Examiner application form

Subject(s) applied for Level(s) For more information on Cambridge qualifications please refer to www.cie.org.uk/qualifications

Personal Details
Title* Surname* Forename(s)*

Home Address* (Inc. Postcode) Email Address* Home Telephone* (Inc. Area Code) Mobile Number

Work Telephone (Inc. Area Code) *Mandatory Information

Employment History Present Appointment

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

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

Appointment School/Employer

From

To

Examiner / Moderator Application Form

Subject(s) & Level(s)

Examination Board Experience (External Examining/ Coursework Moderation)

Board Level Examiner Number Subject Role* From To

Board Level Examiner Number

Subject Role* From To

Board Level Examiner Number

Subject Role* From To

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

University Degree or other relevant qualifications

Awarding institution Class / Grade Subject Qualification Date awarded

Awarding institution Class / Grade Subject

Qualification Date awarded

Awarding institution Class / Grade Subject

Form

Qualification Date awarded

Examiner / Moderator Application

Availability
Have you worked as an examiner for Cambridge International Examinations in the past? If yes please provide us with your examiner creditor number (if applicable) Where did you hear about examining opportunities with Cambridge International examinations? Yes/No*

Please indicate which examination periods you would be free to undertake work: Summer: Overall marking period: May July Winter: Overall marking period: October - January Can you attend meetings: Yes/No* Yes/No* Yes/No* Weekends? Yes/No*
* Please delete as appropriate

Weekdays?

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, Cambridge International Examinations 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

Electronic Script Management

Examiner / Moderator Application Form

Cambridge International Examinations 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 7, XP or Vista and a broadband internet connection. As we are now marking more and more syllabuses using our online Scoris system it is required that, as part of the application process, you follow the below link to receive a validation reference number. This validation test ensures that your PC has the capabilities to use our Scoris program should you be required to take part in online marking. https://www.ca.scoris.rm.com/ehv/index.aspx Please make a note of your Validation Reference Number and enter it below: Validation Reference Number:

If you have not entered a Validation Number please give the reason below (e.g. Do not own a PC, Failed validation test)

References
Please provide details of one referee for the Cambridge examiner recruitment team to contact independently (please note references will not normally 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.

You must provide a second reference with this application form. We ask that
you contact your second referee and receive the document back before submitting your application (the application should be submitted with the completed reference form attached). The reference documents can be found under the following link: http://www.cie.org.uk/aboutcie/jobs/aboutcie/jobs/examiners

Professional reference to be taken up by Cambridge International Examinations Name* Email Address Postal Address (inc. Postcode) *Mandatory Information Official Position* Relationship *

Declaration

Examiner / Moderator Application Form

By completing and returning this application you consent to UCLES seeking and receiving relevant information held by other 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: recruitment.c@cie.org.uk Or post to: Examiner Recruitment, Cambridge Examiner Management, 1 Hills Road, Cambridge, CB1 2EU

Examiner / Moderator Application Form