All Details of Green Card Application:

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Case Number: A-21111-76418

Fiscal year: 2021

Fiscal Year

2021

Case Number

A-21111-76418

Case Status

Certified

Received Date

2021-04-22

Decision Date

2021-09-01

Refile

N

Original File Date

2021-01-01 10:07:13

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Community Health Services

Employer Name Slug

community-health-services

Employer Address 1

2221 Hayes Avenue

Employer Address 2

Employer City

Fremont

Employer City Slug

fremont

Employer State

OHIO

Employer State Slug

ohio

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

43420

Employer Phone

4193343869

Employer Number of Employees

80

Employer Year Commenced Business

1972

NAICS Code

621111

FW Ownership Interest

N

Employer Contact Name

Jessica Garza

Employer Contact Address 1

2221 Hayes Avenue

Employer Contact Address 2

Employer Contact City

Fremont

Employer Contact State/Province

OHIO

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

43420

Employer Contact Phone

4193348943 223

Employer Contact Email

jgarza@FremontCHS.com

Agent Attorney Name

Agent Attorney Firm Name

Agent Attorney Phone

Agent Attorney Address 1

Agent Attorney Address 2

Agent Attorney City

Agent Attorney State/Province

Agent Attorney Country

Agent Attorney Postal Code

Agent Attorney Email

PW Track Number

P10020335930315

PW SOC Code

29-1065

PW SOC Title

Pediatrician

PW Skill Level

Level I

PW Wage

82160.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-04-09

PW Expiration Date

2021-07-08

Wage Offer From

180000.00

Wage Offer To

0.00

Average Salary

180000.00

Wage Unit of Pay

Year

Worksite Address 1

2276 W State Street

Worksite Address 2

Worksite City

Fremont

Worksite City Slug

fremont

Worksite State

OHIO

Worksite Postal Code

43420

Job Title

Pediatrician

Job Title Slug

pediatrician

Minimum Education

Doctorate

Major Field of Study

Medicine

Required Training

Y

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

Diagnosis and treatment of illness and disease in Children from infancy to 21 years of age. 4 year medical degree, 3 year US Pediatric Residency, USMLE and ECFMG exams, Ohio Medical License, DEA cert for administering drugs, many procedures including wound care, vital stats, mending bones and treatment of most illnesses. Detailed medical recordingcharts.

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

2021-02-19

SWA Job Order End Date

2021-03-22

Sunday Edition Newspaper

Y

First Newspaper Name

The Blade

First Advertisement Start Date

2021-02-21

Second Newspaper Ad Name

Fremont NewsMessenger

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-02-21

Employer Website From Date

2020-11-23

Employer Website To Date

2021-04-01

Professional Organization Ad From Date

2021-01-01 10:07:13

Professional Organization Advertisement To Date

2021-01-01 10:07:13

Job Search Website From Date

2020-11-27

Job Search Website To Date

2021-03-26

Employee Referral Program From Date

2021-01-01 10:07:13

Employee Referral Program To Date

2021-01-01 10:07:13

Local Ethnic Paper From Date

2021-02-21

Local Ethnic Paper To Date

2021-03-14

Radio/TV Ad From Date

2021-01-01 10:07:13

Radio/TV Ad To Date

2021-01-01 10:07:13

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

CANADA

Foreign Worker Birth Country

TRINIDAD AND TOBAGO

Class of Admission

H-1B

Foreign Worker Education

Doctorate

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2013

Foreign Worker Institution of Education

AMERICAN UNIVERSITY OF THE CARIBBEAN SCHOOL OF MEDICINE

Foreign Worker Education Institution Address 1

1 UNIVERSITY DRIVE AT, JORDAN DR,

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

CUPECOY

Foreign Worker Education Institution State/Province

ST. MAARTEN

Foreign Worker Education Institution Country

NETHERLANDS ANTILLES

Foreign Worker Education Institution Postal Code

Foreign Worker Experience with Employer

Y

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

Jeffrey D Pearson

Preparer Title

Legal Counsel

Preparer Email

jpearsonassociates@gmail.com

Employer Information Declaration Name

Joseph Liszak

Employer Information Declaration Title

CEO