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Case Number: A-20199-77961

Fiscal year: 2021

Fiscal Year

2021

Case Number

A-20199-77961

Case Status

Certified-Expired

Received Date

2020-07-23

Decision Date

2021-03-03

Refile

N

Original File Date

2021-01-01 09:04:36

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

TIOGA MEDICAL CENTER

Employer Name Slug

tioga-medical-center

Employer Address 1

810 N. WELO ST.

Employer Address 2

PO BOX 159

Employer City

TIOGA

Employer City Slug

tioga

Employer State

NORTH DAKOTA

Employer State Slug

north-dakota

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

58852-0159

Employer Phone

701-664-3305

Employer Number of Employees

135

Employer Year Commenced Business

1953

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

Randall K Pederson

Employer Contact Address 1

810 N. WELO ST.

Employer Contact Address 2

PO BOX 159

Employer Contact City

TIOGA

Employer Contact State/Province

NORTH DAKOTA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

58852-0159

Employer Contact Phone

701-664-3305 9202

Employer Contact Email

rpederson@tiogahealth.org

Agent Attorney Name

Carlo Franco Borja

Agent Attorney Firm Name

Agent Attorney Phone

9093780318

Agent Attorney Address 1

20955 Pathfinder Rd. Ste. 100

Agent Attorney Address 2

Agent Attorney City

Diamond Bar

Agent Attorney State/Province

CALIFORNIA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

91765

Agent Attorney Email

info@cborjalaw.com

PW Track Number

P10020035295363

PW SOC Code

29-2011

PW SOC Title

Medical and Clinical Laboratory Technologists

PW Skill Level

Level II

PW Wage

48277.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-04-27

PW Expiration Date

2020-07-26

Wage Offer From

48277.00

Wage Offer To

0.00

Average Salary

48277.00

Wage Unit of Pay

Year

Worksite Address 1

810 N Welo St

Worksite Address 2

Worksite City

Tioga

Worksite City Slug

tioga

Worksite State

NORTH DAKOTA

Worksite Postal Code

58852

Job Title

Clinical Laboratory Scientist

Job Title Slug

clinical-laboratory-scientist

Minimum Education

Bachelor's

Major Field of Study

medical technology or related

Required Training

N

Required Experience

Y

Required Experience Months

6

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

Y

Accept Alternative Occupation Months

6

Accept Alternative Job Title

medical technologist or related

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

clinical laboratory scientistmedical technologist 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

2020-05-06

SWA Job Order End Date

2020-06-06

Sunday Edition Newspaper

Y

First Newspaper Name

Williston Herald

First Advertisement Start Date

2020-05-10

Second Newspaper Ad Name

Williston Herald

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-05-17

Employer Website From Date

2020-05-06

Employer Website To Date

2020-05-29

Professional Organization Ad From Date

2021-01-01 09:04:36

Professional Organization Advertisement To Date

2021-01-01 09:04:36

Job Search Website From Date

2020-05-18

Job Search Website To Date

2020-06-10

Employee Referral Program From Date

2021-01-01 09:04:36

Employee Referral Program To Date

2021-01-01 09:04:36

Local Ethnic Paper From Date

2020-05-13

Local Ethnic Paper To Date

2020-05-13

Radio/TV Ad From Date

2021-01-01 09:04:36

Radio/TV Ad To Date

2021-01-01 09:04:36

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

PHILIPPINES

Foreign Worker Birth Country

PHILIPPINES

Class of Admission

Foreign Worker Education

Bachelor's

Foreign Worker Information: Major

MEDICAL TECHNOLOGY

Foreign Worker Years of Education Completed

2011

Foreign Worker Institution of Education

CAGAYAN STATE UNIVERSITY

Foreign Worker Education Institution Address 1

CARITAN SUR

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

TUGUEGARAO CITY

Foreign Worker Education Institution State/Province

CAGAYAN

Foreign Worker Education Institution Country

PHILIPPINES

Foreign Worker Education Institution Postal Code

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

Carlo Franco Borja

Preparer Title

Attorney

Preparer Email

info@cborjalaw.com

Employer Information Declaration Name

Randall K Pederson

Employer Information Declaration Title

President