Fiscal Year

2020

Case Number

A-20016-07658

Case Status

Certified

Received Date

2020-02-25

Decision Date

2020-06-22

Refile

N

Original File Date

2020-01-01 08:31:40

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

LAKEWOOD FAMILY DENTAL OF LAFAYETTE, INC

Employer Name Slug

lakewood-family-dental-of-lafayette-inc

Employer Address 1

2 EXECUTIVE DR.

Employer Address 2

SUITE A.

Employer City

LAFAYETTE

Employer City Slug

lafayette

Employer State

INDIANA

Employer State Slug

indiana

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

47905

Employer Phone

7658076666

Employer Number of Employees

12

Employer Year Commenced Business

2015

NAICS Code

621210

FW Ownership Interest

N

Employer Contact Name

SRINIVASULU KAKOLLU

Employer Contact Address 1

2 EXECUTIVE DR.

Employer Contact Address 2

SUITE A

Employer Contact City

LAFAYETTE

Employer Contact State/Province

INDIANA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

47905

Employer Contact Phone

7658076666

Employer Contact Email

hr@lakewood-familydental.com

Agent Attorney Name

KELLIE N LEGO

Agent Attorney Firm Name

MVP LAW GROUP, P.A.

Agent Attorney Phone

240-390-0600

Agent Attorney Address 1

10632 LITTLE PATUXENT PARKWAY, BUILDING 2000

Agent Attorney Address 2

SUITE 406

Agent Attorney City

COLUMBIA

Agent Attorney State/Province

MARYLAND

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

21044

Agent Attorney Email

KELLIE@MVPLG.COM

PW Track Number

P10019219035635

PW SOC Code

29-1021

PW SOC Title

DENTIST, GENERAL

PW Skill Level

Level III

PW Wage

234083.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2019-12-04

PW Expiration Date

2020-06-30

Wage Offer From

234083.00

Wage Offer To

0.00

Average Salary

234083.00

Wage Unit of Pay

Year

Worksite Address 1

2 EXECUTIVE DRIVE; SUITE A;

Worksite Address 2

AND VARIOUS OFFICE LOCATIONS ZIP CODES61704, 46825, 46016, 46032, 46902

Worksite City

LAFAYETTE

Worksite City Slug

lafayette

Worksite State

INDIANA

Worksite Postal Code

47905

Job Title

ASSOCIATE DENTIST

Job Title Slug

associate-dentist

Minimum Education

Other

Major Field of Study

DENTAL MEDICINE, DENTAL SURGERY

Required Training

N

Required Experience

Y

Required Experience Months

12

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

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

TRAVEL WILL BE REQUIRED TO VISIT VARIOUS DENTAL OFFICES ZIP CODES47905, 61704, 46825, 46016, 46032, 46902;br IN IL STATE DENTAL LICENSES; ANDbr KNOWLEDGE OF THE DIAGNOSIS AND TREATMENT OF ORAL AND DENTAL CONDITIONS

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

2019-12-17

SWA Job Order End Date

2020-01-21

Sunday Edition Newspaper

Y

First Newspaper Name

THE LAFAYETTE JOURNAL COURIER

First Advertisement Start Date

2019-12-15

Second Newspaper Ad Name

THE LAFAYETTE JOURNAL COURIER

Second Advertisement Type

Newspaper

Second Ad Start Date

2019-12-22

Employer Website From Date

2019-12-11

Employer Website To Date

2019-12-26

Professional Organization Ad From Date

2020-01-01 08:31:40

Professional Organization Advertisement To Date

2020-01-01 08:31:40

Job Search Website From Date

2019-12-15

Job Search Website To Date

2019-12-30

Employee Referral Program From Date

2020-01-01 08:31:40

Employee Referral Program To Date

2020-01-01 08:31:40

Local Ethnic Paper From Date

2019-12-19

Local Ethnic Paper To Date

2019-12-19

Radio/TV Ad From Date

2020-01-01 08:31:40

Radio/TV Ad To Date

2020-01-01 08:31:40

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

INDIA

Foreign Worker Birth Country

INDIA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

DENTAL MEDICINE

Foreign Worker Years of Education Completed

2016

Foreign Worker Institution of Education

BOSTON UNIVERSITY, HENRY M. GOLDMAN SCHOOL OF DENTAL MEDICINE

Foreign Worker Education Institution Address 1

72 EAST CONCORD STREET B305

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

BOSTON

Foreign Worker Education Institution State/Province

MA

Foreign Worker Education Institution Country

UNITED STATES OF AMERICA

Foreign Worker Education Institution Postal Code

2118

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

KELLIE N LEGO

Preparer Title

ATTORNEY

Preparer Email

KELLIE@MVPLG.COM

Employer Information Declaration Name

SRINIVASULU KAKOLLU

Employer Information Declaration Title

OWNER DDS