ࡱ> GIDEFk zbjbj:: 8XГ\XГ\J J 8</x8>TTTCL D!-------$y0/3\".b%CCb%b%".TT.0+0+0+b%FTT-0+b%-0+0+0+T%F0+-.0/0+3%30+H+83+hw"%#|0+#d$]w"w"w"".".(2w"w"w"/b%b%b%b%3w"w"w"w"w"w"w"w"w"J > :  Nomination of External Examiners for Taught Courses Please complete all sections of the form and ensure that all boxes are ticked A. DETAILS OF POST TO BE FILLED Relevant module(s):  FORMTEXT        FORMTEXT    UG  FORMCHECKBOX  PG  FORMCHECKBOX  Relevant phase: FORMTEXT        Status: Module examiner  FORMCHECKBOX  Course/Phase examiner  FORMCHECKBOX  Chief examiner  FORMCHECKBOX  Reason recommendation sought  New Programme  FORMCHECKBOX  Extension to tenure  FORMCHECKBOX  If extension, please complete section C FORMTEXT       End of contract  FORMCHECKBOX  Please give name and institution of outgoing examiner:  FORMTEXT        B. DETAILS OF NOMINEE FOR THE ABOVE APPOINTMENT  NB All external examiners appointed will be asked to complete a right to work check and must reside in the UK  Proposed dates of appointment (normally 4 years)  From:  FORMTEXT      to  FORMTEXT        Title:  FORMTEXT       Forename(s):  FORMTEXT       Surname:  FORMTEXT        Current Academic Post/Employment:  FORMTEXT       Institution: FORMTEXT       Address for Correspondence:  FORMTEXT       Post Code:  FORMTEXT       e-mail address:  FORMTEXT       Tel number:  FORMTEXT        FORMTEXT        Has the nominee ever been a registered student, external examiner or employee of either the University of Ƶ or University of Brighton? Yes  FORMCHECKBOX  No  FORMCHECKBOX  (Needed for data recording purposes)  1 Please confirm that the nominee has indicated informally a willingness to serve in the above capacity  Confirmed  FORMCHECKBOX   2 Summary of relevant expertise and experiment of the nominee in both the academic area of the appointment and assessment of courses and programmes  FORMTEXT        3 If the nominee works outside Higher Education and does not have appropriate assessment expertise, please indicate if there is another external examiner for that subject with appropriate assessment expertise  FORMTEXT        4 Please confirm that the nominee does not have any direct interest in, or ties to, the universities or their staff  Confirmed  FORMCHECKBOX  5 If there are research links between the nominating department/interdisciplinary group/partner institution, please indicate the nature of the link and the way in which the department/interdisciplinary group/partner institution has satisfied itself that such a link does not endanger the potential objectivity of the relationship  FORMTEXT   vz    X Z \ ں}m]mYJ;hJ>h!2eCJOJQJaJhJ>hFCJOJQJaJh^hJ>hWw5CJOJQJaJhJ>h^5CJOJQJaJh OJQJh+h05CJOJQJaJh05CJOJQJaJh h 5CJ OJQJaJ h hPj hc#h S0jMhJ>hJ>OJQJU^JmHnHtH uhc#h SOJQJ^J0jhJ>hJ>OJQJU^JmHnHtH u  vx  X wnn $Ifgd V^Vgd0gd0$a$gd ^kdV$$Ifl0d&_ t 6P=/'44 layt S$=&P#$/Ifgd S X Z \ & h j ~u~~~~ $Ifgdq5; $Ifgd xkd.W$$IflV%Q'  t 0Q'44 lap ytJ> $ & ( < > @ V X f h j 쟐kWH9hJ>h^CJOJQJaJhJ>h|CJOJQJaJ'hJ>hN-CJOJQJaJmHnHu+j>XhJ>h)=CJOJQJUaJhJ>h;|CJOJQJaJhJ>hK+CJOJQJaJhJ>hFCJOJQJaJ0jhJ>h!2eCJOJQJUaJmHnHu+jWhJ>h)=CJOJQJUaJhJ>h!2eCJOJQJaJ%jhJ>h)=CJOJQJUaJj t v      " $ 2 6 ` b ~ ޣސkRޣސ0jhJ>h!2eCJOJQJUaJmHnHu+jTZhJ>h)=CJOJQJUaJhJ>hFCJOJQJaJhJ>h!2eCJOJQJaJhFhJ>h;|CJOJQJaJ+j(YhJ>h)=CJOJQJUaJ+jXhJ>h)=CJOJQJUaJ%jhJ>h)=CJOJQJUaJhJ>hCJOJQJaJ   `WWWWW $Ifgd kdY$$IflFV%k  t0Q'    44 lapytJ> " $ 4 6 < `WWWW $Ifgd kdZ$$IflFV%k  t0Q'    44 lapytJ>~   6 8 : < > ǻǥǏր|m^O^9+j]hJ>)=䴳ϴ>䴳ϴ>I䴳ϴ>w䴳ϴ;>;䴳ϴ+԰>)=䴳ϴ+[>)=䴳ϴy䴳ϴ>!2䴳ϴ%>)=䴳ϴ+[>)=䴳ϴ< > @ z | ~ txooofoooooo $IfgdI $Ifgd kd\$$Ifl0V%k  t0Q'44 lapytJ>   . 0 2 ο쿩욋|fM>ΚhJ>h!2eCJOJQJaJ0jhJ>h^CJOJQJUaJmHnHu+jp^hJ>h)=CJOJQJUaJhJ>h^CJOJQJaJhJ>hWwCJOJQJaJhJ>h8aCJOJQJaJ+j]hJ>h)=CJOJQJUaJhJ>hCJOJQJaJhJ>h`.CJOJQJaJhJ>hICJOJQJaJ%jhJ>h)=CJOJQJUaJ &0F`ptvxǸǸǸ}ָgN?;hwhJ>hN-CJOJQJaJ0jhJ>h8aCJOJQJUaJmHnHu+j\_hJ>h)=CJOJQJUaJhJ>h SCJOJQJaJh;hA5CJOJQJaJhACJOJQJaJh;h8a5CJOJQJaJhJ>h8aCJOJQJaJhJ>hICJOJQJaJ%jhJ>h)=CJOJQJUaJ+j^hJ>h)=CJOJQJUaJxsfVfM $Ifgd $"$If^"a$gdl/ V$If^VgdJ>gd kd_$$Ifl70V%k  t0Q'44 lapytJ>8^bdξ騙{l]N;%jhJ>h)=CJOJQJUaJhJ>h]0 CJOJQJaJhJ>hRCJOJQJaJhJ>h*CJOJQJaJhJ>h5CJOJQJaJhJ>h5CJOJQJaJhJ>h*CJOJQJaJh^"hl/5B*CJOJQJaJphhl/5B*CJOJQJphhl/5CJOJQJhJ>hWw5CJOJQJaJhJ>h^CJOJQJaJhFOJQJ8^`bd||||||| $Ifgd ykdr`$$IflV%Q'  t 0Q'644 lap ytl/.02<>HȯȠ{ȯȠwȑaHȑ0jhJ>h]0 CJOJQJUaJmHnHu+jbhJ>h)=CJOJQJUaJhR+jahJ>h)=CJOJQJUaJhJ>h]0 CJOJQJaJhJ>h5CJOJQJaJ0jhJ>h^CJOJQJUaJmHnHu%jhJ>h)=CJOJQJUaJ+jahJ>h)=CJOJQJUaJhJ>h^CJOJQJaJyy $Ifgd }kda$$IflP0V %0 ! t0Q'644 laytJ>HPdfz|~ ϠϠwhYJhJ>hxCJOJQJaJhJ>hPCJOJQJaJhJ>he:CJOJQJaJhJ>h*CJOJQJaJh]0 +jschJ>h)=CJOJQJUaJ0jhJ>h]0 CJOJQJUaJmHnHu+jbhJ>h)=CJOJQJUaJ%jhJ>h)=CJOJQJUaJhJ>h]0 CJOJQJaJhJ>hchCJOJQJaJ $Ifgd jkdc$$IflV%Q' t0Q'644 laytJ>&(*468:r~ֽ֮֮l֮]NN8+j]fhJ>h)=CJOJQJUaJhJ>hPCJOJQJaJhJ>h7CJOJQJaJ0jhJ>h*CJOJQJUaJmHnHu+j[ehJ>h)=CJOJQJUaJhJ>he:CJOJQJaJh*hJ>h*CJOJQJaJ0jhJ>hxCJOJQJUaJmHnHu%jhJ>h)=CJOJQJUaJ+jgdhJ>h)=CJOJQJUaJ8 $Ifgd jkdd$$IflV%Q' t0Q'644 laytJ>8:< $Ifgd jkde$$IflV%Q' t0Q'644 laytJ>,.0:ĵğĂsdN50jhJ>h^CJOJQJUaJmHnHu+jghJ>h)=CJOJQJUaJhJ>h^CJOJQJaJhJ>h*CJOJQJaJh70jhJ>h7CJOJQJUaJmHnHu+jfhJ>h)=CJOJQJUaJhJ>h!2eCJOJQJaJhJ>h7CJOJQJaJ0jhJ>hPCJOJQJUaJmHnHu%jhJ>h)=CJOJQJUaJ&( $Ifgd hkdIg$$IflV%Q' t0Q'644 laytJ>:<R(*,쿩zvgXIXhJ>hCJOJQJaJhJ>hCJOJQJaJhJ>hCJOJQJaJh*+jhhJ>h)=CJOJQJUaJ0jhJ>h^CJOJQJUaJmHnHu+jUhhJ>h)=CJOJQJUaJhJ>h^CJOJQJaJhJ>h^CJOJQJaJhJ>h*CJOJQJaJ%jhJ>h)=CJOJQJUaJ(*,#q5 $IfgdI $Ifgd hkdAi$$IflV%Q' t0Q'644 laytJ> !"#()*+9:;<ADEFGUVWXpqӵ}ĵnXnIhJ>hICJOJQJaJ+j=jhJ>h)=CJOJQJUaJhJ>hCJOJQJaJ+jihJ>h)=CJOJQJUaJ%jhJ>h)=CJOJQJUaJhJ>huLCJOJQJaJhJ>h,{CJOJQJaJhJ>hICJOJQJaJhJ>hCJOJQJaJhJ>hCJOJQJaJhJ>hRCJOJQJaJ45678,.0&^`bdxzvjZZvKhJ>h]0 CJOJQJaJhJ>h )5CJOJQJaJh )CJOJQJaJh )+j9khJ>h)=CJOJQJUaJ%jhJ>h)=CJOJQJUaJhJ>h6eCJOJQJaJhJ>h )CJOJQJaJhJ>h]0 5CJOJQJaJh]0 5CJOJQJaJhhJ>䴳ϴ>,䴳ϴ5679;<, $Ifgd? 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Confirmed  FORMCHECKBOX  7ii If any other external examiner appointments are held at taught level, please provide name of institution and course examined.   8  Please confirm that the previous external examiner was not from the same institution as the nominee  Confirmed  FORMCHECKBOX   9  If the nominee is either a former member of staff or student at either university, please confirm that at least five years have elapsed since their staff appointment/student registration ended  Confirmed  FORMCHECKBOX   10  Please confirm that the nominee has not previously acted as External examiner at either Sussex or Brighton University  Confirmed  FORMCHECKBOX   C. Rationale for extension or reallocation (please continue on a separate sheet if necessary)   RECOMMENDATION: Medical School  I recommend the appointment as external examiner for the period indicated as set out above Signed (BSMS Phase/Programme Leader) : Date:  RECOMMENDATION: BSMS Academic Board  I endorse the recommendation on behalf of the BSMS Academic Board Signed: (Chair) Date:  APPROVAL: Joint Academic Review Board  I approve the recommendation on behalf of the JARB Signed: (Chair/Secretary of JARB) Date:  GUIDANCE NOTES ON PROOF OF ELIGIBILITY TO WORK IN THE UK  Please note that all External Examiners are required to provide evidence that they are legally entitled to live and work in the UK before they commence employment with the University of Sussex.      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