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Case Number: A-19189-27782

Fiscal year: 2020

Fiscal Year

2020

Case Number

A-19189-27782

Case Status

Denied

Received Date

2019-07-12

Decision Date

2020-05-07

Refile

N

Original File Date

2020-01-01 07:33:11

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

DACZKOWSKI ORTHODONTICS

Employer Name Slug

daczkowski-orthodontics

Employer Address 1

8715 STONEWALL RD

Employer Address 2

Employer City

MANASSAS

Employer City Slug

manassas

Employer State

VIRGINIA

Employer State Slug

virginia

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

20110

Employer Phone

(703) 361-4278

Employer Number of Employees

10

Employer Year Commenced Business

2015

NAICS Code

621210

FW Ownership Interest

N

Employer Contact Name

Thomas W Daczkowski

Employer Contact Address 1

8715 Stonewall Rd

Employer Contact Address 2

Employer Contact City

Manassas

Employer Contact State/Province

VIRGINIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

20110

Employer Contact Phone

(703) 361-4278

Employer Contact Email

wdacz@live.com

Agent Attorney Name

DAN D PARK

Agent Attorney Firm Name

Law Office of Dan Park, PLLC

Agent Attorney Phone

(703) 931-1740

Agent Attorney Address 1

8245 Boone Blvd.

Agent Attorney Address 2

Suite 704

Agent Attorney City

Vienna

Agent Attorney State/Province

VIRGINIA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

22182

Agent Attorney Email

immigrationlaw@hotmail.com

PW Track Number

P10018271687558

PW SOC Code

31-9091

PW SOC Title

Dental Assistants

PW Skill Level

Level III

PW Wage

46613.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2019-02-08

PW Expiration Date

2019-06-30

Wage Offer From

46613.00

Wage Offer To

0.00

Average Salary

46613.00

Wage Unit of Pay

Year

Worksite Address 1

8715 Stonewall Road

Worksite Address 2

Worksite City

Manassas

Worksite City Slug

manassas

Worksite State

VIRGINIA

Worksite Postal Code

20110

Job Title

Orthodontic Assistant

Job Title Slug

orthodontic-assistant

Minimum Education

High School

Major Field of Study

Required Training

N

Required Experience

Y

Required Experience Months

24

Accept Alternative Field of Study

Y

Accept Alternative Major Field of Study

Any suitable combination of job experience and education is acceptable

Accept Alternative Combination

Y

Accept Alternative Combination Education

Associate's

Accept Alternative Combination Education Years

0

Accept Foreign Education

Y

Accept Alternative Occupation

N

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

2019-02-20

SWA Job Order End Date

2019-03-25

Sunday Edition Newspaper

Y

First Newspaper Name

The Washington Post

First Advertisement Start Date

2019-04-21

Second Newspaper Ad Name

The Washington Post

Second Advertisement Type

Newspaper

Second Ad Start Date

2019-05-05

Employer Website From Date

2020-01-01 07:33:11

Employer Website To Date

2020-01-01 07:33:11

Professional Organization Ad From Date

2020-01-01 07:33:11

Professional Organization Advertisement To Date

2020-01-01 07:33:11

Job Search Website From Date

2020-01-01 07:33:11

Job Search Website To Date

2020-01-01 07:33:11

Employee Referral Program From Date

2020-01-01 07:33:11

Employee Referral Program To Date

2020-01-01 07:33:11

Local Ethnic Paper From Date

2020-01-01 07:33:11

Local Ethnic Paper To Date

2020-01-01 07:33:11

Radio/TV Ad From Date

2020-01-01 07:33:11

Radio/TV Ad To Date

2020-01-01 07:33:11

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

PERU

Foreign Worker Birth Country

PERU

Class of Admission

B-2

Foreign Worker Education

High School

Foreign Worker Information: Major

HIGH SCHOOL DIPLOMA

Foreign Worker Years of Education Completed

1994

Foreign Worker Institution of Education

EISENHOWER HIGH SCHOOL

Foreign Worker Education Institution Address 1

1321 N LILAC AVENUE

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

RIALTO

Foreign Worker Education Institution State/Province

CA

Foreign Worker Education Institution Country

UNITED STATES OF AMERICA

Foreign Worker Education Institution Postal Code

92376

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

DAN D PARK

Preparer Title

Attorney

Preparer Email

immigrationlaw@hotmail.com

Employer Information Declaration Name

Thomas W Daczkowski

Employer Information Declaration Title

President