Application for the Appointment of an External Examiner

This form should be used to propose new appointments only. Form EXT2 should be used to propose extensions to period of tenure/duties or re-allocation of duties between approved External Examiners.

NAME OF NOMINEE / EXT1
PART A: DETAILS OF PROPOSAL
1.  DETAILS OF PROPOSED APPOINTMENT
Where the nominee is to be appointed as an Examiner for a programme in its entirety there is no need to specify each module in this section; where the nominee is to be appointed for specific modules only within a named award, please specify each module.
Is this nominee proposed as a Programme External Examiner or a Module External Examiner ? / Programe / Module
2.  PROPOSED PERIOD OF TENURE
External Examiners should normally be appointed for four academic sessions, starting at the beginning of the session before the first output and finishing with the re-sit diet of the last session for which they have responsibility (normally October-September).
From: / October – 20xx / To: / September – 20xx
If the Examiner is to be appointed outwith the standard October to September period, please state reason here: / e.g. January Programme Start / Early Termination of EE
Is the nominee to be appointed as a Chief External Examiner? / YES / NO
3.  PROGRAMME(S)
Please detail below the Programme Code and Programme Name for which the examiner will have responsibility.
Programme Code / Programme Name / Programme Leader (or contact) / No of Students / Campus
G/L/O/DL
4.  MODULES
For each module for which the examiner will have particular responsibility please provide an estimate of average student numbers. Where responsibility for assessment is being divided please indicate division of responsibilities for the examiner.
Module Code / Module Name / SCQF Level / No of Students / Campus
G/L/O/DL
5.  EXTERNAL EXAMINER TO BE REPLACED
New examiners should take up appointment on retirement of predecessor
Name
Position
Place of work
Period of tenure From: / (month) (year) / To: / (month) (year)
6.  EXTERNAL EXAMINER TEAM
Please provide details, as below, of the ALL approved and/or proposed external examiners in the team.
External Examiners not yet approved should be clearly marked in italics.
a) / Name
Place of work
Academic area
Period of tenure From: / (month) (year) / To: / (month) (year)
b) / Name
Place of work
Academic area
Period of tenure From: / (month) (year) / To: / (month) (year)
c) / Name
Place of work
Academic area
Period of tenure From: / (month) (year) / To: / (month) (year)
d) / Name
Place of work
Academic area
Period of tenure From: / (month) (year) / To: / (month) (year)
e) / Name
Place of work
Academic area
Period of tenure From: / (month) (year) / To: / (month) (year)
PART B: DETAILS OF PROPOSED EXAMINER
7.  CONTACT DETAILS OF EXTERNAL EXAMINER
Please provide contact details as noted below.
Surname: / Forename(s): / Title:
Business Address: / Address for Correspondence:
If different
Tel : / Tel:
Mobile: / Mobile:
Email: / Email:
8.  HIGHER EDUCATION AND QUALIFICATIONS
Qualifications Obtained or currently studying towards / Dates:
From/To / Awarding Institution / Main Area/Subjects of Study
9.  MEMBERSHIP OF PROFESSIONAL/REGULATORY BODIES
Professional/Regulatory Body / Current Status & Membership No (e.g. Fellow: Full Member; Associate Licentiate etc) / Date Obtained
10.  PROFESSIONAL BODY APPROVAL
Does this nomination require to be approved and/or ratified by a Professional/Regulatory Body? / YES / NO
Does this nomination require Professional/Regulatory Body Membership? / YES / NO
If yes, please provide the name of the Professional/Regulatory Body and details of approval.
11.  CURRENT (or most recent) EMPLOYMENT
If retired, please indicate and give LAST post
Job Title / Post Held:
Dates of Employment / From: / To:
Employer/Company Name:
Employer/Company Address:
Summary of Duties
12.  PREVIOUS RELEVANT EMPLOYMENT
Details of Relevant Employment from LAST 5 YEARS
Employer / Post Held / Dates of Employment
From: To:
13.  CURRENT EXTERNAL EXAMINER APPOINTMENTS
(at other Universities or educational institutions)
Does the nominee hold any other external examiner appointments at other Universities or educational establishments? / YES / NO
If yes, please provide below details including the names of institutions, programme titles, level and dates of appointment. If the proposal for appointment will lead to a total of more than two appointments concurrently or the equivalent, please give reasons in support of the proposal.
Name of Institution / Details (eg name of programme, modules, subject areas, SCQF levels) / Dates
From: To:
PLEASE NOTE: External Examiners should not normally hold more than two External Examiner appointments at any one time. If more the nominee currently holds two appointments or more and wishes to proceed with this nomination, please give reasons below:
14.  PREVIOUS EXPERIENCE AS EXTERNAL EXAMINER (within the last 5 years)
Not including any information provided above, please provide details of any previous experience you have had has an External Examiner
Name of Institution / Details (eg name of programme, modules, subject areas, SCQF levels) / Dates
From: To:
15.  EXPERIENCE OF INTERNAL ASSESSMENT AND EXAMINING (within the last 5 years)
Please provide details of any experience you have had as an internal examiner over the last five years (not including any information provided above) with names of institutions, modules/subject areas, programme titles, level and dates of appointment
Name of Institution / Subject Areas
(Please state whether Programme or Module) / SCQF Level / Relevant Dates
16.  TEACHING EXPERIENCE
Give brief account of main areas of teaching responsibilities (if any) in the last five years
Subject Areas Taught / SCQF Level of Subjects/Modules/Programmes / Relevant Dates
Please also note teaching experience of Blended Learning:
Please also note Teaching experience of Distance Learning:
Please also note teaching experience of Work Based Learning:
17.  RESEARCH AND RELATED SCHOLARLY / PROFESSIONAL ACTIVITY / CONSULTANCY
Give brief account of main activities with particular reference to the last five years and list major publications (books, articles in refereed academic or professional journals which are directly relevant to the Module, Programme and Postgraduate Assessment Boards) with dates (please continue on a supplementary sheet if necessary)
18.  CURRENT AND/OR PREVIOUS ASSOCIATION WITH GCU
Please provide details of any current and/or previous association with GCU including institution/programme/department/individual staff details/student details (with dates)
**Please also refer to guidance notes at the end of this form with regards to conflict of interest guidance notes**
Have you been a permanent/temporary/casual member of staff with GCU within the last 5yrs or been contracted with GCU on a self-employed basis? / YES / NO
Have you been a student of GCU within the last 5yrs? / YES / NO
Have you held an External Examiner Appointment with GCU in the last 5yrs? / YES / NO
Do any members of GCU staff hold External Examiner appointments within your subject area at present, or within the last 5yrs at your home institution? / YES / NO
Do any colleagues from your company/institution, in your subject area currently, or have in the last 5yrs held External Examiner appointments with GCU? / YES / NO
Have you been part of any research collaborations with a member of GCU staff in the last 5yrs? / YES / NO
Have you been part of any industry/specialist liaison groups or acted in any advisory capacity to GCU within the last 5yrs? / YES / NO
Are any of your family members employed by GCU at present? / YES / NO
OTHER and Additional Information:
If you have answered YES, to any of the above please provide additional information in the box below
If you have had any other association with GCU in the last 5yrs not listed above, please provide details below.
19.  ADDITIONAL INFORMATION IN SUPPORT OF APPLICATION
Please use this section to provide any additional information not provided for elsewhere in the form.
Where the nominee has no previous experience of External Examining in the last 5 yrs, please confirm arrangements for mentoring in the 1st year of appointment.
20.  RIGHT TO WORK IN THE UK
Upon successful appointment as an External Examiner the nominee will become a Casual Worker with GCU and is required to provide evidence of their right to work in the UK. Please confirm below that the nominee has this right.
Please confirm the means by which the nominee has the right to work in the UK:
o  UK/EEA National (excluding Croatia)
o  Settlement (Indefinite Leave to Remain)
o  Tier 1 Visa Holder
o  Tier 2 Visa Holder*
*Unfortunately we are unable to offer External Examiner appointments to those sponsored by another employer
o  I will be entering the UK under a Permitted Paid Engagement Visa (PPE)
o  I will not be entering the UK as my appointment is for an overseas campus / o  Dependant’s Visa
o  Spousal Visa
o  Family Member of an EEA National
o  Ancestry
o  Croatian National
o  Asylum Seeker / Refugee
o  Other (Please State)

PART C: AUTHORISATION
PROGRAMME BOARD ENDORSEMENT:
I confirm that this External Examiner nomination has been presented to the relevant Programme Board for consideration and the Board endorses this nomination for appointment as outlined above.
PRINT NAME
Programme Board Chair / Signature / Date:
SCHOOL ENDORSEMENT:
I confirm that this External Examiner nomination has been reviewed and the School endorses the nomination for appointment as outlined above.
PRINT NAME>
ADLTQ (or representative) / Signature / Date
EXTERNAL EXAMINER APPROVAL PANEL
PROFESSOR NICOLA ANDREW
EEAP Chair / Signature / Date

Guidance Notes and Submission Deadlines

-  This form should be used to propose the appointment of a new External Examiner. When the duties of a current External Examiner require to be changed, please complete Form EXT2.

-  The appointment proposed in this application can only be considered “approved” once it has been approved by the External Examiner Approval Panel and signed by the Chair.

-  The proposed Examiner should not attach a CV, all required information should be captured in this form. A history of the candidates professional experience and credentials is only required for the past 5 years.

-  This form should be submitted to Academic Quality (AQ) a minimum of two Trimesters in advance of the appointment start date.

-  The External Examiner Approval Panel will meet once per Trimester to consider applications. Applications should be submitted to AQ no later than Week 1 of the Trimester for consideration by the Panel in Week 4.

-  Once this form has been completed and passed all internal School processes it should be submitted to AQ by the Associate Dean Learning Teaching and Quality (or their representative) electronically to .

Guidance Notes Specific to Conflict of Interest

In line with the UK Quality Code Chapter B7: External Examining, degree awarding bodies should not appoint as External Examiners anyone in the following categories or circumstances:

i)  a member of a governing body or committee of the appointing body or one of its partners, delivery organisations or support providers, or a current employee of the appointing body or one of its partners, delivery organisations or support providers

ii)  anyone with a close professional, contractual or personal relationship with a member of staff or student involved with the programme of study

iii)  anyone required to assess colleagues who are recruited as students to the programme of study

iv)  anyone who is, or knows they will be, in a position to influence significantly the future of students on the programme of study

v)  anyone significantly involved in recent or current substantive collaborative research activities with a member of staff closely involved in the delivery, management or assessment of the programme(s) or modules in question

vi)  former staff or students of the higher education provider unless a period of five years has elapsed and all students taught by or with the external examiner have completed their programme(s)

vii)  a reciprocal arrangement involving cognate programmes at another higher education provider

viii)  the succession of an external examiner by a colleague from the examiner's home department and provider

ix)  the appointment of more than one external examiner from the same department of the same higher education provider.

If, at any time during your appointment with the University, you become aware of a conflict of interest outlined above you should declare this to the Department of Academic Quality at the earliest opportunity. Upon identification of this, the nature of the conflict of interest will be considered and may result in the requirement for your External Examiner appointment to be terminated.

GCU/AQD/EXT1 Revised March 2017