|
Case Number
I-200-19058-066453
1. Indicate the type of visa classification supported by this application (Write classification symbol):
H-1B
1. Job Title
Assistant Professor
2. SOC (ONET/OES) code
25-1071
3. SOC (ONET/OES) occupation title
Health Specialties Teachers, Postsecondary
4. Is this a full-time position?
Yes
Period of Intended Employment
5. Begin Date (mm/dd/yyyy)
8/10/2019 12:00:00 AM
6. End Date (mm/dd/yyyy)
8/9/2022 12:00:00 AM
7. Worker positions needed/basis for the visa classification supported by this application
Total Worker Positions Being Requested for Certification
1
1. Legal business name
Medical College Of Wisconsin
2. Trade name/Doing Business As (DBA), if applicable
3. Address 1
8701 Watertown Plank Road
10. Telephone number
414-955-8307
12. Federal Employer Identification Number (FEIN from IRS)
13. NAICS code (must be at least 4-digits)
611310
Important Note: The information contained in this Section must be that of an employee of the employer who is authorized to act on behalf of
the employer in labor certification matters. The information in this Section must be different from the agent or attorney information listed in
Section E, unless the attorney is an employee of the employer.
1. Contact's last (family) name
Roeder
2. First (given) name
Craig
4. Contact's job title
Sourcing Specialist
5. Address 1
10000 W. Innovation Drive - Suite 140
9. Postal code
53226-5322
12. Telephone number
414-955-8307
14. E-Mail address
Croeder@mcw.edu
1. Is the employer represented by an attorney or agent in the filing of this application? If "Yes", complete the remainder of Section E below.
2. Attorney or Agent's last (family) name
Chenhalls
3. First (given) name
Kelley
5. Address 1
11270 W. Park Place Suite 200
12. Telephone number
4148928298
14. E-Mail address
Kchenhalls@cnvisalaw.com
15. Law firm/Business name
Chenhalls Nissen, S.c.
16. Law firm/Business FEIN
17. State Bar number (only if attorney)
WI 1045706
18. State of highest court where attorney is in good standing (only if attorney)
Wisconsin
19. Name of the highest court where attorney is in good standing (only if attorney)
Wisconsin Supreme Court
1. Wage Rate (Required)
From: $
216,135.00
To: $
0.00
2. Per: (Choose only one)
Year
1. Address 1
9200 W. Wisconsin Ave.
5. State/District/Territory
WI
7. Agency which issued prevailing wage
7a. Prevailing wage tracking number (if applicable)
8. Wage level
II
9. Prevailing wage
$ 58,033.00
10. Per: (Choose only one)
11. Prevailing wage source (Choose only one)
11a. Year source published
2018
11b. If "OES", and SWA/NPC did not issue prevailing wage OR "Other" in question 11, specify source
1. Is the employer H-1B dependent?
No
2. Is the employer a willful violator?No
3. If "Yes" is marked in questions I.1 and/or I.2, you must answer "Yes" or "No" regarding whether the
employer will use this application ONLY to support H-1B petitions or extensions of status for exempt H-1B
nonimmigrants?
If you marked "Yes" to questions I.1 and/or I.2 and "No" to question I.3, you MUST read Section I - Subsection 2 of the Labor
Condition Application - General Instructions Form ETA 9035CP under the heading "Additional Employer Labor Condition
Statements" and indicate your agreement to all three (3) additional statements summarized below.
- Displacement: Non-displacement of the U.S. workers in the employer's workforce
- Secondary Displacement: Non-displacement of U.S. workers in another employer's workforce; and
- Recruitment and Hiring: Recruitment of U.S. workers and hiring of U.S. workers applicant(s) who are equally or better qualified than the H-1B nonimmigrant(s).
4. I have read and agree to Additional Employer Labor Condition Statements A, B, and C above and as fully explained in Section I - Subsections 1 and 2 of the Labor Condition Application - General Instructions Form ETA 9035CP.
- Yes
- No
1. Last (family) name of hiring or designated official
Roeder
2. First (given) name of hiring or designated official
Craig
4. Hiring or designated official title
Sourcing Specialist
By virtue of the signature below, the Department of Labor hereby acknowledges the following:
This certification is valid
From 8/10/2019 12:00:00 AM
To 8/9/2022 12:00:00 AM
Department of Labor, Office of Foreign Labor Certification
Determination Date (date signed)
Case Number
I-200-19058-066453
The Department of Labor is not the guarantor of the accuracy, truthfulness, or adequacy of a certified LCA.
|
|