All Details of Green Card Application:

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Case Number: A-21111-76612

Fiscal year: 2022

Fiscal Year

2022

Case Number

A-21111-76612

Case Status

Certified-Expired

Received Date

2021-05-03

Decision Date

2021-10-25

Refile

N

Original File Date

2022-01-01 10:19:24

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Wayne Memorial Community Health Centers

Employer Name Slug

wayne-memorial-community-health-centers

Employer Address 1

601 Park Street

Employer Address 2

Employer City

Honesdale

Employer City Slug

honesdale

Employer State

PENNSYLVANIA

Employer State Slug

pennsylvania

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

18431

Employer Phone

570-251-6676

Employer Number of Employees

370

Employer Year Commenced Business

2008

NAICS Code

62111

FW Ownership Interest

N

Employer Contact Name

ERICA BROWN

Employer Contact Address 1

601 PARK STREET

Employer Contact Address 2

Employer Contact City

HONESDALE

Employer Contact State/Province

PENNSYLVANIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

18431

Employer Contact Phone

570-251-6676

Employer Contact Email

browne@wmh.org

Agent Attorney Name

JAN M PEDERSON

Agent Attorney Firm Name

WRIGHT, CONSTABLE SKEEN, LLP

Agent Attorney Phone

2405830003

Agent Attorney Address 1

6931 ARLINGTON ROAD

Agent Attorney Address 2

Ste 450

Agent Attorney City

BETHESDA

Agent Attorney State/Province

MARYLAND

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

20814

Agent Attorney Email

jan@wcslaw.com

PW Track Number

P10020328923250

PW SOC Code

29-1062

PW SOC Title

Family and General Practitioners

PW Skill Level

Level I

PW Wage

113402.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-04-07

PW Expiration Date

2021-07-06

Wage Offer From

215000.00

Wage Offer To

0.00

Average Salary

215000.00

Wage Unit of Pay

Year

Worksite Address 1

1839 FAIR AVENUE

Worksite Address 2

Worksite City

HONESDALE

Worksite City Slug

honesdale

Worksite State

PENNSYLVANIA

Worksite Postal Code

18431

Job Title

FAMILY MEDICINE PHYSICIAN

Job Title Slug

family-medicine-physician

Minimum Education

Other

Major Field of Study

MEDICINE

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

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 HAVE M.D. DEGREE OR FOREIGN DEGREE EQUIVALENT; BEBC IN FAMILY MEDICINE; FULL AND UNRESTRICTED PA 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

2020-11-22

SWA Job Order End Date

2020-12-31

Sunday Edition Newspaper

Y

First Newspaper Name

SCRANTON TIMESTRIBUNE

First Advertisement Start Date

2020-11-29

Second Newspaper Ad Name

SCRANTON TIMESTRIBUNE

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-12-06

Employer Website From Date

2022-01-01 10:19:24

Employer Website To Date

2022-01-01 10:19:24

Professional Organization Ad From Date

2022-01-01 10:19:24

Professional Organization Advertisement To Date

2022-01-01 10:19:24

Job Search Website From Date

2020-12-01

Job Search Website To Date

2020-12-07

Employee Referral Program From Date

2022-01-01 10:19:24

Employee Referral Program To Date

2022-01-01 10:19:24

Local Ethnic Paper From Date

2020-12-01

Local Ethnic Paper To Date

2020-12-01

Radio/TV Ad From Date

2020-12-07

Radio/TV Ad To Date

2020-12-08

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

CANADA

Foreign Worker Birth Country

INDIA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2017

Foreign Worker Institution of Education

ROSS UNIVERSITY SCHOOL OF MEDICINE

Foreign Worker Education Institution Address 1

TWO MILE HILL ST

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

SAINT MICHAEL

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

BARBADOS

Foreign Worker Education Institution Postal Code

BB11093

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

JAN PEDERSON

Preparer Title

ATTORNEY

Preparer Email

jan@wcslaw.com

Employer Information Declaration Name

FREDERICK JACKSON

Employer Information Declaration Title

EXECUTIVE DIRECTOR