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Case Number: A-20041-17395

Fiscal year: 2020

Fiscal Year

2020

Case Number

A-20041-17395

Case Status

Certified

Received Date

2020-03-03

Decision Date

2020-06-29

Refile

N

Original File Date

2020-01-01 08:37:28

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Ascension Medical Group Fox Valley Wisconsin, In

Employer Name Slug

ascension-medical-group-fox-valley-wisconsin-in

Employer Address 1

400 W. River Woods Parkway

Employer Address 2

Employer City

Glendale

Employer City Slug

glendale

Employer State

WISCONSIN

Employer State Slug

wisconsin

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

53212

Employer Phone

414-465-3797

Employer Number of Employees

835

Employer Year Commenced Business

1999

NAICS Code

62111

FW Ownership Interest

N

Employer Contact Name

Lesley O'Connell

Employer Contact Address 1

400 W. River Woods Parkway

Employer Contact Address 2

Employer Contact City

Glendale

Employer Contact State/Province

WISCONSIN

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

53212

Employer Contact Phone

414-465-3797

Employer Contact Email

lesley.oconnell@ascension.org

Agent Attorney Name

Michael L Kim

Agent Attorney Firm Name

Hall, Render, Killian, Heath Lyman, P.C.

Agent Attorney Phone

3179771418

Agent Attorney Address 1

500 North Meridian Street

Agent Attorney Address 2

Suite 400

Agent Attorney City

Indianapolis

Agent Attorney State/Province

INDIANA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

46204

Agent Attorney Email

mkim@hallrender.com

PW Track Number

P10019217034259

PW SOC Code

29-1065

PW SOC Title

Pediatricians, General

PW Skill Level

N/A

PW Wage

208000.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2019-12-03

PW Expiration Date

2020-06-30

Wage Offer From

250000.00

Wage Offer To

0.00

Average Salary

250000.00

Wage Unit of Pay

Year

Worksite Address 1

2700 W. 9th Ave.

Worksite Address 2

Worksite City

Oshkosh

Worksite City Slug

oshkosh

Worksite State

WISCONSIN

Worksite Postal Code

54904

Job Title

Physician (Pediatrics)

Job Title Slug

physician-pediatrics

Minimum Education

Other

Major Field of Study

Medicine

Required Training

N

Required Experience

N

Required Experience Months

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

Position requires M.D. or D.O. or the foreign equivalent of M.D., or D.O., completion of a medical residency in Pediatrics, board eligibility or certification in Pediatrics and Wisconsin physician license.

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

2020-01-22

Sunday Edition Newspaper

Y

First Newspaper Name

Milwaukee Journal Sentinel

First Advertisement Start Date

2020-01-05

Second Newspaper Ad Name

Milwaukee Journal Sentinel

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-01-12

Employer Website From Date

2020-01-01 08:37:28

Employer Website To Date

2020-01-01 08:37:28

Professional Organization Ad From Date

2020-01-16

Professional Organization Advertisement To Date

2020-01-16

Job Search Website From Date

2020-01-06

Job Search Website To Date

2020-01-10

Employee Referral Program From Date

2020-01-01 08:37:28

Employee Referral Program To Date

2020-01-01 08:37:28

Local Ethnic Paper From Date

2020-01-03

Local Ethnic Paper To Date

2020-01-03

Radio/TV Ad From Date

2020-01-01 08:37:28

Radio/TV Ad To Date

2020-01-01 08:37:28

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

NIGERIA

Foreign Worker Birth Country

NIGERIA

Class of Admission

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2010

Foreign Worker Institution of Education

ABIA STATE UNIVERSITY

Foreign Worker Education Institution Address 1

PMB 2000

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

UTURU

Foreign Worker Education Institution State/Province

ABIA

Foreign Worker Education Institution Country

NIGERIA

Foreign Worker Education Institution Postal Code

234

Foreign Worker Experience with Employer

N/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

MICHAEL L KIM

Preparer Title

ATTORNEY

Preparer Email

mkim@hallrender.com

Employer Information Declaration Name

Lesley OConnell

Employer Information Declaration Title

Director of Provider Recruitment