Fiscal Year

2017

Case Number

A-16146-14587

Case Status

Certified

Received Date

2016-11-28

Decision Date

2017-06-23

Refile

N

Original File Date

2017-01-01 05:09:20

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

SAMANTHA BETH BURKA

Employer Name Slug

samantha-beth-burka

Employer Address 1

DBA SAMANTHA BURKA AND ADAM HORDELL FAMILY

Employer Address 2

4813 BAYARD BOULEVARD

Employer City

BETHESDA

Employer City Slug

bethesda

Employer State

MD

Employer State Slug

md

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

20816

Employer Phone

3012292954

Employer Number of Employees

1

Employer Year Commenced Business

2014

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

Glinsmann & Glinsmann, Chartered

Agent Attorney Phone

Agent Attorney Address 1

Agent Attorney Address 2

Agent Attorney City

Gaitersburg

Agent Attorney State/Province

MD

Agent Attorney Country

Agent Attorney Postal Code

Agent Attorney Email

PW Track Number

P10016189108794

PW SOC Code

39-9011

PW SOC Title

Childcare Workers

PW Skill Level

Level I

PW Wage

19.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2016-11-01

PW Expiration Date

2017-06-30

Wage Offer From

10.75

Wage Offer To

0.00

Average Salary

10.75

Wage Unit of Pay

Hour

Worksite Address 1

Worksite Address 2

Worksite City

Bethesda

Worksite City Slug

bethesda

Worksite State

MD

Worksite Postal Code

20816

Job Title

Nanny

Job Title Slug

nanny

Minimum Education

High School

Major Field of Study

Required Training

N

Required Experience

Required Experience Months

12

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

12

Accept Alternative Job Title

Childcare

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

2016-07-07

SWA Job Order End Date

2016-08-09

Sunday Edition Newspaper

Y

First Newspaper Name

Washington Post

First Advertisement Start Date

2016-07-10

Second Newspaper Ad Name

Washington Post

Second Advertisement Type

Y

Second Ad Start Date

2016-07-17

Employer Website From Date

2017-01-01 05:09:20

Employer Website To Date

2017-01-01 05:09:20

Professional Organization Ad From Date

2017-01-01 05:09:20

Professional Organization Advertisement To Date

2017-01-01 05:09:20

Job Search Website From Date

2017-01-01 05:09:20

Job Search Website To Date

2017-01-01 05:09:20

Employee Referral Program From Date

2017-01-01 05:09:20

Employee Referral Program To Date

2017-01-01 05:09:20

Local Ethnic Paper From Date

2017-01-01 05:09:20

Local Ethnic Paper To Date

2017-01-01 05:09:20

Radio/TV Ad From Date

2017-01-01 05:09:20

Radio/TV Ad To Date

2017-01-01 05:09:20

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

POLAND

Foreign Worker Birth Country

POLAND

Class of Admission

J-1

Foreign Worker Education

High School

Foreign Worker Information: Major

HIGH SCHOOL DIPLOMA

Foreign Worker Years of Education Completed

2014

Foreign Worker Institution of Education

THE MIKOLAJ REJ SECONDARY SCHOOL OF GENERAL EDUCATION NO. 1

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

Head of Household