Fiscal Year

2017

Case Number

A-17121-32415

Case Status

Certified

Received Date

2017-05-04

Decision Date

2017-07-14

Refile

N

Original File Date

2017-01-01 05:13:08

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

WORLD CHAMPION TKD, INC

Employer Name Slug

world-champion-tkd-inc

Employer Address 1

3 MONROE PARKWAY, SUITE K

Employer Address 2

Employer City

LAKE OSWEGO

Employer City Slug

lake-oswego

Employer State

OR

Employer State Slug

or

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

97035

Employer Phone

503 534-3029

Employer Number of Employees

12

Employer Year Commenced Business

2000

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

Law Offices of David M. Moon

Agent Attorney Phone

Agent Attorney Address 1

Agent Attorney Address 2

Agent Attorney City

Burlingame

Agent Attorney State/Province

CA

Agent Attorney Country

Agent Attorney Postal Code

Agent Attorney Email

PW Track Number

P10016336234985

PW SOC Code

25-3021

PW SOC Title

Self-Enrichment Education Teachers

PW Skill Level

Level III

PW Wage

43.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2017-02-22

PW Expiration Date

2017-06-30

Wage Offer From

43.00

Wage Offer To

0.00

Average Salary

43.00

Wage Unit of Pay

Year

Worksite Address 1

Worksite Address 2

Worksite City

Lake Oswego

Worksite City Slug

lake-oswego

Worksite State

OR

Worksite Postal Code

97035

Job Title

Taekwondo Instructor

Job Title Slug

taekwondo-instructor

Minimum Education

None

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

N

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

2017-02-23

SWA Job Order End Date

2017-04-03

Sunday Edition Newspaper

Y

First Newspaper Name

The Oregonian

First Advertisement Start Date

2017-03-05

Second Newspaper Ad Name

The Oregonian

Second Advertisement Type

Y

Second Ad Start Date

2017-03-12

Employer Website From Date

2017-01-01 05:13:08

Employer Website To Date

2017-01-01 05:13:08

Professional Organization Ad From Date

2017-01-01 05:13:08

Professional Organization Advertisement To Date

2017-01-01 05:13:08

Job Search Website From Date

2017-01-01 05:13:08

Job Search Website To Date

2017-01-01 05:13:08

Employee Referral Program From Date

2017-01-01 05:13:08

Employee Referral Program To Date

2017-01-01 05:13:08

Local Ethnic Paper From Date

2017-01-01 05:13:08

Local Ethnic Paper To Date

2017-01-01 05:13:08

Radio/TV Ad From Date

2017-01-01 05:13:08

Radio/TV Ad To Date

2017-01-01 05:13:08

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

F-1

Foreign Worker Education

None

Foreign Worker Information: Major

Foreign Worker Years of Education Completed

Foreign Worker Institution of Education

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