Fiscal Year

2016

Case Number

A-16070-82701

Case Status

Certified

Received Date

2016-03-21

Decision Date

2016-06-29

Refile

Original File Date

2016-01-01 04:06:10

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Randolph Specialty Group Practice

Employer Name Slug

randolph-specialty-group-practice

Employer Address 1

218-C Foust St.

Employer Address 2

Employer City

Asheboro

Employer City Slug

asheboro

Employer State

NC

Employer State Slug

nc

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

27203

Employer Phone

336-625-2333

Employer Number of Employees

190

Employer Year Commenced Business

1993

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

Charles Wintersteen & Associates

Agent Attorney Phone

Agent Attorney Address 1

Agent Attorney Address 2

Agent Attorney City

Chicago

Agent Attorney State/Province

IL

Agent Attorney Country

Agent Attorney Postal Code

Agent Attorney Email

PW Track Number

P10015222828044

PW SOC Code

29-1065

PW SOC Title

Pediatricians, General

PW Skill Level

Level I

PW Wage

131830.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2015-10-13

PW Expiration Date

2016-06-30

Wage Offer From

131830.00

Wage Offer To

0.00

Average Salary

131830.00

Wage Unit of Pay

Year

Worksite Address 1

Worksite Address 2

Worksite City

Asheboro

Worksite City Slug

asheboro

Worksite State

NC

Worksite Postal Code

27203

Job Title

Pediatrician

Job Title Slug

pediatrician

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

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

2015-10-16

SWA Job Order End Date

2015-11-18

Sunday Edition Newspaper

Y

First Newspaper Name

News & Record

First Advertisement Start Date

2015-10-18

Second Newspaper Ad Name

News & Record

Second Advertisement Type

Y

Second Ad Start Date

2015-10-25

Employer Website From Date

2015-10-16

Employer Website To Date

2015-11-02

Professional Organization Ad From Date

2015-11-10

Professional Organization Advertisement To Date

2015-11-16

Job Search Website From Date

2015-10-15

Job Search Website To Date

2015-10-30

Employee Referral Program From Date

2016-01-01 04:06:10

Employee Referral Program To Date

2016-01-01 04:06:10

Local Ethnic Paper From Date

2016-01-01 04:06:10

Local Ethnic Paper To Date

2016-01-01 04:06:10

Radio/TV Ad From Date

2016-01-01 04:06:10

Radio/TV Ad To Date

2016-01-01 04:06:10

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

CANADA

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

2010

Foreign Worker Institution of Education

UNIVERSITY OF SINT EUSTATIUS SCHOOL OF MEDICINE

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

VP, Physician Partnerships & Employer Wellness