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Case Number: A-19224-43326

Fiscal year: 2020

Fiscal Year

2020

Case Number

A-19224-43326

Case Status

Denied

Received Date

2019-08-12

Decision Date

2019-12-12

Refile

N

Original File Date

2020-01-01 07:49:09

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Albert Kabore RN Medicaid provider

Employer Name Slug

albert-kabore-rn-medicaid-provider

Employer Address 1

1331 Beach Ave

Employer Address 2

Apt 1R

Employer City

Bronx

Employer City Slug

bronx

Employer State

NEW YORK

Employer State Slug

new-york

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

10472

Employer Phone

9173245650

Employer Number of Employees

1

Employer Year Commenced Business

2019

NAICS Code

621610

FW Ownership Interest

Y

Employer Contact Name

Albert Kabore

Employer Contact Address 1

1331 Beach Ave

Employer Contact Address 2

Apt 1R

Employer Contact City

Bronx

Employer Contact State/Province

NEW YORK

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

10472

Employer Contact Phone

9173245650

Employer Contact Email

albertokabore@gmail.com

Agent Attorney Name

Agent Attorney Firm Name

Agent Attorney Phone

Agent Attorney Address 1

Agent Attorney Address 2

Agent Attorney City

Agent Attorney State/Province

Agent Attorney Country

Agent Attorney Postal Code

Agent Attorney Email

PW Track Number

PW SOC Code

29-1141

PW SOC Title

Registered Nurse

PW Skill Level

N/A

PW Wage

32.96

PW Unit of Pay

Hour

PW Wage Source

Other

PW Determination Date

2019-01-31

PW Expiration Date

2019-12-30

Wage Offer From

32.96

Wage Offer To

32.96

Average Salary

32.96

Wage Unit of Pay

Hour

Worksite Address 1

27 Eagle Court

Worksite Address 2

Worksite City

White Plains

Worksite City Slug

white-plains

Worksite State

NEW YORK

Worksite Postal Code

10605

Job Title

Registered Nurse

Job Title Slug

registered-nurse

Minimum Education

Associate's

Major Field of Study

Registered Nurse

Required Training

Y

Required Experience

N

Required Experience Months

Accept Alternative Field of Study

Y

Accept Alternative Major Field of Study

Licensed Practical Nurse

Accept Alternative Combination

N

Accept Alternative Combination Education

Accept Alternative Combination Education Years

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

2019-03-29

SWA Job Order End Date

2019-04-30

Sunday Edition Newspaper

N

First Newspaper Name

NA

First Advertisement Start Date

2019-03-29

Second Newspaper Ad Name

Craigslist

Second Advertisement Type

Journal

Second Ad Start Date

2019-03-29

Employer Website From Date

2020-01-01 07:49:09

Employer Website To Date

2020-01-01 07:49:09

Professional Organization Ad From Date

2020-01-01 07:49:09

Professional Organization Advertisement To Date

2020-01-01 07:49:09

Job Search Website From Date

2020-01-01 07:49:09

Job Search Website To Date

2020-01-01 07:49:09

Employee Referral Program From Date

2020-01-01 07:49:09

Employee Referral Program To Date

2020-01-01 07:49:09

Local Ethnic Paper From Date

2020-01-01 07:49:09

Local Ethnic Paper To Date

2020-01-01 07:49:09

Radio/TV Ad From Date

2020-01-01 07:49:09

Radio/TV Ad To Date

2020-01-01 07:49:09

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

BURKINA FASO

Foreign Worker Birth Country

BURKINA FASO

Class of Admission

Foreign Worker Education

Associate's

Foreign Worker Information: Major

REGISTERED NURSE

Foreign Worker Years of Education Completed

2

Foreign Worker Institution of Education

NATIONAL SCHOOL OF PUBIC HEALTH ENSP

Foreign Worker Education Institution Address 1

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

OUAGADOUGOU

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

BURKINA FASO

Foreign Worker Education Institution Postal Code

Foreign Worker Experience with Employer

Y

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

Y

Preparer Name

Preparer Title

Preparer Email

Employer Information Declaration Name

Albert Kabore

Employer Information Declaration Title

RN Medicaid Provider