Fiscal Year

2021

Case Number

A-20203-78904

Case Status

Certified

Received Date

2020-07-24

Decision Date

2021-06-28

Refile

N

Original File Date

2021-01-01 09:43:08

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

STAYWELL HEALTH CENTER

Employer Name Slug

staywell-health-center

Employer Address 1

80 PHOENIX AVENUE

Employer Address 2

Employer City

WATERBURY

Employer City Slug

waterbury

Employer State

CONNECTICUT

Employer State Slug

connecticut

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

6702

Employer Phone

203-756-8021

Employer Number of Employees

200

Employer Year Commenced Business

1994

NAICS Code

621111

FW Ownership Interest

N

Employer Contact Name

Lynn Tripp

Employer Contact Address 1

80 Phoenix Avenue

Employer Contact Address 2

Employer Contact City

Waterbury

Employer Contact State/Province

CONNECTICUT

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

6702

Employer Contact Phone

203-756-8021

Employer Contact Email

ltripp@staywellhealth.org

Agent Attorney Name

Lauren M Hopwood

Agent Attorney Firm Name

Carmody Torrance Sandak and Hennessey LLP

Agent Attorney Phone

203-784-3104

Agent Attorney Address 1

195 Church Street, 18th Floor

Agent Attorney Address 2

Agent Attorney City

New Haven

Agent Attorney State/Province

CONNECTICUT

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

6510

Agent Attorney Email

lhopwood@carmodylaw.com

PW Track Number

P10020035297607

PW SOC Code

29-1062

PW SOC Title

Family Practice Physician

PW Skill Level

Level I

PW Wage

159744.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-04-28

PW Expiration Date

2020-07-27

Wage Offer From

181737.00

Wage Offer To

0.00

Average Salary

181737.00

Wage Unit of Pay

Year

Worksite Address 1

80 Phoenix Avenue, Suite 201

Worksite Address 2

Worksite City

Waterbury

Worksite City Slug

waterbury

Worksite State

CONNECTICUT

Worksite Postal Code

6702

Job Title

Family Practice Physician

Job Title Slug

family-practice-physician

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

Valid CT physician license prior to employment commencing; M.D. degree or certified foreign equivalent degree; completion of Internal Medicine residency program; and BEBC in Internal Medicine.

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

2020-03-09

SWA Job Order End Date

2020-04-09

Sunday Edition Newspaper

Y

First Newspaper Name

Republican American

First Advertisement Start Date

2020-03-15

Second Newspaper Ad Name

Republican American

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-03-22

Employer Website From Date

2020-03-16

Employer Website To Date

2020-06-19

Professional Organization Ad From Date

2021-01-01 09:43:08

Professional Organization Advertisement To Date

2021-01-01 09:43:08

Job Search Website From Date

2021-01-01 09:43:08

Job Search Website To Date

2021-01-01 09:43:08

Employee Referral Program From Date

2021-01-01 09:43:08

Employee Referral Program To Date

2021-01-01 09:43:08

Local Ethnic Paper From Date

2020-03-26

Local Ethnic Paper To Date

2020-03-26

Radio/TV Ad From Date

2020-04-16

Radio/TV Ad To Date

2020-04-16

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

MEDICINE

Foreign Worker Years of Education Completed

2009

Foreign Worker Institution of Education

DATTA MEGHE INSTITUTE OF MEDICAL SCIENCES

Foreign Worker Education Institution Address 1

SAWANGI MEGHE

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

WARDHA

Foreign Worker Education Institution State/Province

MAHARASHTRA

Foreign Worker Education Institution Country

INDIA

Foreign Worker Education Institution Postal Code

442004

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

Lauren M Hopwood

Preparer Title

Attorney

Preparer Email

lhopwood@carmodylaw.com

Employer Information Declaration Name

Lynn Tripp

Employer Information Declaration Title

Human Resources Director