Fiscal Year

2022

Case Number

A-22207-94892

Case Status

Withdrawn

Received Date

2022-08-08

Decision Date

2022-08-09

Refile

N

Original File Date

2022-01-01 11:50:33

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

ETV CARE HOME, INC.

Employer Name Slug

etv-care-home-inc

Employer Address 1

9008 80TH LANE SE

Employer Address 2

Employer City

OLYMPIA

Employer City Slug

olympia

Employer State

WASHINGTON

Employer State Slug

washington

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

98513

Employer Phone

3602595592

Employer Number of Employees

3

Employer Year Commenced Business

2015

NAICS Code

62161

FW Ownership Interest

N

Employer Contact Name

Jenette Valencia

Employer Contact Address 1

9008 80th Lane SE

Employer Contact Address 2

Employer Contact City

Olympia

Employer Contact State/Province

WASHINGTON

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

98513

Employer Contact Phone

3602595592

Employer Contact Email

etvcarehome@comcast.net

Agent Attorney Name

Ryan Ogburn

Agent Attorney Firm Name

Northwest Labor LLC

Agent Attorney Phone

3604857579

Agent Attorney Address 1

8830 Tallon Lane NE

Agent Attorney Address 2

Suite C

Agent Attorney City

Lacey

Agent Attorney State/Province

WASHINGTON

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

98516

Agent Attorney Email

h2b.northwestlabor@gmail.com

PW Track Number

P10021260592317

PW SOC Code

31-1014

PW SOC Title

Nursing AssistantCaregiver

PW Skill Level

Level IV

PW Wage

35298.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2022-03-21

PW Expiration Date

2022-06-30

Wage Offer From

35298.00

Wage Offer To

0.00

Average Salary

35298.00

Wage Unit of Pay

Year

Worksite Address 1

9008 80th Lane SE

Worksite Address 2

Worksite City

Olympia

Worksite City Slug

olympia

Worksite State

WASHINGTON

Worksite Postal Code

98513

Job Title

Nursing Assistant/Caregiver

Job Title Slug

nursing-assistantcaregiver

Minimum Education

High School

Major Field of Study

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

Y

Accept Alternative Occupation Months

0

Accept Alternative Job Title

na, any

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

ability to obtain a nursing registered assistant NRA and Nursing certified assistant NCA license. Ability to attend 10 continuing education classes. good communication skills in English. Ability to obtain a food handlers permit.

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

2022-04-07

SWA Job Order End Date

2022-05-08

Sunday Edition Newspaper

Y

First Newspaper Name

The Olympian

First Advertisement Start Date

2022-04-10

Second Newspaper Ad Name

The Olympian

Second Advertisement Type

Newspaper

Second Ad Start Date

2022-04-17

Employer Website From Date

2022-01-01 11:50:33

Employer Website To Date

2022-01-01 11:50:33

Professional Organization Ad From Date

2022-01-01 11:50:33

Professional Organization Advertisement To Date

2022-01-01 11:50:33

Job Search Website From Date

2022-01-01 11:50:33

Job Search Website To Date

2022-01-01 11:50:33

Employee Referral Program From Date

2022-01-01 11:50:33

Employee Referral Program To Date

2022-01-01 11:50:33

Local Ethnic Paper From Date

2022-01-01 11:50:33

Local Ethnic Paper To Date

2022-01-01 11:50:33

Radio/TV Ad From Date

2022-01-01 11:50:33

Radio/TV Ad To Date

2022-01-01 11:50:33

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

PHILIPPINES

Foreign Worker Birth Country

PHILIPPINES

Class of Admission

Not in USA

Foreign Worker Education

Bachelor's

Foreign Worker Information: Major

NURSING

Foreign Worker Years of Education Completed

2010

Foreign Worker Institution of Education

LYCEUM OF THE PHILLIPINES UNIVERSITY BATANGAS

Foreign Worker Education Institution Address 1

10 G.A. SOLIS STREETP. HERERA STREET CORNER DONA AURELIA STREET

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

BATANGAS

Foreign Worker Education Institution State/Province

BATANGAS

Foreign Worker Education Institution Country

PHILIPPINES

Foreign Worker Education Institution Postal Code

4200

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

N

Preparer Name

Ryan Ogburn

Preparer Title

Director of Visa Services

Preparer Email

h2b.northwestlabor@gmail.com

Employer Information Declaration Name

Eduardo Valencia

Employer Information Declaration Title

Owner