All Details of Green Card Application:

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Case Number: A-22084-30967

Fiscal year: 2023

Fiscal Year

2023

Case Number

A-22084-30967

Case Status

Certified

Received Date

2022-04-05

Decision Date

2023-01-09

Refile

N

Original File Date

2023-01-01 08:16:58

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Wayne Memorial Community Health Centers

Employer Name Slug

wayne-memorial-community-health-centers

Employer Address 1

601 Park Street

Employer Address 2

Employer City

Honesdale

Employer City Slug

honesdale

Employer State

PENNSYLVANIA

Employer State Slug

pennsylvania

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

18431

Employer Phone

570-251-6676

Employer Number of Employees

370

Employer Year Commenced Business

2008

NAICS Code

62111

FW Ownership Interest

N

Employer Contact Name

Frederick Jackson

Employer Contact Address 1

601 Park Street

Employer Contact Address 2

Employer Contact City

Honesdale

Employer Contact State/Province

PENNSYLVANIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

18431

Employer Contact Phone

570-251-6676

Employer Contact Email

jacksonf@wmh.org

Agent Attorney Name

JAN PEDERSON

Agent Attorney Firm Name

Wright, Constable Skeen, LLP

Agent Attorney Phone

2405830003

Agent Attorney Address 1

6931 Arlington Road

Agent Attorney Address 2

Suite 450

Agent Attorney City

Bethesda

Agent Attorney State/Province

MARYLAND

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

20814

Agent Attorney Email

jan@wcslaw.com

PW Track Number

P10021263594737

PW SOC Code

29-1063

PW SOC Title

Internists, General

PW Skill Level

Level I

PW Wage

70408.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2022-03-22

PW Expiration Date

2022-06-30

Wage Offer From

215000.00

Wage Offer To

0.00

Average Salary

215000.00

Wage Unit of Pay

Year

Worksite Address 1

132 MANLY ROAD

Worksite Address 2

Worksite City

TAFTON

Worksite City Slug

tafton

Worksite State

PENNSYLVANIA

Worksite Postal Code

18464

Job Title

INTERNIST

Job Title Slug

internist

Minimum Education

Other

Major Field of Study

MEDICINE

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

MUST HAVE MD OR FOREIGN DEG EQUIV; BCBE IN INTERNAL MEDICINE; FULL UNRESTRICTED PA MEDICAL LICENSE.

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

2021-12-15

SWA Job Order End Date

2022-01-17

Sunday Edition Newspaper

Y

First Newspaper Name

Scranton Times

First Advertisement Start Date

2021-12-19

Second Newspaper Ad Name

Scranton Times

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-12-26

Employer Website From Date

2023-01-01 08:16:58

Employer Website To Date

2023-01-01 08:16:58

Professional Organization Ad From Date

2023-01-01 08:16:58

Professional Organization Advertisement To Date

2023-01-01 08:16:58

Job Search Website From Date

2021-12-23

Job Search Website To Date

2021-12-27

Employee Referral Program From Date

2023-01-01 08:16:58

Employee Referral Program To Date

2023-01-01 08:16:58

Local Ethnic Paper From Date

2021-12-23

Local Ethnic Paper To Date

2021-12-23

Radio/TV Ad From Date

2022-01-30

Radio/TV Ad To Date

2022-01-30

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

CANADA

Foreign Worker Birth Country

CANADA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2016

Foreign Worker Institution of Education

ST. GEORGES UNIVERSITY SCHOOL OF MEDICINE

Foreign Worker Education Institution Address 1

UNIVERSITY CENTRE GRENADA,

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

WEST INDIES

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

GRENADA

Foreign Worker Education Institution Postal Code

Foreign Worker Experience with Employer

N/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

JAN PEDERSON

Preparer Title

ATTORNEY

Preparer Email

jan@wcslaw.com

Employer Information Declaration Name

FREDERICK JACKSON

Employer Information Declaration Title

EXECUTIVE DIRECTOR