Fiscal Year

2015

Case Number

A-14230-98943

Case Status

Denied

Received Date

2014-08-18

Decision Date

2015-06-02

Refile

N

Original File Date

2015-01-01 03:09:33

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

JEFFREY L. BRADSHAW DBA POWELL'S INSURANCE

Employer Name Slug

jeffrey-l-bradshaw-dba-powells-insurance

Employer Address 1

110 LISBON ST

Employer Address 2

Employer City

CLINTON

Employer City Slug

clinton

Employer State

NORTH CAROLINA

Employer State Slug

north-carolina

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

28328

Employer Phone

9105902800

Employer Number of Employees

4

Employer Year Commenced Business

2004

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

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

PW SOC Code

41-3021

PW SOC Title

Insurance Sales Agents

PW Skill Level

Level I

PW Wage

13.33

PW Unit of Pay

PW Wage Source

Other

PW Determination Date

2014-07-01

PW Expiration Date

2015-06-01

Wage Offer From

27750.00

Wage Offer To

30000.00

Average Salary

28875.00

Wage Unit of Pay

Worksite Address 1

Worksite Address 2

Worksite City

Clinton

Worksite City Slug

clinton

Worksite State

NORTH CAROLINA

Worksite Postal Code

28328

Job Title

Insurance Agent

Job Title Slug

insurance-agent

Minimum Education

Other

Major Field of Study

Insurance

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

N

Accept Alternative Occupation

N

Accept Alternative Occupation Months

Accept Alternative Job Title

Job Opportunity Requirements Normal

Y

Foreign Language Required

Y

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

2014-02-20

SWA Job Order End Date

2014-03-25

Sunday Edition Newspaper

Y

First Newspaper Name

The Sampson Independent

First Advertisement Start Date

2014-03-02

Second Newspaper Ad Name

The Sampson Independent

Second Advertisement Type

Y

Second Ad Start Date

2014-03-09

Employer Website From Date

2014-07-14

Employer Website To Date

2014-07-25

Professional Organization Ad From Date

2015-01-01 03:09:33

Professional Organization Advertisement To Date

2015-01-01 03:09:33

Job Search Website From Date

2014-07-11

Job Search Website To Date

2014-07-29

Employee Referral Program From Date

2015-01-01 03:09:33

Employee Referral Program To Date

2015-01-01 03:09:33

Local Ethnic Paper From Date

2015-01-01 03:09:33

Local Ethnic Paper To Date

2015-01-01 03:09:33

Radio/TV Ad From Date

2014-07-16

Radio/TV Ad To Date

2014-07-25

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

MEXICO

Foreign Worker Birth Country

MEXICO

Class of Admission

EWI

Foreign Worker Education

High School

Foreign Worker Information: Major

Foreign Worker Years of Education Completed

2006

Foreign Worker Institution of Education

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

Preparer Email

Employer Information Declaration Name

Employer Information Declaration Title

Owner