Fiscal Year

2022

Case Number

A-22042-10695

Case Status

Withdrawn

Received Date

2022-03-22

Decision Date

2022-03-24

Refile

N

Original File Date

2022-01-01 11:09:30

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Forsyth Medical Center

Employer Name Slug

forsyth-medical-center

Employer Address 1

3333 Silas Creek Pkwy

Employer Address 2

Employer City

Winston Salem

Employer City Slug

winston-salem

Employer State

NORTH CAROLINA

Employer State Slug

north-carolina

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

27103

Employer Phone

704-384-3618

Employer Number of Employees

741

Employer Year Commenced Business

1997

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

Kelsey Dipple

Employer Contact Address 1

108 Providence Rd.

Employer Contact Address 2

Employer Contact City

Charlotte

Employer Contact State/Province

NORTH CAROLINA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

28207

Employer Contact Phone

7043843618

Employer Contact Email

kdipple@novanthealth.org

Agent Attorney Name

Penni P Bradshaw

Agent Attorney Firm Name

Constangy, Brooks, Smith, Prophete, LLP

Agent Attorney Phone

336-721-6842

Agent Attorney Address 1

100 North Cherry St

Agent Attorney Address 2

Suite 300

Agent Attorney City

Winston-Salem

Agent Attorney State/Province

NORTH CAROLINA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

27101

Agent Attorney Email

pbradshaw@constangy.com

PW Track Number

P10021152358838

PW SOC Code

29-1066

PW SOC Title

Psychiatrists

PW Skill Level

Level I

PW Wage

89107.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-11-08

PW Expiration Date

2022-06-30

Wage Offer From

89107.00

Wage Offer To

255008.00

Average Salary

172057.50

Wage Unit of Pay

Year

Worksite Address 1

3333 Silas Creek Pkwy

Worksite Address 2

Worksite City

Winston-Salem

Worksite City Slug

winston-salem

Worksite State

NORTH CAROLINA

Worksite Postal Code

27103

Job Title

Psychiatrist

Job Title Slug

psychiatrist

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

Medical Degree in Medicine. Foreign degree equivalents accepted.br br 1 4 year residency in Psychiatry; ORbr br 2 3 year residency in Psychiatry and 1 year fellowship in Child and Adolescent Psychiatry or comparable training.br br Requires North Carolina medical license or eligibility for North Carolina medical license.br br Board Certification in Psychiatry.

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

2022-01-19

SWA Job Order End Date

2022-02-19

Sunday Edition Newspaper

Y

First Newspaper Name

WinstonSalem Journal

First Advertisement Start Date

2022-01-30

Second Newspaper Ad Name

WinstonSalem Journal

Second Advertisement Type

Newspaper

Second Ad Start Date

2022-02-06

Employer Website From Date

2022-01-01 11:09:30

Employer Website To Date

2022-01-01 11:09:30

Professional Organization Ad From Date

2022-01-01 11:09:30

Professional Organization Advertisement To Date

2022-01-01 11:09:30

Job Search Website From Date

2022-01-18

Job Search Website To Date

2022-02-01

Employee Referral Program From Date

2022-01-01 11:09:30

Employee Referral Program To Date

2022-01-01 11:09:30

Local Ethnic Paper From Date

2022-02-03

Local Ethnic Paper To Date

2022-02-03

Radio/TV Ad From Date

2022-01-01 11:09:30

Radio/TV Ad To Date

2022-01-01 11:09:30

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

INDIA

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

2006

Foreign Worker Institution of Education

MEDICAL COLLEGE BARODATHE MAHARAJA SAYAJIRAO UNIVERSITY OF BARODA

Foreign Worker Education Institution Address 1

RAOPURA

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

BARODA

Foreign Worker Education Institution State/Province

GUJARAT

Foreign Worker Education Institution Country

INDIA

Foreign Worker Education Institution Postal Code

390001

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

Penni P Bradshaw

Preparer Title

Partner

Preparer Email

pbradshaw@constangy.com

Employer Information Declaration Name

Kelsey Dipple

Employer Information Declaration Title

HR Specialist