Fiscal Year

2021

Case Number

A-21005-38839

Case Status

Certified

Received Date

2021-03-03

Decision Date

2021-08-04

Refile

N

Original File Date

2021-01-01 09:55:50

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

MOSE AND GARRISON SISKIN MEMORIAL FOUNDATION, INC.

Employer Name Slug

mose-and-garrison-siskin-memorial-foundation-inc

Employer Address 1

DBA SISKIN CENTER FOR DEVELOPMENTAL PEDIATRICS

Employer Address 2

1101 CARTER STREET

Employer City

CHATTANOOGA

Employer City Slug

chattanooga

Employer State

TENNESSEE

Employer State Slug

tennessee

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

37402

Employer Phone

4234907710

Employer Number of Employees

185

Employer Year Commenced Business

1977

NAICS Code

62111

FW Ownership Interest

N

Employer Contact Name

Jeaninne R Houck

Employer Contact Address 1

1101 CARTER STREET

Employer Contact Address 2

Employer Contact City

CHATTANOOGA

Employer Contact State/Province

TENNESSEE

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

37402

Employer Contact Phone

423-648-1720

Employer Contact Email

jeaninne.houck@siskin.org

Agent Attorney Name

Brian T Bruner

Agent Attorney Firm Name

Bruner Law Group, PLLC

Agent Attorney Phone

612-205-5494

Agent Attorney Address 1

5125 County Road 101

Agent Attorney Address 2

Suite 106

Agent Attorney City

Minnetonka

Agent Attorney State/Province

MINNESOTA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

55345

Agent Attorney Email

bbruner@brunerlawgroup.com

PW Track Number

P10020095460320

PW SOC Code

29-1065

PW SOC Title

Pediatricians, General

PW Skill Level

Level II

PW Wage

142314.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-07-16

PW Expiration Date

2021-06-30

Wage Offer From

235000.00

Wage Offer To

0.00

Average Salary

235000.00

Wage Unit of Pay

Year

Worksite Address 1

1101 Carter Street

Worksite Address 2

Worksite City

Chattanooga

Worksite City Slug

chattanooga

Worksite State

TENNESSEE

Worksite Postal Code

37402

Job Title

Developmental-Behavioral Pediatrician

Job Title Slug

developmental-behavioral-pediatrician

Minimum Education

Other

Major Field of Study

Medicine

Required Training

Y

Required Experience

Y

Required Experience Months

36

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

MD or Foreign Equivalent; Completion of Pediatrics Residency Program; BC in Pediatrics; Completion of DevelopmentalBehavioral Pediatrics Fellowship Program; BE or BC in DevelopmentalBehavioral Pediatrics; 3 years of experience; and possess or be eligible for a Tennessee Medical 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

2020-09-21

SWA Job Order End Date

2020-10-22

Sunday Edition Newspaper

Y

First Newspaper Name

Chattanooga Times Free Press

First Advertisement Start Date

2020-09-06

Second Newspaper Ad Name

Chattanooga Times Free Press

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-09-13

Employer Website From Date

2021-01-01 09:55:50

Employer Website To Date

2021-01-01 09:55:50

Professional Organization Ad From Date

2020-12-22

Professional Organization Advertisement To Date

2020-12-29

Job Search Website From Date

2020-12-18

Job Search Website To Date

2021-01-01

Employee Referral Program From Date

2021-01-01 09:55:50

Employee Referral Program To Date

2021-01-01 09:55:50

Local Ethnic Paper From Date

2021-01-01 09:55:50

Local Ethnic Paper To Date

2021-01-01 09:55:50

Radio/TV Ad From Date

2021-01-01 09:55:50

Radio/TV Ad To Date

2021-01-01 09:55:50

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

DOMINICAN REPUBLIC

Foreign Worker Birth Country

DOMINICAN REPUBLIC

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2006

Foreign Worker Institution of Education

UNIVERSIDAD IBEROAMERICANA

Foreign Worker Education Institution Address 1

AV. FRANCIA 129

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

SANTO DOMINGO

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

DOMINICAN REPUBLIC

Foreign Worker Education Institution Postal Code

10203

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

BRIAN T BRUNER

Preparer Title

PartnerLead Engagement Attorney

Preparer Email

bbruner@brunerlawgroup.com

Employer Information Declaration Name

DEREK BULLARD

Employer Information Declaration Title

PresidentChief Executive Officer