Fiscal Year

2022

Case Number

A-21311-69253

Case Status

Certified

Received Date

2021-11-17

Decision Date

2022-06-06

Refile

N

Original File Date

2022-01-01 11:35:59

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Medside Corporation

Employer Name Slug

medside-corporation

Employer Address 1

1120 Hope Road

Employer Address 2

Employer City

Sandy Springs

Employer City Slug

sandy-springs

Employer State

GEORGIA

Employer State Slug

georgia

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

30350

Employer Phone

4046337433

Employer Number of Employees

330

Employer Year Commenced Business

1993

NAICS Code

621610

FW Ownership Interest

N

Employer Contact Name

Mary Mann

Employer Contact Address 1

1120 Hope Road

Employer Contact Address 2

Employer Contact City

Sandy Springs

Employer Contact State/Province

GEORGIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

30350

Employer Contact Phone

4046337433

Employer Contact Email

mary@medside.com

Agent Attorney Name

Oksana S Agapova

Agent Attorney Firm Name

Agapova Law LLC

Agent Attorney Phone

6788882347

Agent Attorney Address 1

6251 Smithpointe Drive

Agent Attorney Address 2

Suite 119

Agent Attorney City

Peachtree Corners

Agent Attorney State/Province

GEORGIA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

30092

Agent Attorney Email

agapova@agapovalaw.com

PW Track Number

P10021048083230

PW SOC Code

39-9021

PW SOC Title

Personal Care Aide

PW Skill Level

Level I

PW Wage

21923.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-07-09

PW Expiration Date

2022-06-30

Wage Offer From

21923.00

Wage Offer To

0.00

Average Salary

21923.00

Wage Unit of Pay

Year

Worksite Address 1

1120 Hope Road and other unanticipated locations in Georgia

Worksite Address 2

Worksite City

Sandy Springs and other unanticipated cities in GA

Worksite City Slug

sandy-springs-and-other-unanticipated-cities-in-ga

Worksite State

GEORGIA

Worksite Postal Code

30350

Job Title

Personal Care Aide

Job Title Slug

personal-care-aide

Minimum Education

None

Major Field of Study

Required Training

N

Required Experience

N

Required Experience Months

Accept Alternative Field of Study

Y

Accept Alternative Major Field of Study

Any field of study

Accept Alternative Combination

Y

Accept Alternative Combination Education

None

Accept Alternative Combination Education Years

0

Accept Foreign Education

Y

Accept Alternative Occupation

Y

Accept Alternative Occupation Months

0

Accept Alternative Job Title

Any occupation

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

1. BE AT LEAST 18 YEARS OF AGE.br 2. SUBMIT TO TB SCREENING AND RECEIVE A NEGATIVE RESULT.br 3. SUBMIT TO A CRIMINAL BACKGROUND CHECK AND RECEIVE A SATISFACTORY RESULT AS DETERMINED IN ACCORDANCE WITH THE RULES OF THE GEORGIA DEPARTMENT OF COMMUNITY HEALTH GOVERNING LONGTERM CARE BACKGROUND CHECKS.br 4. SUBMIT TO AND PASS A DRUG SCREEN.br 5. BE ELIGIBLE TO WORK IN THE U.S.br 6. ADHERE TO MEDSIDE HEALTHCARES DRESS CODE AND WEAR A PHOTO ID BADGE.

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

2021-08-09

SWA Job Order End Date

2021-09-13

Sunday Edition Newspaper

Y

First Newspaper Name

Atlanta Journal Constitution

First Advertisement Start Date

2021-08-01

Second Newspaper Ad Name

Atlanta Journal Constitution

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-08-08

Employer Website From Date

2022-01-01 11:35:59

Employer Website To Date

2022-01-01 11:35:59

Professional Organization Ad From Date

2022-01-01 11:35:59

Professional Organization Advertisement To Date

2022-01-01 11:35:59

Job Search Website From Date

2022-01-01 11:35:59

Job Search Website To Date

2022-01-01 11:35:59

Employee Referral Program From Date

2022-01-01 11:35:59

Employee Referral Program To Date

2022-01-01 11:35:59

Local Ethnic Paper From Date

2022-01-01 11:35:59

Local Ethnic Paper To Date

2022-01-01 11:35:59

Radio/TV Ad From Date

2022-01-01 11:35:59

Radio/TV Ad To Date

2022-01-01 11:35:59

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

NIGERIA

Foreign Worker Birth Country

NIGERIA

Class of Admission

Foreign Worker Education

Bachelor's

Foreign Worker Information: Major

NURSING SCIENCE

Foreign Worker Years of Education Completed

2014

Foreign Worker Institution of Education

ESPAM FORMATION UNIVERSITY

Foreign Worker Education Institution Address 1

RUE 1794

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

COTONOU

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

BENIN

Foreign Worker Education Institution Postal Code

NONE

Foreign Worker Experience with Employer

N/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

N

Preparer Name

Oksana S Agapova

Preparer Title

Attorney

Preparer Email

agapova@agapovalaw.com

Employer Information Declaration Name

Mary Mann

Employer Information Declaration Title

HR Manager