For More Information on CIE Qualifications Please Refer To

Subject(s) applied for
Level(s)

For more information on CIE qualifications please refer to

A)Personal Details

Title* / Surname* / Forename(s)*
Home Address*
(Inc. Postcode)
Email Address* / Home Telephone*
(Inc. Area Code)
Work Telephone
(Inc. Area Code) / Mobile Number

*Mandatory Information

B)Employment History

Present Appointment

Appointment / Date Appointed
School/Employer
Subject(s) & Level(s)

Previous Appointment(s)

Appointment / From / To
School/Employer
Subject(s) & Level(s)
Appointment / From / To
School/Employer
Subject(s) & Level(s)

C)Examination Board Experience (External Examining/Coursework Moderation)

Board / Subject
Level / Role*
Examiner Number / From / To
Board / Subject
Level / Role*
Examiner Number / From / To
Board / Subject
Level / Role*
Examiner Number / From / To

*Please state whether Principal Examiner, Team Leader, Assistant Examiner, Principal Moderator, etc.

D)University Degree or other relevant qualifications

Awarding institution / Qualification
Class / Grade / Subject / Date awarded
Awarding institution / Qualification
Class / Grade / Subject / Date awarded
Awarding institution / Qualification
Class / Grade / Subject / Date awarded

E)Availability

Have you worked as an examiner for Cambridge International Examinations in the past? / Yes/No*
If ‘yes’ please provide us with your examiner creditor number (if applicable)
Where did you hear about examining opportunities with CambridgeInternational examinations?
Please indicate which examination periods you would be free to undertake work:
Summer: Overall marking period: May – July / Yes/No*
Winter: Overall marking period: October - January / Yes/No*
Can you attend meetings: / Weekdays? Yes/No* / Weekends? Yes/No*

* Please delete as appropriate

Do you expect that your time would be taken up by other external examining work? If so, please give details:
Do you or the school where you teach, prepare candidates for any Cambridge Assessment (OCR, CIE or ESOL)suite of examinations? If so, please give details?
Please use the space provide to add any additional information/ experience to support your application:
Do you have a UK Bank Account? (Yes/No) Please do not provide details of your account on this form

G)Electronic Script Management

CIE is committed to various forms of electronic script management (ESM). In order to mark using these systems you need to have a PC running Windows XP, Vista, 7, 8 or 8.1, or a Mac running MacOS10.5.7+ and a good internet connection. If you do not meet these requirements please give a reason below.

H)Supplementary Form for Examining Work in Languages other than English

This section of the form is for applicants wishing to mark Languages other than English. Please skip the whole of section G if this does not apply to you.
In addition to your application for examining work, would you be interested in setting examination questions? / Yes/No*
For each of the following skills, please indicate your level in the target language
Speaking / Native speaker/ Fluent/ Moderately fluent*
Writing / Native speaker/ Fluent/ Moderately fluent*
Have you ever taught literature? / Yes/No*
Would you feel confident to examine literature? / Yes/No*
Would you be interested in being a visiting Oral Examiner for the Cambridge Pre-U (you would need to be available for visits to schools between March and June)? / Yes/No*

* Please delete as appropriate

How do you maintain your contact/connection with the target language?
Tell us why you think your experience makes you suitable to be an examiner/moderator in the target language:

I)References

You must provide one completed reference with this application form. The application should be submitted with the completed reference form attached.
The reference documents can be found under the following link:

You must provide details below of a second referee for the Cambridge Examiner Recruitment team to contact independently. References will not be accepted from spouses, partners and close family members. Referees will be contacted by email in the first instance. Please note that personal email addresses should be provided where possible to prevent delays during school holidays.

Professional reference to be taken up by CIE

Name* / Official Position*
Email Address* / Relationship *
Postal Address
(inc. Postcode)

*Mandatory Information

J)Declaration

By completing and returning this application you consent to UCLES seeking and receiving relevant information held byother exam boards regarding your performance as well as giving consent to UCLES to disclose such information should any other exam board make a request for a relevant reason.
I certify that the information I have given in this application is true and complete to the best of my knowledge and that I include a personal reference to support my application.
Signed / Please type name here / Date

Please email your completed application form and reference to:

Or post to: Examiner Recruitment, CIE Examiner Management, 1 Hills Road, Cambridge, CB1 2EU

Examiner / Moderator Application Form