Fiscal Year

2017

Case Number

A-12060-42681

Case Status

Denied

Received Date

2012-03-14

Decision Date

2017-05-05

Refile

N

Original File Date

2017-01-01 04:59:15

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

P.O. BOX 1071

Employer City

LEICESTER

Employer City Slug

leicester

Employer State

NC

Employer State Slug

nc

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

28748

Employer Phone

828-779-5588

Employer Number of Employees

11

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

Moon, Park & Associates

Agent Attorney Phone

Agent Attorney Address 1

Agent Attorney Address 2

Agent Attorney City

ANNANDALE

Agent Attorney State/Province

VA

Agent Attorney Country

Agent Attorney Postal Code

Agent Attorney Email

PW Track Number

P10011200843904

PW SOC Code

31-9092.00

PW SOC Title

Medical Assistants

PW Skill Level

Level III

PW Wage

29.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2011-10-03

PW Expiration Date

2012-06-30

Wage Offer From

29.00

Wage Offer To

0.00

Average Salary

29.00

Wage Unit of Pay

Year

Worksite Address 1

Worksite Address 2

Worksite City

Leicester

Worksite City Slug

leicester

Worksite State

NC

Worksite Postal Code

23748

Job Title

Medical Assistant

Job Title Slug

medical-assistant

Minimum Education

High School

Major Field of Study

Required Training

N

Required Experience

Required Experience Months

24

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

N

Application for College/University Teacher

N

SWA Job Order Start Date

2011-10-12

SWA Job Order End Date

2011-11-15

Sunday Edition Newspaper

Y

First Newspaper Name

Asheville Citizen Times

First Advertisement Start Date

2011-10-23

Second Newspaper Ad Name

Asheville Citizen Times

Second Advertisement Type

Y

Second Ad Start Date

2011-10-30

Employer Website From Date

2017-01-01 04:59:15

Employer Website To Date

2017-01-01 04:59:15

Professional Organization Ad From Date

2017-01-01 04:59:15

Professional Organization Advertisement To Date

2017-01-01 04:59:15

Job Search Website From Date

2017-01-01 04:59:15

Job Search Website To Date

2017-01-01 04:59:15

Employee Referral Program From Date

2017-01-01 04:59:15

Employee Referral Program To Date

2017-01-01 04:59:15

Local Ethnic Paper From Date

2017-01-01 04:59:15

Local Ethnic Paper To Date

2017-01-01 04:59:15

Radio/TV Ad From Date

2017-01-01 04:59:15

Radio/TV Ad To Date

2017-01-01 04:59:15

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

Foreign Worker Years of Education Completed

1983

Foreign Worker Institution of Education

DONGIL GIRLS' HIGH SCHOOL

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

President