84955 Examiner Application Form Languages

8/21/2019 84955 Examiner Application Form Languages

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Examiner application form (languages)

Subject(s) applied for

Level(s)

For more information on Cambridge International Examinations qualifications please refer towww.cie.org.uk/qualifications

A) Personal Details

Title* Surname* Forename(s)*

Home Address*(Inc Postcode)

!mailAddress*

HomeTelep"one*(Inc Area #ode)

$or% Telep"one(Inc Area #ode)

&obile 'umber

*Mandatory Information

) !mploment Histor

Present Appointment

Appointment Date Appointed

Sc"ool!mploer

Subject(s) + Level(s)

Previous Appointment(s)

Appointment From To

Sc"ool!mploer


Appointment From To

Sc"ool!mploer


!,aminer &oderator Application Form
http://www.cie.org.uk/qualificationshttp://www.cie.org.uk/qualifications


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#) !,amination oard !,perience (!,ternal !,aminin- #ourse.or%&oderation)

oard Subject

Level /ole*

!,aminer 'umber From To

oard Subject

Level /ole*


oard Subject

Level /ole*


*lease state w!et!er rincipal Examiner" #eam $eader" %ssistant Examiner" rincipal Moderator" etc.

D) 0niversit De-ree or ot"er relevant 1ualifications

A.ardin- institution 2ualification

#lass 3rade Subject Date a.arded







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!) Availabilit

Please indicate ."ic" e,amination periods ou .ould be free to underta%e .or%4

Summer4 5verall mar%in- period4 &a 6 7ul Yes/No*

$inter4 5verall mar%in- period4 5ctober 87anuar

Yes/No*

#an ou attend meetin-s4 $ee%das9 Yes/No* $ee%ends9 Yes/No*

* Please delete as appropriate

Do ou e,pect t"at our time .ould be ta%en up b ot"er e,ternal e,aminin- .or%9 If so: please -ive details4

Do ou or t"e sc"ool ."ere ou teac": prepare candidates for an #ambrid-e Assessment (5#/:#ambrid-e International !,aminations or !S5L) suite of e,aminations9 If so: please -ive details9

Please use t"e space provide to add an additional information e,perience to support our application4

Do ou "ave a 0; an% Account9 (


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3) Supplementar Form for !,aminin- $or% in Lan-ua-es ot"er t"an !n-lis"

In addition to your application for examining work" wouldyou be interested in setting examination questions2 Yes/No*

For eac! of t!e following skills" please indicate your le&el in t!e target language

Spea%in- Native speaker/ Fluent/ Moderately fluent*$ritin- Native speaker/ Fluent/ Moderately fluent*

* Please delete as appropriate

Have ou ever tau-"t

literature9Yes/No*

$ould ou feel confident to e,amineliterature9

Yes/No*

$ould ou be interested in bein- a visitin- 5ral !,aminer for t"e#ambrid-e Pre80 (ou .ould need to be available for visits to sc"oolsbet.een &arc" and 7une)9

Yes/No*

Ho. do ou maintain our contactconnection .it" t"e tar-et lan-ua-e9



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Tell us ." ou t"in% our e,perience ma%es ou suitable to be an e,aminermoderator in t"e

tar-et lan-ua-e4

H) /eferences

lease pro&ide details of one referee for t!e Cambridge examiner recruitment team to contact independently'please note references will not normally be accepted from spouses" partners and close family members).eferees will be contacted by email in t!e first instance. lease note t!at personal email addresses s!ould bepro&ided w!ere possible to pre&ent delays during sc!ool !olidays.


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I) Declaration

4y completing and returning t!is application you consent to 5C$E( seeking and recei&ing rele&ant information!eld by ot!er exam boards regarding your performance as well as gi&ing consent to 5C$E( to disclose suc!information s!ould any ot!er exam board make a request for a rele&ant reason.

I certify t!at t!e information I !a&e gi&en in t!is application is true and complete to t!e best of my knowledgeand t!at I include a personal reference to support my application.

Si-ned Please type name here Date

lease email your completed application form and reference to recruitment.c6cie.org.uk

7r post to Examiner ecruitment" Cambridge Examiner Management" 8 9ills oad" Cambridge" C48 :E5

mailto:[email protected]:[email protected]

84955 Examiner Application Form Languages

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