Fiscal Year

2024

Case Number

A-23142-45730

Case Status

Certified

Received Date

2023-05-23

Decision Date

2024-05-29

Refile

N

Original File Date

2024-01-01 01:30:20

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

EVERGREEN LIVING HOME. INC

Employer Name Slug

evergreen-living-home-inc

Employer Address 1

101 COUNTRY TIME LANE

Employer Address 2

Employer City

LEICESTER

Employer City Slug

leicester

Employer State

NORTH CAROLINA

Employer State Slug

north-carolina

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

28748

Employer Phone

8287795588

Employer Number of Employees

9

Employer Year Commenced Business

2005

NAICS Code

623110

FW Ownership Interest

N

Employer Contact Name

Young Song Lee

Employer Contact Address 1

101 COUNTRY TIME LANE

Employer Contact Address 2

Employer Contact City

LEICESTER

Employer Contact State/Province

NORTH CAROLINA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

28748

Employer Contact Phone

8287795588

Employer Contact Email

evergreenyslee@yahoo.com

Agent Attorney Name

Thomas Y Choi

Agent Attorney Firm Name

Thomas Choi Law Firm

Agent Attorney Phone

7704579630

Agent Attorney Address 1

5164 Buford Hwy NE

Agent Attorney Address 2

Agent Attorney City

Doraville

Agent Attorney State/Province

GEORGIA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

30340

Agent Attorney Email

choilaw777@yahoo.com

PW Track Number

P10022109084839

PW SOC Code

31-1131.00

PW SOC Title

Nursing Assistant

PW Skill Level

Level II

PW Wage

28350.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2022-11-03

PW Expiration Date

2023-06-30

Wage Offer From

28350.00

Wage Offer To

0.00

Average Salary

28350.00

Wage Unit of Pay

Year

Worksite Address 1

101 Country Time Lane

Worksite Address 2

Worksite City

Leicester

Worksite City Slug

leicester

Worksite State

NORTH CAROLINA

Worksite Postal Code

28748

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

Y

Specific Skills

Must be able to clean feces, urine, blood, and vomit. Must be able to lift at least 60 pounds. Must be flexible for day and night shifts. Must have fluency in Korean.

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

2022-12-01

SWA Job Order End Date

2023-01-07

Sunday Edition Newspaper

Y

First Newspaper Name

Asheville CitizenTimes

First Advertisement Start Date

2022-12-18

Second Newspaper Ad Name

Asheville CitizenTimes

Second Advertisement Type

Newspaper

Second Ad Start Date

2022-12-25

Employer Website From Date

2024-01-01 01:30:20

Employer Website To Date

2024-01-01 01:30:20

Professional Organization Ad From Date

2024-01-01 01:30:20

Professional Organization Advertisement To Date

2024-01-01 01:30:20

Job Search Website From Date

2024-01-01 01:30:20

Job Search Website To Date

2024-01-01 01:30:20

Employee Referral Program From Date

2024-01-01 01:30:20

Employee Referral Program To Date

2024-01-01 01:30:20

Local Ethnic Paper From Date

2024-01-01 01:30:20

Local Ethnic Paper To Date

2024-01-01 01:30:20

Radio/TV Ad From Date

2024-01-01 01:30:20

Radio/TV Ad To Date

2024-01-01 01:30:20

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

SOUTH KOREA

Foreign Worker Birth Country

SOUTH KOREA

Class of Admission

Foreign Worker Education

High School

Foreign Worker Information: Major

QUALIFICATION FOR HIGH SCHOOL GRADUATION

Foreign Worker Years of Education Completed

2022

Foreign Worker Institution of Education

GYEONGGIDO OFFICE OF EDUCATION

Foreign Worker Education Institution Address 1

18 JOWONRO, JANGANGU

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

SUWONSI

Foreign Worker Education Institution State/Province

GYEONGGIDO

Foreign Worker Education Institution Country

SOUTH KOREA

Foreign Worker Education Institution Postal Code

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

Thomas Y Choi

Preparer Title

Attorney at Law

Preparer Email

choilaw777@yahoo.com

Employer Information Declaration Name

Young Song Lee

Employer Information Declaration Title

President