Informational purposes only. Not an Original Certification
Application for Permanent
Employment Certification
ETA Form 9089
U.S. Department of Labor
Employment and Training
Administration
A. Refiling Instructions
Are you seeking to utilize the filing date from a previously submitted Application for Alien Employment Certification ( ETA 750)?
Yes
No
1-A. If Yes, enter the previous filing date
1-B. Indicate the previous SWA or local office case number OR if not available, specify state where case was originally filed:
B. Schedule A or Sheepherder Information
Is this application in support of a Schedule A or Sheepherder occupation?
- Yes
- No
C. Employer Information (Headquarters or main office)
1. Employer's name
TEXAS INSTRUMENTS INCORPORATED
2. Address 1
12500 TI BLVD.
Address 2
3. City
DALLAS
State/Province
TX
Country
UNITED STATES OF AMERICA
Postal Code
75243
4. Phone Number
972-995-2011
Extension
5. Number of employees
31003
6. Year commenced business
1930
7. FEIN (Federal Employer Identification Number)
8. NAICS code
33441
9. Is the employer a closely held corporation, partnership, or sole propri etorship in which the alien has an ownership interest, or is there a familial relationship between the owners, stockholders, partners, corporate officers, incorporators, and the alien?
- Yes
- No
D. Employer Contact Information (This section must be filled out. This information must be different from the agent or attorney information listed in Section E)
1. Contact's Last Name
Johnson
First Name
Mary Ann
Middle Initial
2. Address 1
13570 North Central Expressway M/S 3961
Address 2
3. City
Dallas
State/Province
TX
Country
UNITED STATES OF AMERICA
Postal Code
75251
4. Phone Number
214-567-9683
5. E-mail Address
ma-johnson@ti.com
E. Agent or Attorney Information (If applicable)
1. Agent or attorney's Last Name
Steger
First Name
Susan
Middle Initial
Z
2. Firm Name
Fragomen, Del Rey, Bernsen & Loewy, LLP
3. Firm EIN
4. Phone Number
9722336646
Extension
5. Address 1
5080 Spectrum Drive
Address 2
Suite 850W
6. City
Addison
State/Province
TX
Country
UNITED STATES OF AMERICA
Postal Code
75001
7. E-mail Address
ssteger@fragomen.com
F. Prevailing Wage Information (as provided by the State Workforce Agency)
1. Prevailing wage tracking number
(if applicable)
P10015154972195
2. SOC/O*NET (OES) code
17-2072
3. Occupation Title
Electronics Engineers, Except Computer
4. Skill Level
Level III
5. Prevailing Wage
$ 101,109.00
Per
- Hour
- Weekly
- Bi-weekly
- Month
- Year
6. Prevailing Wage Source
- OES
- CBA
- Employer Conducted
- DBA
- SCA
- Other
6-A. If Other is indicated in question 6,
specify:
7. Determination Date
08/06/2015
8. Expiration Date
06/30/2016
G. Wage Offer Information
1. Offered Wage
From $ 106,400.04 To (optional) -
Per
- Hour
- Weekly
- Bi-weekly
- Month
- Year
H. Job Opportunity Information (Where work will be performed)
1. Primary Worksite (where work is
to be performed) Address 1
5411 E. Williams Blvd.
Address 2
2. City
Tucson
State
AZ
Postal Code
85711
3. Job Title
Digital Design Engineer
4. Education: minimum level required
- None
- High School
- Associate's
- Bachelor's
- Master's
- Doctorate
- Other
4-A. If Other is indicated in question 4, specify the education required:
4-B. Major field of study
Electrical Engineering
5. Is training required in the job opportunity?
- Yes
- No
5-A. If Yes, number of months of training required:
5-B. Indicate the field of training
6. Is experience in the job offered required for the job?
- Yes
- No
6-A. If Yes, number of months experience required:
7. Is there an alternate field of study that is acceptable?
- Yes
- No
7-A. If Yes, specify the major field of study:
8. Is there an alternate combination of education and experience that is acceptable?
- Yes
- No
8-A. If Yes, specify the alternate level of education required:
- None
- High School
- Associate's
- Bachelor's
- Master's
- Doctorate
- Other
8-B. If Other is indicated in question 8-A, Indicate the alternate level of education required:
8-C. If applicable, indicate the number of years experience acceptable in question 8:
5
9. Is a foreign educational equivalent acceptable?
- Yes
- No
10. Is experience in an alternate occupation acceptable?
- Yes
- No
10-A. If Yes, number of months experience in alternate occupation required:
36
10-B. Identify the job title of the acceptable alternate occupation:
digital design engineering.
11. Job Duties - If submitting by mail, add attachment if necessary. Job duties description must begin in this space.
Designs, develops, modifies and evaluates digital electronic parts, components or integrated circuitry for digital electronic equipment and other hardware systems. Determines design approaches and parameters. Bench test and characterize new designs, analyze equipment to establish operating data, conducts experimental tests, and evaluates results. Drive design reviews, and necessary product documentation and supports team efforts to enable successful new product development execution. Partner with the businesses to build customer relationships and to support their needs, enabling competitive paced time-to-market. Supervise the IC layout by supporting product qualification and production, ensuring reliability and yield requirements, design testability, and test coverage.
12. Are the job opportunity's requirements normal for the occupation?
- Yes
- No
13. Is knowledge of a foreign language required to perform the job duties?
- Yes
- No
14. Specific skills or other requirements - If submitting by mail, add attachment if necessary. Skills description must begin in this space.
Cont'd from H.8-C: post-baccalaureate progressive experience in digital design engineering. Employer will accept any suitable combination of education, training, or experience.
15. Does this application involve a job opportunity that includes a combination of occupations?
- Yes
- No
16. Is the position identified in this application being offered to the alien identified in Section J?
- Yes
- No
17. Does the job require the alien to live on the employer's premises?
- Yes
- No
18. Is the application for a live-in household domestic service worker?
- Yes
- No
18-A. If Yes, have the employer and the alien executed the required employment contract and has the employer provided a copy of the contract to the alien?
- Yes
- No
- N/A
I. Recruitment Information
a. Occupation type - all must complete this section.
1. Is this application for a professional occupation, other than a college or university teacher? Professional occupation are those for which a bachelor's degree (or equivalent) is nomally required.
- Yes
- No
2. Is this application for a college or university teacher?
- Yes
- No
2-A. Did you select the candidate using a competitive recruitment and selection process?
- Yes
- No
2-B. Did you use the basic recruitment process for professional occupations?
- Yes
- No
b. Special Recruitment and Documentation Procedures for College and University Teachers - Complete only if the answer to question I.a.2-A is Yes.
3. Date alien selected:
4. Name and date of national professional journal in which advertisement was placed:
5. Specify additional recruitment information in this space. Add an attachment if necessary.
c. Professional/Non-Professional Information - Complete this section unless your answers to questions I.a.1 is No and I.2-B is Yes.
6. Start date for the SWA job order
07/06/2015
7. End date for the SWA job order
08/05/2015
8. Is there a Sunday edition of the newspaper in the area of
intended employment?
- Yes
- No
9. Name of newspaper (of general circulation) in which the first advertisement was placed:
Arizona Daily Star
10. Date of first advertisement identified in question 9:
05/10/2015
11. Name of newspaper or professional journal (if applicable) in which second advertisement was placed:
Arizona Daily Star
- Newspaper
- Journal
12. Date of second newspaper advertisement or date of publication of journal identified in question 11:
05/17/2015
d. Professional Recruitment Information - Complete if the answer to question I.a.1 is YES or if the answer to I.a.2-B is YES. Complete at least 3 of the items.
13. Dates advertised at job fair
From: - To: -
14. Dates of on-campus recruiting
From: - To: -
15. Dates posted on employer web site
From: - To: -
16. Dates advertised with trade or professional organization
From: 06/03/2015 To: 07/02/2015
17. Dates listed with job search web site
From: 05/10/2015 To: 05/26/2015
18. Dates listed with private employment firm
From: - To: -
19. Dates advertised with employee referral program
From: - To: -
20. Dates advertised with campus placement office
From: - To: -
21. Dates advertised with local or ethnic newspaper
From: 05/15/2015 To: 05/21/2015
22. Dates advertised with radio or TV ads
From: - To: -
e. General Information - All must complete this section.
23. Has the employer received payment of any kind for the submission of this application?
- Yes
- No
23-A. If Yes, describe details of the payment including the amount, date and purpose of the payment:
24. Has the bargaining representative for workers in the occupation in which the alien will be employed been provided with notice of this filing at least 30 days but not more than 180 days before the date the application is filed?
- Yes
- No
- N/A
25. If there is no bargaining representative, has a notice of this filing been posted for 10 business days in a conspicuous location at the place of employment, ending at least 30 days before but not more than 180 days before the date the application is filed?
- Yes
- No
- N/A
26. Has the employer had a layoff in the area of intended employment in the occupation involved in this application or in a related occupation within the six months immediately preceding the filing of this application?
- Yes
- No
26-A. If Yes, were the laid off U.S. workers notified and considered for the job opportunity for which certification is sought?
- Yes
- No
- N/A
J. Alien Information (This section must be filled out. This information must be different from the agent or attorney information listed in Section E).
1. Alien's last name
First Name
Full middle name
2. Current address 1
Address 2
3. City
TUCSON
State/Province
AZ
Country
UNITED STATES OF AMERICA
Postal Code
85711
4. Phone number of current residence
5. Country of citizenship
INDIA
6. Country of birth
INDIA
7. Alien's date of birth
8. Class of admission
F-1
9. Alien registration number (A#)
10. Alien admission number (I-94)
11. Education: highest level achieved relevant to the requested occupation:
- None
- High School
- Associate's
- Bachelor's
- Master's
- Doctorate
- Other
11-A. If Other indicated in question 11, specify
12. Specify major field(s) of study
ELECTRICAL ENGINEERING
13. Year relevant education completed
2012
14. Institution where relevant education specified in question 11 was received
UNIVERSITY OF SOUTHERN CALIFORNIA
15. Address 1 of conferring institution
3740 MCCLINTOCK AVENUE, EEB 12
Address 2
16. City
LOS ANGELES
State/Province
CA
Country
UNITED STATES OF AMERICA
Postal Code
90089
17. Did the alien complete the training required for the requested job opportunity, as indicated in question H.5?
- Yes
- No
- N/A
18. Does the alien have the experience as required for the requested job opportunity indicated in question H.6?
- Yes
- No
- N/A
19. Does the alien possess the alternate combination of education and experience as indicated in question H.8?
- Yes
- No
- N/A
20. Does the alien have the experience in an alternate occupation specified in question H.10?
- Yes
- No
- N/A
21. Did the alien gain any of the qualifying experience with the employer in a position substantially comparable to the job opportunity requested?
- Yes
- No
- N/A
22. Did the employer pay for any of the alien's education or training necessary to satisfy any of the employer's job requirements for this position?
- Yes
- No
23. Is the alien currently employed by the petitioning employer?
- Yes
- No
K. Alien Work Experience
List all jobs the alien has held during the past 3 years. Also list any other experience that qualifies the alien for
the job opportunity for which the employer is seeking certification.
1. Employer Name
2. Address 1
Address 2
3. City State/Province Country Postal Code
4. Type of Business
5. Job Title
6. Start Date
7. End Date
8. Number of hours worked per week
9. Job Details (duties performed, use of tools, machines, equipment, skills, qualifications, certifications, licenses, etc. Include the phone number of the employer and the name of the alien's supervisor.)
L. Alien Declaration
1. Alien's last name
First name
Full middle name
2. Signature Date signed
M. Declaration of Preparer
1. Was the application completed by the employer? If No, you must complete this section.
- Yes
- No
2. Preparer's last name
Steger
First Name
Susan
Middle initial
Z
3. Title
Of Counsel
4. E-mail address
ssteger@fragomen.com
5. Signature
- Yes
- No
Date signed
N. Employer Declaration
1. Last name
Johnson
First name
Mary Ann
Middle initial
2. Title
Immigration Manager
3. Signature
- Yes
- No
Date signed