Fiscal Year

2022

Case Number

A-21353-88343

Case Status

Certified

Received Date

2021-12-28

Decision Date

2022-08-18

Refile

N

Original File Date

2022-01-01 11:53:06

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

FAMILIA DENTAL JANESVILLE LLC

Employer Name Slug

familia-dental-janesville-llc

Employer Address 1

1260 MILTON AVE, STE 140

Employer Address 2

Employer City

JANESVILLE

Employer City Slug

janesville

Employer State

WISCONSIN

Employer State Slug

wisconsin

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

53545

Employer Phone

608-757-0057

Employer Number of Employees

10

Employer Year Commenced Business

2016

NAICS Code

621210

FW Ownership Interest

N

Employer Contact Name

Barbara Cendrowski

Employer Contact Address 1

2050 East Algonquin Road

Employer Contact Address 2

Suite 610

Employer Contact City

Schaumburg

Employer Contact State/Province

ILLINOIS

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

60173

Employer Contact Phone

847-801-8365

Employer Contact Email

bcendrowski@familiadental.com

Agent Attorney Name

Mark Wu

Agent Attorney Firm Name

Ogletree, Deakins, Nash, Smoak Stewart, P.C.

Agent Attorney Phone

5123444707

Agent Attorney Address 1

301 Congress Avenue

Agent Attorney Address 2

STE 1150

Agent Attorney City

Austin

Agent Attorney State/Province

TEXAS

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

78701

Agent Attorney Email

mark.wu@ogletreedeakins.com

PW Track Number

P10021118266940

PW SOC Code

29-1021

PW SOC Title

Dentists, General

PW Skill Level

Level I

PW Wage

135117.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-10-05

PW Expiration Date

2022-06-30

Wage Offer From

135117.00

Wage Offer To

0.00

Average Salary

135117.00

Wage Unit of Pay

Year

Worksite Address 1

1260 Milton Ave

Worksite Address 2

Ste 140

Worksite City

Janesville

Worksite City Slug

janesville

Worksite State

WISCONSIN

Worksite Postal Code

53545

Job Title

General Dentist

Job Title Slug

general-dentist

Minimum Education

Other

Major Field of Study

Dental Surgery

Required Training

N

Required Experience

N

Required Experience Months

Accept Alternative Field of Study

Y

Accept Alternative Major Field of Study

Doctor of Dental Medicine D.M.D

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 state dental license. Employer will accept Doctor of Dental Surgery D.D.S. or Doctor of Dental Medicine D.M.D.. Employer will accept foreign degree equivalent.

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

2021-10-22

SWA Job Order End Date

2021-11-24

Sunday Edition Newspaper

Y

First Newspaper Name

Wisconsin State Journal

First Advertisement Start Date

2021-10-24

Second Newspaper Ad Name

Wisconsin State Journal

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-10-31

Employer Website From Date

2022-01-01 11:53:06

Employer Website To Date

2022-01-01 11:53:06

Professional Organization Ad From Date

2021-10-26

Professional Organization Advertisement To Date

2021-11-24

Job Search Website From Date

2021-10-26

Job Search Website To Date

2021-11-08

Employee Referral Program From Date

2022-01-01 11:53:06

Employee Referral Program To Date

2022-01-01 11:53:06

Local Ethnic Paper From Date

2022-01-01 11:53:06

Local Ethnic Paper To Date

2022-01-01 11:53:06

Radio/TV Ad From Date

2021-11-05

Radio/TV Ad To Date

2021-11-05

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

VIETNAM

Foreign Worker Birth Country

VIETNAM

Class of Admission

TN

Foreign Worker Education

Other

Foreign Worker Information: Major

DENTAL SURGERY

Foreign Worker Years of Education Completed

2020

Foreign Worker Institution of Education

LOMA LINDA UNIVERSITY

Foreign Worker Education Institution Address 1

11092 ANDERSON ST.

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

LOMA LINDA

Foreign Worker Education Institution State/Province

CA

Foreign Worker Education Institution Country

UNITED STATES OF AMERICA

Foreign Worker Education Institution Postal Code

92350

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

Mark Wu

Preparer Title

Attorney

Preparer Email

mark.wu@ogletreedeakins.com

Employer Information Declaration Name

Barbara Cendrowski

Employer Information Declaration Title

Recruitment Specialist