Application for Employment – Newark Emmaus Trust, Newark
Newark Emmaus TrustNewark, Nottinghamshire
Salary
Competitive
Posted
01 Oct 2026
Last verified: 01 Oct 2026 · Direct employer listing
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NEWARK EMMAUS TRUST
APPLICATION FORM FOR EMPLOYMENT
Please return completed form and return to: - The Deputy CEO
By either email or post as follows.
HYPERLINK "mailto:john@newarkemmaustrust.co.uk" john@newarkemmaustrust.co.uk
Newark Emmaus Trust
37 Northgate
Newark Notts.
NG24 1HD.
Job applied for: ………………..…………………………………………………………….……………………
Where did you hear of this vacancy? (If newspaper, please specify)……………………………………...
1. PERSONAL DETAILS
TITLE: Mr Mrs Ms Miss
(Delete as necessary)
SURNAME: ……………………………………… FIRST NAME: …………………………………………..
ADDRESS: ……………………………………………………………………………………………………….
……………………………………………………………………………………………………………………..
HOME TEL No: …………………………..………... MOBILE No: ………………………………………….
EMAIL ADDRESS: ……………………………………………………………………………………………….
DO YOU HAVE A VALID FULL UK DRIVING LICENCE? YES / NO (delete as applicable)
DO YOU HAVE REGULAR USE OF A CAR
WHICH YOU ARE PREPARED TO INSURE FOR BUSINESS USE & USE AT WORK? YES / NO
(Delete as applicable)
ARE THERE ANY DATES THAT YOU ARE UNABLE TO ATTEND FOR INTERVIEW?
……………………………………………………………………………………………………………………..
WHEN WOULD YOU BE FREE TO TAKE UP NEW APPOINTMENT? …………………………………..
2. PRESENT EMPLOYMENT OR, IF UNEMPLOYED, MOST RECENT EMPLOYMENT
NAME AND ADDRESS OF EMPLOYER: …………………………………………………………………….
……………………...………………………………..……………………………………………………………..
DUTIES: ……..……..……….………………..………………………………………..
JOB TITLE: …………….…....…...……… …............................................................................................
DATES OF EMPLOYMENT: ………………………..……..…………... SALARY: ….……………………..
3. EMPLOYMENT HISTORY
Please give details of your employment history up to your present employment.Name & AddressFromToSalaryReason for leavingTitle of job & brief description
of duties
4. REFERENCES
Please give names and addresses of two people to whom we may apply for references.Reference 1
(present employer, or if unemployed, most recent employer)Reference 2
(Previous employer)NAME:
NAME:
ADDRESS:
TEL NO.ADDRESS:
TEL. NO.In what capacity is this referee known to you?
In what capacity is this referee known to you?
May we approach the above individuals without further reference to you? YES / NO
(delete as appropriate)
5. SUITABILITY FOR THE POST
Please outline the skills and experience relevant to this post that you have gained through paid employment, and/or other voluntary work, activities and interests that you think will support your application. Please fill in this section carefully, since the decision whether to interview will be based on this information.
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You may use continuation sheets if you require. Please do no write on reverse of this sheet.
6. EDUCATION AND TRAINING RELEVANT TO THE SKILLS REQUIRED FOR THIS POSTSchools / CollegesFromToFull / Part-timeQualifications Obtained
Training Courses Attended,
eg. whilst in employmentDate attendedOrganiser of course
7. MEMBERSHIP OF ANY ORGANISATIONS RELEVANT TO THE POST,
eg. VOLUNTARY GROUPS OR PROFESSIONAL BODIES
8. MEDICAL DETAILS
Are there any adjustments we would need to make to enable you to attend an interview with us?
YES/NO
If YES, please give details: ……………………………………………………………………………………..
……………………………………………………………………………………………………………………..
9. Have you ever been cautioned or convicted of a criminal offence? YES / NO (delete as applicable)
If YES, please give details: ……………………………………………………………………………………..
……………………………………………………………………………………………………………………..
NB. Under the Rehabilitation of Offenders Act, the Trust is an exempt organisation.
Therefore, full disclosure of all convictions is required. The possession of a criminal
record will not necessarily be a bar to obtaining a position with the Trust.
All persons appointed by the Trust who may work alone with vulnerable people will be
subject to Disclosure and Barring Service Checks for eligibility to work with both
Children & Adults (Enhanced).
10. If you hold a current Disclosure and Barring Service Certificate, please state Disclosure Number and Date of Issue.
Disclosure Number …………………………….……………………… Date of Issue ………………
11. Data protection
Information from this application may be processed for purposes permitted under the General Data Protection Regulation. Individuals have, on written request, the right of access to personal data held about them.
The Trust treats personal data collected during the recruitment process in accordance with its HYPERLINK "http://www.xperthr.co.uk/policies-and-documents/data-protection-policy/162690/" data protection policy / HYPERLINK "http://www.xperthr.co.uk/policies-and-documents/policy-on-processing-special-category-personal-data-and-criminal-records-data/163520/" policy on processing special category personal data and criminal records data. Information about how your data is used and the basis for processing your data is provided in the Trusts Data Protection Policy.
Declaration
I declare that the information given in this application is to the best of my knowledge complete and correct.
Applicant's signature Date
Note: Any false, incomplete or misleading statements may lead to dismissal.
You can obtain a large-print version of this form from Newark Emmaus Trust on 01636 612892
PAGE 1
PAGE 1
Recruitment master file
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NEWARK EMMAUS TRUST
APPLICATION FORM FOR EMPLOYMENT
Please return completed form and return to: - The Deputy CEO
By either email or post as follows.
HYPERLINK "mailto:john@newarkemmaustrust.co.uk" john@newarkemmaustrust.co.uk
Newark Emmaus Trust
37 Northgate
Newark Notts.
NG24 1HD.
Job applied for: ………………..…………………………………………………………….……………………
Where did you hear of this vacancy? (If newspaper, please specify)……………………………………...
1. PERSONAL DETAILS
TITLE: Mr Mrs Ms Miss
(Delete as necessary)
SURNAME: ……………………………………… FIRST NAME: …………………………………………..
ADDRESS: ……………………………………………………………………………………………………….
……………………………………………………………………………………………………………………..
HOME TEL No: …………………………..………... MOBILE No: ………………………………………….
EMAIL ADDRESS: ……………………………………………………………………………………………….
DO YOU HAVE A VALID FULL UK DRIVING LICENCE? YES / NO (delete as applicable)
DO YOU HAVE REGULAR USE OF A CAR
WHICH YOU ARE PREPARED TO INSURE FOR BUSINESS USE & USE AT WORK? YES / NO
(Delete as applicable)
ARE THERE ANY DATES THAT YOU ARE UNABLE TO ATTEND FOR INTERVIEW?
……………………………………………………………………………………………………………………..
WHEN WOULD YOU BE FREE TO TAKE UP NEW APPOINTMENT? …………………………………..
2. PRESENT EMPLOYMENT OR, IF UNEMPLOYED, MOST RECENT EMPLOYMENT
NAME AND ADDRESS OF EMPLOYER: …………………………………………………………………….
……………………...………………………………..……………………………………………………………..
DUTIES: ……..……..……….………………..………………………………………..
JOB TITLE: …………….…....…...……… …............................................................................................
DATES OF EMPLOYMENT: ………………………..……..…………... SALARY: ….……………………..
3. EMPLOYMENT HISTORY
Please give details of your employment history up to your present employment.Name & AddressFromToSalaryReason for leavingTitle of job & brief description
of duties
4. REFERENCES
Please give names and addresses of two people to whom we may apply for references.Reference 1
(present employer, or if unemployed, most recent employer)Reference 2
(Previous employer)NAME:
NAME:
ADDRESS:
TEL NO.ADDRESS:
TEL. NO.In what capacity is this referee known to you?
In what capacity is this referee known to you?
May we approach the above individuals without further reference to you? YES / NO
(delete as appropriate)
5. SUITABILITY FOR THE POST
Please outline the skills and experience relevant to this post that you have gained through paid employment, and/or other voluntary work, activities and interests that you think will support your application. Please fill in this section carefully, since the decision whether to interview will be based on this information.
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You may use continuation sheets if you require. Please do no write on reverse of this sheet.
6. EDUCATION AND TRAINING RELEVANT TO THE SKILLS REQUIRED FOR THIS POSTSchools / CollegesFromToFull / Part-timeQualifications Obtained
Training Courses Attended,
eg. whilst in employmentDate attendedOrganiser of course
7. MEMBERSHIP OF ANY ORGANISATIONS RELEVANT TO THE POST,
eg. VOLUNTARY GROUPS OR PROFESSIONAL BODIES
8. MEDICAL DETAILS
Are there any adjustments we would need to make to enable you to attend an interview with us?
YES/NO
If YES, please give details: ……………………………………………………………………………………..
……………………………………………………………………………………………………………………..
9. Have you ever been cautioned or convicted of a criminal offence? YES / NO (delete as applicable)
If YES, please give details: ……………………………………………………………………………………..
……………………………………………………………………………………………………………………..
NB. Under the Rehabilitation of Offenders Act, the Trust is an exempt organisation.
Therefore, full disclosure of all convictions is required. The possession of a criminal
record will not necessarily be a bar to obtaining a position with the Trust.
All persons appointed by the Trust who may work alone with vulnerable people will be
subject to Disclosure and Barring Service Checks for eligibility to work with both
Children & Adults (Enhanced).
10. If you hold a current Disclosure and Barring Service Certificate, please state Disclosure Number and Date of Issue.
Disclosure Number …………………………….……………………… Date of Issue ………………
11. Data protection
Information from this application may be processed for purposes permitted under the General Data Protection Regulation. Individuals have, on written request, the right of access to personal data held about them.
The Trust treats personal data collected during the recruitment process in accordance with its HYPERLINK "http://www.xperthr.co.uk/policies-and-documents/data-protection-policy/162690/" data protection policy / HYPERLINK "http://www.xperthr.co.uk/policies-and-documents/policy-on-processing-special-category-personal-data-and-criminal-records-data/163520/" policy on processing special category personal data and criminal records data. Information about how your data is used and the basis for processing your data is provided in the Trusts Data Protection Policy.
Declaration
I declare that the information given in this application is to the best of my knowledge complete and correct.
Applicant's signature Date
Note: Any false, incomplete or misleading statements may lead to dismissal.
You can obtain a large-print version of this form from Newark Emmaus Trust on 01636 612892
PAGE 1
PAGE 1
Recruitment master file
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