Advertisement To Date

2020-02-19

Job Search Website From Date

2020-01-20

Job Search Website To Date

2020-02-24

Employee Referral Program From Date

2020-01-01 19:59:19

Employee Referral Program To Date

2020-01-01 19:59:19

Local Ethnic Paper From Date

2020-01-01 19:59:19

Local Ethnic Paper To Date

2020-01-01 19:59:19

Radio/TV Ad From Date

2020-01-01 19:59:19

Radio/TV Ad To Date

2020-01-01 19:59:19

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

BELARUS

Foreign Worker Birth Country

BELARUS

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2004

Foreign Worker Institution of Education

BELARUSSIAN STATE MEDICAL UNIVERSITY

Foreign Worker Education Institution Address 1

PROSPEKT DZERZHINSKOGO 83

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

MINSK

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

BELARUS

Foreign Worker Education Institution Postal Code

220116

Foreign Worker Experience with Employer

N/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

Y

Preparer Name

Preparer Title

Preparer Email

Employer Information Declaration Name

Sandi Haeuszer

Employer Information Declaration Title

Associate Corporate Counsel