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Case Number: A-20248-96216

Fiscal year: 2021

Fiscal Year

2021

Case Number

A-20248-96216

Case Status

Certified

Received Date

2020-09-13

Decision Date

2021-07-28

Refile

N

Original File Date

2021-01-01 09:53:58

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Anne Lauren Zack

Employer Name Slug

anne-lauren-zack

Employer Address 1

3156 Goldenwave Court

Employer Address 2

Employer City

Fairfax

Employer City Slug

fairfax

Employer State

VIRGINIA

Employer State Slug

virginia

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

22031

Employer Phone

2107225297

Employer Number of Employees

1

Employer Year Commenced Business

2020

NAICS Code

814110

FW Ownership Interest

N

Employer Contact Name

Anne L Zack

Employer Contact Address 1

3156 Goldenwave Court

Employer Contact Address 2

Employer Contact City

Fairfax

Employer Contact State/Province

VIRGINIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

22031

Employer Contact Phone

2107225297

Employer Contact Email

laurenzack@gmail.com

Agent Attorney Name

Radlyn C Mendoza

Agent Attorney Firm Name

Gardner and Mendoza PC

Agent Attorney Phone

7574649224

Agent Attorney Address 1

909 First Colonial Road

Agent Attorney Address 2

Suite 100

Agent Attorney City

Virginia Beach

Agent Attorney State/Province

VIRGINIA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

23454

Agent Attorney Email

skflollar@gmlaw.net

PW Track Number

P10020062365767

PW SOC Code

39-9011

PW SOC Title

Nanny

PW Skill Level

Level I

PW Wage

20530.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-05-15

PW Expiration Date

2020-08-13

Wage Offer From

20530.00

Wage Offer To

0.00

Average Salary

20530.00

Wage Unit of Pay

Year

Worksite Address 1

3156 Goldenwave Court

Worksite Address 2

Worksite City

Fairfax

Worksite City Slug

fairfax

Worksite State

VIRGINIA

Worksite Postal Code

22031

Job Title

Caregiver

Job Title Slug

caregiver

Minimum Education

High School

Major Field of Study

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

Must pass criminal background check, must pass drug test, must be eligible and able to acquire Virginia state drivers license by start date. Daily travel incidental to the position within the same MSA to transport children to and from school, after school activities, companions homes, and medical appointments.

Combination Occupation

N

Offered to Applicant Foreign Worker

Y

Foreign Worker Live on Premises

Y

Foreign Worker Live in Domestic Service

Y

Foreign Worker Live in Domestic Service Count

Professional Occupation

N

Application for College/University Teacher

N

SWA Job Order Start Date

2020-06-24

SWA Job Order End Date

2020-07-29

Sunday Edition Newspaper

Y

First Newspaper Name

The Washington Post

First Advertisement Start Date

2020-06-21

Second Newspaper Ad Name

The Washington Post

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-06-28

Employer Website From Date

2021-01-01 09:53:58

Employer Website To Date

2021-01-01 09:53:58

Professional Organization Ad From Date

2021-01-01 09:53:58

Professional Organization Advertisement To Date

2021-01-01 09:53:58

Job Search Website From Date

2021-01-01 09:53:58

Job Search Website To Date

2021-01-01 09:53:58

Employee Referral Program From Date

2021-01-01 09:53:58

Employee Referral Program To Date

2021-01-01 09:53:58

Local Ethnic Paper From Date

2021-01-01 09:53:58

Local Ethnic Paper To Date

2021-01-01 09:53:58

Radio/TV Ad From Date

2021-01-01 09:53:58

Radio/TV Ad To Date

2021-01-01 09:53:58

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

BOLIVIA

Foreign Worker Birth Country

BOLIVIA

Class of Admission

Not in USA

Foreign Worker Education

High School

Foreign Worker Information: Major

BACHILLER COMERCIAL

Foreign Worker Years of Education Completed

2005

Foreign Worker Institution of Education

UNIVERSIDAD MAYOR DE SAN ANDRES

Foreign Worker Education Institution Address 1

J.J. PEREZ

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

LA PAZ

Foreign Worker Education Institution State/Province

MURILLO

Foreign Worker Education Institution Country

BOLIVIA

Foreign Worker Education Institution Postal Code

N/A

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

N

Preparer Name

Sarah Katherine F Lollar

Preparer Title

Attorney

Preparer Email

skflollar@gmlaw.net

Employer Information Declaration Name

Lauren A Zack

Employer Information Declaration Title

Owner