Fiscal Year

2022

Case Number

A-20309-16737

Case Status

Certified-Expired

Received Date

2020-11-17

Decision Date

2021-10-04

Refile

N

Original File Date

2022-01-01 10:14:37

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Roy C. Blake III DDS, MSD, PA

Employer Name Slug

roy-c-blake-iii-dds-msd-pa

Employer Address 1

200 Butler Street

Employer Address 2

Ste# 203

Employer City

West Palm Bech

Employer City Slug

west-palm-bech

Employer State

FLORIDA

Employer State Slug

florida

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

33407

Employer Phone

561-296-3399

Employer Number of Employees

9

Employer Year Commenced Business

2005

NAICS Code

621210

FW Ownership Interest

N

Employer Contact Name

Roy C Blake III

Employer Contact Address 1

200 Butler Street

Employer Contact Address 2

Ste# 203

Employer Contact City

West Palm Bech

Employer Contact State/Province

FLORIDA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

33407

Employer Contact Phone

561-296-3399

Employer Contact Email

royblakedds@gmail.com

Agent Attorney Name

SCOTT D HERSHENSON

Agent Attorney Firm Name

Harry D. Polatsek, P.A.

Agent Attorney Phone

9545660377

Agent Attorney Address 1

500 WEST CYPRESS CREEK ROAD

Agent Attorney Address 2

Suite 650

Agent Attorney City

Fort Lauderdale

Agent Attorney State/Province

FLORIDA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

33309

Agent Attorney Email

SCOTT@POLATSEK.LAW

PW Track Number

P10020107493644

PW SOC Code

51-9081

PW SOC Title

Dental Laboratory Technicians

PW Skill Level

Level III

PW Wage

41038.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-08-03

PW Expiration Date

2021-06-30

Wage Offer From

41500.00

Wage Offer To

0.00

Average Salary

41500.00

Wage Unit of Pay

Year

Worksite Address 1

200 Butler Street

Worksite Address 2

Suite 203

Worksite City

West Palm Beach

Worksite City Slug

west-palm-beach

Worksite State

FLORIDA

Worksite Postal Code

33407

Job Title

Dental Laboratory Technician

Job Title Slug

dental-laboratory-technician

Minimum Education

None

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

N

Accept Alternative Occupation

Y

Accept Alternative Occupation Months

12

Accept Alternative Job Title

Experience working with Orthodontic Appliances please refer to line 14

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

Employer will accept 1 year of experience working with Orthodontic Appliances, Custom Layered Feldspatic Porcelain Veneers, IPS e.max Press, Conical Crowns, Telescopic Crowns, Laser Welding and CeramoHybrid Zirconia Implant Restorations or a suitable combination of experience, education, andor training in lieu of 1 year of experience in the proffered position.

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

2020-08-25

SWA Job Order End Date

2020-09-28

Sunday Edition Newspaper

Y

First Newspaper Name

The Palm Beach Post

First Advertisement Start Date

2020-09-20

Second Newspaper Ad Name

The Palm Beach Post

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-09-27

Employer Website From Date

2022-01-01 10:14:37

Employer Website To Date

2022-01-01 10:14:37

Professional Organization Ad From Date

2022-01-01 10:14:37

Professional Organization Advertisement To Date

2022-01-01 10:14:37

Job Search Website From Date

2022-01-01 10:14:37

Job Search Website To Date

2022-01-01 10:14:37

Employee Referral Program From Date

2022-01-01 10:14:37

Employee Referral Program To Date

2022-01-01 10:14:37

Local Ethnic Paper From Date

2022-01-01 10:14:37

Local Ethnic Paper To Date

2022-01-01 10:14:37

Radio/TV Ad From Date

2022-01-01 10:14:37

Radio/TV Ad To Date

2022-01-01 10:14:37

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

GERMANY

Foreign Worker Birth Country

POLAND

Class of Admission

E-2

Foreign Worker Education

None

Foreign Worker Information: Major

Foreign Worker Years of Education Completed

Foreign Worker Institution of Education

Foreign Worker Education Institution Address 1

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

Foreign Worker Education Institution Postal Code

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

N

Preparer Name

Scott D Hershenson

Preparer Title

Attorney

Preparer Email

shershenson@polatsek.law

Employer Information Declaration Name

Roy C Blake III

Employer Information Declaration Title

PresidentOwnerDentist