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Case Number: A-22174-77674

Fiscal year: 2023

Fiscal Year

2023

Case Number

A-22174-77674

Case Status

Certified

Received Date

2022-06-23

Decision Date

2023-03-20

Refile

N

Original File Date

2023-01-01 07:59:22

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Cape Fear Valley Health System

Employer Name Slug

cape-fear-valley-health-system

Employer Address 1

1638 Owen Drive

Employer Address 2

Employer City

Fayetteville

Employer City Slug

fayetteville

Employer State

NORTH CAROLINA

Employer State Slug

north-carolina

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

28304

Employer Phone

910-615-4000

Employer Number of Employees

6490

Employer Year Commenced Business

1954

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

PAM STACY

Employer Contact Address 1

1638 Owen Drive

Employer Contact Address 2

Employer Contact City

Fayetteville

Employer Contact State/Province

NORTH CAROLINA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

28304

Employer Contact Phone

910-615-4000

Employer Contact Email

PStacy@capefearvalley.com

Agent Attorney Name

AnnRose M JohnsonLewis

Agent Attorney Firm Name

Worldwide Healthstaff Solutions, Ltd.

Agent Attorney Phone

704-496-9467

Agent Attorney Address 1

9101 Kings Parade Blvd.

Agent Attorney Address 2

Suite 201

Agent Attorney City

Charlotte

Agent Attorney State/Province

NORTH CAROLINA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

28273

Agent Attorney Email

ajohnsonlewis@healthstaff.org

PW Track Number

P10021204480557

PW SOC Code

31-1014

PW SOC Title

Nursing Assistant

PW Skill Level

Level I

PW Wage

24045.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2022-01-10

PW Expiration Date

2022-06-30

Wage Offer From

14.00

Wage Offer To

0.00

Average Salary

14.00

Wage Unit of Pay

Hour

Worksite Address 1

1638 Owen Drive

Worksite Address 2

Worksite City

Fayetteville

Worksite City Slug

fayetteville

Worksite State

NORTH CAROLINA

Worksite Postal Code

28304

Job Title

Nursing Assistant

Job Title Slug

nursing-assistant

Minimum Education

High School

Major Field of Study

Required Training

N

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

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

N

Application for College/University Teacher

N

SWA Job Order Start Date

2022-03-30

SWA Job Order End Date

2022-04-29

Sunday Edition Newspaper

Y

First Newspaper Name

Fayetteville Observer

First Advertisement Start Date

2022-02-06

Second Newspaper Ad Name

Fayetteville Observer

Second Advertisement Type

Newspaper

Second Ad Start Date

2022-02-13

Employer Website From Date

2023-01-01 07:59:22

Employer Website To Date

2023-01-01 07:59:22

Professional Organization Ad From Date

2023-01-01 07:59:22

Professional Organization Advertisement To Date

2023-01-01 07:59:22

Job Search Website From Date

2023-01-01 07:59:22

Job Search Website To Date

2023-01-01 07:59:22

Employee Referral Program From Date

2023-01-01 07:59:22

Employee Referral Program To Date

2023-01-01 07:59:22

Local Ethnic Paper From Date

2023-01-01 07:59:22

Local Ethnic Paper To Date

2023-01-01 07:59:22

Radio/TV Ad From Date

2023-01-01 07:59:22

Radio/TV Ad To Date

2023-01-01 07:59:22

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

KENYA

Foreign Worker Birth Country

KENYA

Class of Admission

Foreign Worker Education

Associate's

Foreign Worker Information: Major

NURSING

Foreign Worker Years of Education Completed

2009

Foreign Worker Institution of Education

KENYA MEDICAL TRAINING COLLEGE MOMBASA CAMPUS

Foreign Worker Education Institution Address 1

MAKADARA

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

MAKADARA

Foreign Worker Education Institution State/Province

MOMBASA

Foreign Worker Education Institution Country

KENYA

Foreign Worker Education Institution Postal Code

55555

Foreign Worker Experience with Employer

N/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

N

Preparer Name

AnnRose M JohnsonLewis

Preparer Title

Attorney

Preparer Email

ajohnsonlewis@healthstaff.org

Employer Information Declaration Name

PAM STACY

Employer Information Declaration Title

Coordinator Career Development, Human Resources