Fiscal Year

2015

Case Number

A-14329-28648

Case Status

Certified

Received Date

2014-12-08

Decision Date

2015-07-06

Refile

N

Original File Date

2015-01-01 03:07:19

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Hendricks Community Hospital Assn&Retirement Home

Employer Name Slug

hendricks-community-hospital-assnretirement-home

Employer Address 1

503 East Lincoln

Employer Address 2

PO Box 106

Employer City

Hendricks

Employer City Slug

hendricks

Employer State

MINNESOTA

Employer State Slug

minnesota

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

56136

Employer Phone

507-275-3134

Employer Number of Employees

119

Employer Year Commenced Business

1926

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

Cowles & Thompson, PC

Agent Attorney Phone

Agent Attorney Address 1

Agent Attorney Address 2

Agent Attorney City

Dallas

Agent Attorney State/Province

TEXAS

Agent Attorney Country

Agent Attorney Postal Code

Agent Attorney Email

PW Track Number

P10014276070790

PW SOC Code

29-1062

PW SOC Title

Family and General Practitioners

PW Skill Level

Level I

PW Wage

121451.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2014-11-25

PW Expiration Date

2015-06-30

Wage Offer From

185000.00

Wage Offer To

0.00

Average Salary

185000.00

Wage Unit of Pay

Year

Worksite Address 1

Worksite Address 2

Worksite City

Hendricks

Worksite City Slug

hendricks

Worksite State

MINNESOTA

Worksite Postal Code

56136

Job Title

Family Medicine Physician

Job Title Slug

family-medicine-physician

Minimum Education

Other

Major Field of Study

Medicine

Required Training

Y

Required Experience

Required Experience Months

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

Accept Alternative Combination

Accept Alternative Combination Education

N

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

2014-09-24

SWA Job Order End Date

2014-10-24

Sunday Edition Newspaper

Y

First Newspaper Name

Independent Marshall, MINN

First Advertisement Start Date

2014-10-19

Second Newspaper Ad Name

Independent Marshall, MINN

Second Advertisement Type

Y

Second Ad Start Date

2014-10-26

Employer Website From Date

2014-10-03

Employer Website To Date

2014-10-03

Professional Organization Ad From Date

2014-11-05

Professional Organization Advertisement To Date

2014-11-05

Job Search Website From Date

2014-10-31

Job Search Website To Date

2014-11-07

Employee Referral Program From Date

2015-01-01 03:07:19

Employee Referral Program To Date

2015-01-01 03:07:19

Local Ethnic Paper From Date

2015-01-01 03:07:19

Local Ethnic Paper To Date

2015-01-01 03:07:19

Radio/TV Ad From Date

2015-01-01 03:07:19

Radio/TV Ad To Date

2015-01-01 03:07:19

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

POLAND

Foreign Worker Birth Country

POLAND

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2001

Foreign Worker Institution of Education

MEDICAL UNIVERSITY OF WARSAW

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

Chief Executive Officer