Uplift Education Online Application

Coleman, Hazel Date Started: 8/17/2023

Generated at 11/15/2023 3:27:55 PM Central Standard Time Page 1 of 6 Personal Data

Name: Ms Hazel L Coleman

(Title) (First) (Middle Initial) (Last)

Other name(s) under which transcripts, certificates, and former applications may be listed: Other: Hazel L Coleman

(Title) (First) (Middle Initial) (Last)

Email Address: ad1lnv@r.postjobfree.com

Postal Address

Permanent Address Present Address (until August 2023) Number & Street: 315 Meadowglen Dr Number & Street: 315 Meadowglen Dr Apt. Number: NA Apt. Number: NA

City: Cedar Hill City: Cedar Hill

State/Province: TX State/Province: TX

Zip/Postal Code: 75104 Zip/Postal Code: 75104

Country: United States of America Country: United States of America Daytime Phone: 972-***-**** Phone Number: 972-***-**** Home/Cell Phone: 972-***-****

Employment Desired

Open Vacancy Desired: Date Last

Submitted

Experience in

Similar Positions

JobID: 2915 Campus Operations - CNP, Custodial, etc: Cafeteria Worker: Uplift Ascend Prep (23-24) at Uplift Ascend Preparatory

Not Submitted years

JobID: 2583 Campus Operations - CNP, Custodial, etc: Cafeteria Worker: Uplift Luna Prep (23-24) at Uplift Luna Preparatory

Not Submitted 10 years

Position Desired: Experience in

Similar Positions

Campus Operations - CNP, Custodial, etc

1. Cafeteria Worker 10 years

2. Custodian 1 years

Professional References

Reference 1 of 3 Reference 2 of 3

Name: Cornella Wilder Yalanda McNeil

School/Org: West middle school Desoto isd

Current Position: Food service worker Food service worker Cell Phone: 469-***-**** 214 6237

REQUIRED: Email Address

Relationship to Candidate: Friend Friend

Years Known: 10 years 9

Uplift Education Online Application

Coleman, Hazel Date Started: 8/17/2023

Generated at 11/15/2023 3:27:56 PM Central Standard Time Page 2 of 6 Experience

Please list ALL relevant work experience

beginning with the most recent.

Current or Most Recent Position Employer Contact Information Supervisor/Reference Contact Information

Desoto isd

Server and Prep Cook

200 E. Beltline Rd.

Desoto, Te 75115

972-***-****

Marguesha Moore

972-***-**** ex8604

ad1lnv@r.postjobfree.com

Date From - Date

To:

08/2012 - 03/2023 Full or Part Time: Full

Reason for

Leaving:

NA

May we contact

this employer?

Yes

Responsibilities/

Accomplishments

at this Position

Cook,serve,clean,prep,sweep,mop,etc.

Previous Position Held Employer Contact Information Supervisor/Reference Contact Information

NA

NA

Date From - Date

To:

- Full or Part Time:

Reason for

Leaving:

May we contact

this employer?

Responsibilities/

Accomplishments

at this Position

Education

Please tell us about your educational background beginning with the most recent. High School Attended: DW Carter High School

Graduation Status: H.S. Diploma

Colleges, Universities and Technical Schools Attended: No education was entered.

Uplift Education Online Application

Coleman, Hazel Date Started: 8/17/2023

Generated at 11/15/2023 3:27:56 PM Central Standard Time Page 3 of 6 Education Continued

Undergraduate Graduate

Overall GPA /4 /4

Major GPA /4 /4

Highest Degree Attained Number of graduate hours beyond your highest degree:

Grad Program Of Study

None 0 NA

List honors, awards or distinctions you have earned: NA

Certification

Do you hold or anticipate a Texas certificate? No

Type Certificate Number Expiration Date Status

Please list any other endorsements and/or verifications documented on your Certificate(s):

* Have you applied for a Texas certificate?

* List the date you applied for certification:

* Have you received a deficiency statement?

If pending, date test taken

* Have you passed the Basic Skills Exam?

* Have you passed the Content Area Exam?

Do you hold a current out-of-state certificate?

State Type Certificate Number Expiration Date Current? List your out-of-state certified teaching/administration fields: Language Skills

Do you know any language other than English? No

Referrals

How did you hear about employment with us?

Other: Indeed

Uplift Education Online Application

Coleman, Hazel Date Started: 8/17/2023

Generated at 11/15/2023 3:27:56 PM Central Standard Time Page 4 of 6 Additional Information

If you applied for multiple positions, please list your top three positions of interest including the campus name and grade level/content area. (Example: 1. 5th grade teacher at Wisdom Primary; 2. 4th grade teacher at Hampton Primary; 3. Teacher Aide position at Wisdom Middle)

Food service worker at Hampton Primary

Are you open to relocation? Yes

List any additional information which will help in determining your professional qualifications for a position. Have 10 years experience

Disclosures

Contract Status

Are you currently under contract? No

If Yes, which district?

If Yes, when does it expire?

When may your present employer be contacted?

Professional Status

* Have you ever had a teaching certificate or teaching license revoked or suspended? No If Yes, explain:

* Have you ever failed to be rehired, been asked to resign a position, resigned to avoid termination, or terminated from employment?

No

If Yes, explain:

* Are you a relative of any board member, administrator, or supervisor who is currently serving the School District?

No

Name:

Position:

Relationship:

* Are you retired with the Teacher Retirement System of Texas (TRS)? No

* Can you perform all the essential job function(s) of the position(s) for which you are applying, with or without reasonable accommodation? Yes

Uplift Education Online Application

Coleman, Hazel Date Started: 8/17/2023

Generated at 11/15/2023 3:27:56 PM Central Standard Time Page 5 of 6 Disclosures continued

* Are you currently, or have you ever been employed by Uplift Education? No

* Are you an Uplift Education graduate? No

Please include the filled out and signed Pre-Employment Affidavit: https://www.tasb.org/services/legal-services/tasb-school-law-esource/personn

(Note: Affidavit does not need to be notarized)

Legal Information

Please note: Applicants are not obligated to disclose sealed or expunged records.

* Are you eligible to work in the United States? Yes

* Will you now or in the future require sponsorship for employment visa status (e.g., H-1B visa, OPT, STEM, ETC, status)?

No

* Have you ever been convicted of a criminal offense other than a minor traffic violation? No If yes, explain, giving dates:

Please Note: A conviction will not necessarily bar you from employment. Facts, such as date of occurrence and rehabilitation will be considered. This information will be used only for job-related purposes and only to the extent permitted by applicable law.

* Have you ever had any "Indicated" finding of child abuse filed in your name? No If yes, explain, giving dates:

* Does your name appear on any Sex Offender Database in any state or country? No Equal Opportunity Employer

Uplift Education is an Equal Opportunity Employer. Uplift Education ensures equal employment opportunities regardless of race, creed, gender, color, national origin, religion, age, sexual orientation or disability. Uplift Education has a policy of active recruitment of qualified minority teachers and non-certified employees. Any individual needing assistance in making application for any opening should contact the Department of Human Resources.

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.

Uplift Education Online Application

Coleman, Hazel Date Started: 8/17/2023

Generated at 11/15/2023 3:27:56 PM Central Standard Time Page 6 of 6 Applicant's Acknowledgment and Agreement

By checking the box below, candidate authorizes the school district to conduct an investigation of candidate pursuant to The School Code to determine whether candidate has been convicted of any criminal or drug offenses as set forth in such statute, and, upon request, agrees to execute an investigation authorization form as a condition for candidate's employment. The School Code also stipulates that the School District perform a check on the Statewide Sex Offender Database. Candidate may not be employed unless such investigations have been initiated.

I hereby certify that all information provided by me on this employment application and all other information provided by me in the course of applying for employment with Uplift Education is truthful, accurate, and complete. I understand that if any information provided by me on this employment application or any other information provided by me in the course of applying for employment with Uplift Education is found to be false, untruthful, misleading, or incomplete that such will be cause for immediate rejection of my application for employment. I further understand that if I am hired as an employee of Uplift Education and at any time thereafter it is discovered that any information provided by me on this employment application or any other information provided by me in the course of applying for employment with Uplift Education is found to be false, untruthful, misleading, or incomplete, that shall be sufficient cause for disqualification or termination from employment. I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Uplift Education to hire me. I authorize Uplift Education to contact references provided for employment reference checks.

I hereby authorize Uplift Education to obtain information relating to my current and previous employment, education, personal history records and criminal history records, including the submission of my fingerprints to the Criminal Investigative Bureau (CIB) and the Federal Bureau of Investigation for reports on my criminal history. I agree to release Uplift Education, its employees, representatives, and agents from any and all liability claims or damages for the obtaining and use of information obtained from these sources or developed as a result of contacting these sources. I, Hazel Coleman, agree to all of the terms above. I agree

Contact this candidate