Fiscal Year

2022

Case Number

A-21196-17948

Case Status

Denied

Received Date

2021-07-07

Decision Date

2022-03-18

Refile

N

Original File Date

2022-01-01 11:07:05

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

ROBERT A LARSON DDS PC

Employer Name Slug

robert-a-larson-dds-pc

Employer Address 1

3000 HOSPITAL WAY

Employer Address 2

Employer City

WHITEFISH

Employer City Slug

whitefish

Employer State

MONTANA

Employer State Slug

montana

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

59937

Employer Phone

406 207-6050

Employer Number of Employees

12

Employer Year Commenced Business

2008

NAICS Code

621210

FW Ownership Interest

N

Employer Contact Name

ROBERT A LARSON

Employer Contact Address 1

3000 HOSPITAL WAY

Employer Contact Address 2

Employer Contact City

WHITEFISH

Employer Contact State/Province

MONTANA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

59937

Employer Contact Phone

406 207-6050

Employer Contact Email

ROBERTALARSONDDS@GMAIL.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

PW SOC Code

PW SOC Title

DENTAL ASSISTANT

PW Skill Level

Level IV

PW Wage

17.00

PW Unit of Pay

Hour

PW Wage Source

Other

PW Determination Date

2021-06-02

PW Expiration Date

2022-01-01 11:07:05

Wage Offer From

20.00

Wage Offer To

25.00

Average Salary

22.50

Wage Unit of Pay

Hour

Worksite Address 1

3000 HOSPITAL WAY

Worksite Address 2

Worksite City

WHITEFISH

Worksite City Slug

whitefish

Worksite State

MONTANA

Worksite Postal Code

59937

Job Title

DENTAL ASSISTANT

Job Title Slug

dental-assistant

Minimum Education

Major Field of Study

DENTAL ASSISTING (RDA)

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

PLACING RUBBER DAMbr FABRICATING TEMPORARY CROWNS AND BRIDGESbr PLACING RETRACTION CORDSbr ADJUSTING PERMANENT CROWNSbr BONDING PREPARATORY TO CEMENTATION OR FILLINGbr MONITORING NITRAUS OXIDE SEDATION

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

2022-01-01 11:07:05

SWA Job Order End Date

2022-01-01 11:07:05

Sunday Edition Newspaper

First Newspaper Name

First Advertisement Start Date

2022-01-01 11:07:05

Second Newspaper Ad Name

Second Advertisement Type

Second Ad Start Date

2022-01-01 11:07:05

Employer Website From Date

2022-01-01 11:07:05

Employer Website To Date

2022-01-01 11:07:05

Professional Organization Ad From Date

2022-01-01 11:07:05

Professional Organization Advertisement To Date

2022-01-01 11:07:05

Job Search Website From Date

2022-01-01 11:07:05

Job Search Website To Date

2022-01-01 11:07:05

Employee Referral Program From Date

2022-01-01 11:07:05

Employee Referral Program To Date

2022-01-01 11:07:05

Local Ethnic Paper From Date

2022-01-01 11:07:05

Local Ethnic Paper To Date

2022-01-01 11:07:05

Radio/TV Ad From Date

2022-01-01 11:07:05

Radio/TV Ad To Date

2022-01-01 11:07:05

Employer Received Payment

N

Posted Notice at Worksite

N

Layoff in Past Six Months

N

Country of Citizenship

CANADA

Foreign Worker Birth Country

CANADA

Class of Admission

Foreign Worker Education

Other

Foreign Worker Information: Major

DENTAL ASSISTING

Foreign Worker Years of Education Completed

2015

Foreign Worker Institution of Education

KDM DENTAL COLLEGE INTERNATIONAL INC.

Foreign Worker Education Institution Address 1

940 6TH AVENUE S.W.

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

CALGARY

Foreign Worker Education Institution State/Province

ALBERTA

Foreign Worker Education Institution Country

CANADA

Foreign Worker Education Institution Postal Code

T2P 3T1

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

Y

Preparer Name

Preparer Title

Preparer Email

Employer Information Declaration Name

ROBERT A LARSON

Employer Information Declaration Title

DENTIST OWNER