Fiscal Year

2018

Case Number

A-17346-20813

Case Status

Certified

Received Date

2018-01-12

Decision Date

2018-05-22

Refile

N

Original File Date

2018-01-01 06:01:15

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Peninsula Community Health Services

Employer Name Slug

peninsula-community-health-services

Employer Address 1

400 Warren Avenue, Suite 200

Employer Address 2

PO Box 960

Employer City

Bremerton

Employer City Slug

bremerton

Employer State

WA

Employer State Slug

wa

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

98337

Employer Phone

360-475-6700

Employer Number of Employees

240

Employer Year Commenced Business

1989

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 Dayna Kelly, P.C.

Agent Attorney Phone

Agent Attorney Address 1

Agent Attorney Address 2

Agent Attorney City

Chapel Hill

Agent Attorney State/Province

NC

Agent Attorney Country

Agent Attorney Postal Code

Agent Attorney Email

PW Track Number

P10017055855988

PW SOC Code

29-1062

PW SOC Title

Family and General Practitioners

PW Skill Level

Level I

PW Wage

138.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2017-06-20

PW Expiration Date

2017-09-18

Wage Offer From

180.00

Wage Offer To

217.00

Average Salary

198.50

Wage Unit of Pay

Year

Worksite Address 1

Worksite Address 2

Worksite City

Bremerton

Worksite City Slug

bremerton

Worksite State

WA

Worksite Postal Code

98337

Job Title

Family Practice Physician

Job Title Slug

family-practice-physician

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

2017-11-01

SWA Job Order End Date

2017-12-01

Sunday Edition Newspaper

Y

First Newspaper Name

Kitsap Sun

First Advertisement Start Date

2017-08-20

Second Newspaper Ad Name

Kitsap Sun

Second Advertisement Type

Y

Second Ad Start Date

2017-08-27

Employer Website From Date

2017-08-10

Employer Website To Date

2017-10-09

Professional Organization Ad From Date

2018-01-01 06:01:15

Professional Organization Advertisement To Date

2018-01-01 06:01:15

Job Search Website From Date

2017-08-21

Job Search Website To Date

2017-09-18

Employee Referral Program From Date

2018-01-01 06:01:15

Employee Referral Program To Date

2018-01-01 06:01:15

Local Ethnic Paper From Date

2018-01-01 06:01:15

Local Ethnic Paper To Date

2018-01-01 06:01:15

Radio/TV Ad From Date

2017-08-26

Radio/TV Ad To Date

2017-08-30

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

CANADA

Foreign Worker Birth Country

CANADA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2011

Foreign Worker Institution of Education

AMERICAN UNIVERSITY OF ANTIGUA COLLEGE 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

Chief Executive Officer