Fiscal Year

2022

Case Number

A-21264-47554

Case Status

Certified

Received Date

2021-11-08

Decision Date

2022-05-13

Refile

N

Original File Date

2022-01-01 11:28:02

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

The William W. Backus Hospital

Employer Name Slug

the-william-w-backus-hospital

Employer Address 1

326 Washington Street

Employer Address 2

Employer City

Norwich

Employer City Slug

norwich

Employer State

CONNECTICUT

Employer State Slug

connecticut

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

6360

Employer Phone

860-889-8331

Employer Number of Employees

1700

Employer Year Commenced Business

1893

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

Kelly Schenking

Employer Contact Address 1

326 Washington Street

Employer Contact Address 2

Employer Contact City

Norwich

Employer Contact State/Province

CONNECTICUT

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

6360

Employer Contact Phone

860-892-6967

Employer Contact Email

Kelly.Schenking@hhchealth.org

Agent Attorney Name

Michael L Kim

Agent Attorney Firm Name

Hall, Render, Killian, Heath and Lyman, P.C.

Agent Attorney Phone

3179771418

Agent Attorney Address 1

500 North Meridian Street

Agent Attorney Address 2

Suite 400

Agent Attorney City

Indianapolis

Agent Attorney State/Province

INDIANA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

46204

Agent Attorney Email

mkim@hallrender.com

PW Track Number

P10021018018769

PW SOC Code

29-1063

PW SOC Title

Internists, General

PW Skill Level

Level I

PW Wage

116251.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-05-27

PW Expiration Date

2021-08-25

Wage Offer From

215000.00

Wage Offer To

250000.00

Average Salary

232500.00

Wage Unit of Pay

Year

Worksite Address 1

326 Washington Street

Worksite Address 2

Worksite City

Norwich

Worksite City Slug

norwich

Worksite State

CONNECTICUT

Worksite Postal Code

6360

Job Title

Physician (Hospitalist)

Job Title Slug

physician-hospitalist

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

Position requires M.D. or D.O. or foreign equivalent of M.D. or D.O.; Completion of a Medical Residency in Internal Medicine; Board Certification or Board Eligibility in Internal Medicine; and Connecticut Physician 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

2021-07-12

SWA Job Order End Date

2021-08-12

Sunday Edition Newspaper

Y

First Newspaper Name

Hartford Courant

First Advertisement Start Date

2021-07-11

Second Newspaper Ad Name

Hartford Courant

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-07-18

Employer Website From Date

2022-01-01 11:28:02

Employer Website To Date

2022-01-01 11:28:02

Professional Organization Ad From Date

2021-08-10

Professional Organization Advertisement To Date

2021-08-10

Job Search Website From Date

2022-01-01 11:28:02

Job Search Website To Date

2022-01-01 11:28:02

Employee Referral Program From Date

2022-01-01 11:28:02

Employee Referral Program To Date

2022-01-01 11:28:02

Local Ethnic Paper From Date

2021-07-17

Local Ethnic Paper To Date

2021-07-17

Radio/TV Ad From Date

2021-07-13

Radio/TV Ad To Date

2021-07-13

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

ARMENIA

Foreign Worker Birth Country

SYRIA

Class of Admission

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2014

Foreign Worker Institution of Education

ALEPPO UNIVERSITY FACULTY OF MEDICINE

Foreign Worker Education Institution Address 1

ALMOUHAFAZA

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

ALEPPO

Foreign Worker Education Institution State/Province

ALEPPO

Foreign Worker Education Institution Country

SYRIA

Foreign Worker Education Institution Postal Code

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

Michael L Kim

Preparer Title

Attorney

Preparer Email

mkim@hallrender.com

Employer Information Declaration Name

Donna Handley

Employer Information Declaration Title

President