Fiscal Year

2021

Case Number

A-20244-94226

Case Status

Certified

Received Date

2020-09-08

Decision Date

2021-08-12

Refile

N

Original File Date

2021-01-01 09:58:51

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Rifle Smiles PC

Employer Name Slug

rifle-smiles-pc

Employer Address 1

1430 Railroad Ave

Employer Address 2

Employer City

Rifle

Employer City Slug

rifle

Employer State

COLORADO

Employer State Slug

colorado

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

81650

Employer Phone

9706251696

Employer Number of Employees

13

Employer Year Commenced Business

2013

NAICS Code

621210

FW Ownership Interest

N

Employer Contact Name

Monica Cappelli

Employer Contact Address 1

1430 Railroad Ave

Employer Contact Address 2

Employer Contact City

Rifle

Employer Contact State/Province

COLORADO

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

81650

Employer Contact Phone

9706251696

Employer Contact Email

mhcappelli@rifledentalcare.com

Agent Attorney Name

Theodore G Hess

Agent Attorney Firm Name

Ted Hess Associates, LLC

Agent Attorney Phone

9709455300

Agent Attorney Address 1

110 8th Street

Agent Attorney Address 2

Agent Attorney City

Glenwood Springs

Agent Attorney State/Province

COLORADO

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

81601

Agent Attorney Email

ted@tedhess.com

PW Track Number

P10020078416528

PW SOC Code

31-9091

PW SOC Title

Certified Dental Assistant

PW Skill Level

Level II

PW Wage

38501.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-06-11

PW Expiration Date

2020-09-09

Wage Offer From

38501.00

Wage Offer To

0.00

Average Salary

38501.00

Wage Unit of Pay

Year

Worksite Address 1

1430 Railroad Avenue

Worksite Address 2

Suite B

Worksite City

Rifle

Worksite City Slug

rifle

Worksite State

COLORADO

Worksite Postal Code

81650

Job Title

Certified Dental Assistant

Job Title Slug

certified-dental-assistant

Minimum Education

High School

Major Field of Study

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

Job requires a Dental Assistant Certification from a trade school approved by the Colorado Department of Higher Education or equivalent agency of another state.

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

N

Application for College/University Teacher

N

SWA Job Order Start Date

2020-07-08

SWA Job Order End Date

2020-08-08

Sunday Edition Newspaper

N

First Newspaper Name

The Citizen Telegram

First Advertisement Start Date

2020-07-09

Second Newspaper Ad Name

The Citizen Telegram

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-07-16

Employer Website From Date

2021-01-01 09:58:51

Employer Website To Date

2021-01-01 09:58:51

Professional Organization Ad From Date

2021-01-01 09:58:51

Professional Organization Advertisement To Date

2021-01-01 09:58:51

Job Search Website From Date

2021-01-01 09:58:51

Job Search Website To Date

2021-01-01 09:58:51

Employee Referral Program From Date

2021-01-01 09:58:51

Employee Referral Program To Date

2021-01-01 09:58:51

Local Ethnic Paper From Date

2021-01-01 09:58:51

Local Ethnic Paper To Date

2021-01-01 09:58:51

Radio/TV Ad From Date

2021-01-01 09:58:51

Radio/TV Ad To Date

2021-01-01 09:58:51

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

MEXICO

Foreign Worker Birth Country

MEXICO

Class of Admission

B-2

Foreign Worker Education

High School

Foreign Worker Information: Major

NA

Foreign Worker Years of Education Completed

2004

Foreign Worker Institution of Education

DE BEQUE HIGH SCHOOL

Foreign Worker Education Institution Address 1

730 MINTER AVE

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

DE BEQUE

Foreign Worker Education Institution State/Province

CO

Foreign Worker Education Institution Country

UNITED STATES OF AMERICA

Foreign Worker Education Institution Postal Code

81630

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

Theodore G Hess

Preparer Title

Attorney

Preparer Email

ted@tedhess.com

Employer Information Declaration Name

Monica H Cappelli

Employer Information Declaration Title

Practice Manager