Fiscal Year

2022

Case Number

A-21151-94045

Case Status

Certified

Received Date

2021-07-01

Decision Date

2022-04-20

Refile

N

Original File Date

2022-01-01 11:17:57

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Kevin Forsberg

Employer Name Slug

kevin-forsberg

Employer Address 1

71 S Plum Crest Cir

Employer Address 2

Employer City

The Woodlands

Employer City Slug

the-woodlands

Employer State

TEXAS

Employer State Slug

texas

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

77382

Employer Phone

2814194259

Employer Number of Employees

1

Employer Year Commenced Business

2020

NAICS Code

8141

FW Ownership Interest

N

Employer Contact Name

Kevin Forsberg

Employer Contact Address 1

71 S Plum Crest Cir

Employer Contact Address 2

Employer Contact City

The Woodlands

Employer Contact State/Province

TEXAS

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

77382

Employer Contact Phone

2814194259

Employer Contact Email

jen.forsberglaw@earthlink.net

Agent Attorney Name

Bruna Frota

Agent Attorney Firm Name

Agent Attorney Phone

2819086450

Agent Attorney Address 1

PO Box 842022

Agent Attorney Address 2

Agent Attorney City

Pearland

Agent Attorney State/Province

TEXAS

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

77584

Agent Attorney Email

bfrota@nationalitylawyers.com

PW Track Number

P10020346952001

PW SOC Code

39-9011

PW SOC Title

Nannies

PW Skill Level

Level I

PW Wage

17722.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-04-22

PW Expiration Date

2021-07-21

Wage Offer From

17722.00

Wage Offer To

0.00

Average Salary

17722.00

Wage Unit of Pay

Year

Worksite Address 1

71 S Plum Crest Cir

Worksite Address 2

Worksite City

The Woodlands

Worksite City Slug

the-woodlands

Worksite State

TEXAS

Worksite Postal Code

77382

Job Title

Nanny

Job Title Slug

nanny

Minimum Education

High School

Major Field of Study

Required Training

N

Required Experience

Y

Required Experience Months

3

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

REQUIRES HIGH SCHOOL DIPLOMA OR GED OR FOREIGN EQUIVALENT AND 3 MONTHS OF EXPERIENCE AS A FULLTIME BABYSITTER, NANNY OR AU PAIR FOR A SPECIAL NEEDS CHILD.br Note Employer currently employs no employees, and the alien beneficiary would serve as the households sole employee; Part C, Item #5 of this form, however, requires that at least quot;1quot; be inputted for number of employees. We have inputted 1 in that space with the understanding that it refers to the alien beneficiary who will be employed upon completion of this process.

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

2021-04-27

SWA Job Order End Date

2021-05-30

Sunday Edition Newspaper

Y

First Newspaper Name

Houston Chronicle

First Advertisement Start Date

2021-05-09

Second Newspaper Ad Name

Houston Chronicle

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-05-16

Employer Website From Date

2022-01-01 11:17:57

Employer Website To Date

2022-01-01 11:17:57

Professional Organization Ad From Date

2022-01-01 11:17:57

Professional Organization Advertisement To Date

2022-01-01 11:17:57

Job Search Website From Date

2022-01-01 11:17:57

Job Search Website To Date

2022-01-01 11:17:57

Employee Referral Program From Date

2022-01-01 11:17:57

Employee Referral Program To Date

2022-01-01 11:17:57

Local Ethnic Paper From Date

2022-01-01 11:17:57

Local Ethnic Paper To Date

2022-01-01 11:17:57

Radio/TV Ad From Date

2022-01-01 11:17:57

Radio/TV Ad To Date

2022-01-01 11:17:57

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

BRAZIL

Foreign Worker Birth Country

BRAZIL

Class of Admission

J-1

Foreign Worker Education

High School

Foreign Worker Information: Major

HIGH SCHOOL

Foreign Worker Years of Education Completed

2010

Foreign Worker Institution of Education

COLEGIO ANGLO LIDER

Foreign Worker Education Institution Address 1

AV. DR. BELMINO CORREIA 410

Foreign Worker Education Institution Address 2

CENTRO

Foreign Worker Education Institution City

CAMARAGIBE

Foreign Worker Education Institution State/Province

PERNAMBUCO

Foreign Worker Education Institution Country

BRAZIL

Foreign Worker Education Institution Postal Code

54762000

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

N

Preparer Name

Bruna Frota

Preparer Title

Attorney

Preparer Email

bfrota@nationalitylawyers.com

Employer Information Declaration Name

Kevin Forsberg

Employer Information Declaration Title

Household Employer