Fiscal Year

2021

Case Number

A-20241-93290

Case Status

Certified

Received Date

2020-10-02

Decision Date

2021-05-12

Refile

N

Original File Date

2021-01-01 09:22:23

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

HARTFORD HOSPITAL

Employer Name Slug

hartford-hospital

Employer Address 1

80 SEYMOUR STREET

Employer Address 2

Employer City

HARTFORD

Employer City Slug

hartford

Employer State

CONNECTICUT

Employer State Slug

connecticut

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

6102

Employer Phone

8605455000

Employer Number of Employees

6735

Employer Year Commenced Business

1854

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

Melanie Tucker

Employer Contact Address 1

80 Seymour Street

Employer Contact Address 2

H.R. Dept Retreat Avenue

Employer Contact City

Hartford

Employer Contact State/Province

CONNECTICUT

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

6102

Employer Contact Phone

8609727720

Employer Contact Email

Melanie.Tucker@hhchealth.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

P10020014251526

PW SOC Code

29-1071

PW SOC Title

Physician Assistants

PW Skill Level

Level I

PW Wage

44034.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-04-13

PW Expiration Date

2020-07-12

Wage Offer From

107362.50

Wage Offer To

0.00

Average Salary

107362.50

Wage Unit of Pay

Year

Worksite Address 1

85 Seymour Street

Worksite Address 2

Worksite City

Hartford

Worksite City Slug

hartford

Worksite State

CONNECTICUT

Worksite Postal Code

6106

Job Title

Physician Assistant

Job Title Slug

physician-assistant

Minimum Education

Master's

Major Field of Study

Physician Assistant Studies or Medical Science

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

N

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 Masters degree in Physician Assistant Studies or Medical Science; Certification by the National Commission on Certification of Physician Assistants NCCPA; Connecticut Physician Assistant License; Connecticut Controlled Substance Registration for Practitioner; and DEA Controlled Substance Registration Certification for Physician Assistant.

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

2020-07-08

SWA Job Order End Date

2020-08-10

Sunday Edition Newspaper

Y

First Newspaper Name

The Hartford Courant

First Advertisement Start Date

2020-07-12

Second Newspaper Ad Name

The Hartford Courant

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-07-19

Employer Website From Date

2021-01-01 09:22:23

Employer Website To Date

2021-01-01 09:22:23

Professional Organization Ad From Date

2020-08-01

Professional Organization Advertisement To Date

2020-08-01

Job Search Website From Date

2020-07-11

Job Search Website To Date

2020-07-16

Employee Referral Program From Date

2021-01-01 09:22:23

Employee Referral Program To Date

2021-01-01 09:22:23

Local Ethnic Paper From Date

2021-01-01 09:22:23

Local Ethnic Paper To Date

2021-01-01 09:22:23

Radio/TV Ad From Date

2020-07-10

Radio/TV Ad To Date

2020-07-10

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

SOUTH KOREA

Foreign Worker Birth Country

SOUTH KOREA

Class of Admission

Foreign Worker Education

Master's

Foreign Worker Information: Major

MEDICAL SCIENCE

Foreign Worker Years of Education Completed

2017

Foreign Worker Institution of Education

YALE UNIVERSITY

Foreign Worker Education Institution Address 1

333 CEDAR STREET

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

NEW HAVEN

Foreign Worker Education Institution State/Province

CT

Foreign Worker Education Institution Country

UNITED STATES OF AMERICA

Foreign Worker Education Institution Postal Code

6510

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

Melanie Tucker

Employer Information Declaration Title

VP, Human Resources