Faculty of Life Sciences & Medicine Visiting appointment request form (For contractual purposes, there is a difference between paid and unpaid Visiting appointees. Before completing this application, please consult the Human Resources team for your Faculty) Section 1 - Proposed appointee Personal details: Title: Surname: Forenames: Address for Correspondence: Present position: Section 2(a) – EU / EEA Passport Holders Proposed title:* Visiting Professor Visiting Senior Lecturer Visiting Lecturer Visiting Senior Research Fellow Visiting Research Fellow Visiting Research Associate Visiting Research Assistant Proposed period:* Six months One year Two years Three years Other (Please specify…………………………………………. Proposed start date of appointment: Important: The curriculum vitae of the nominee must accompany this form, without which the proposal cannot be considered. (The CV should contain only that degree of detail relating to the proposed position). Section 2(b) – Non EU / EEA Passport Holders Page 1 of 3 Faculty of Life Sciences & Medicine Country: Proposed title: Visiting Professor Visiting Senior Lecturer Visiting Lecturer Visiting Senior Research Fellow Visiting Research Fellow Visiting Research Associate Visiting Research Assistant Proposed period: Academic Visitor Visa: Tier 5 Sponsorship: Tier 5 Sponsorship: Twelve months One year Two years Other (Please specify…………………………………………. Proposed start date of appointment: Important Home Office Note: Academic Visitor: Individuals coming to the UK to carry out their own research and not that of King’s College London. Maximum length of stay in the UK: twelve months. * Tier 5 Sponsorship: Government authorised exchange category is for individuals coming to the UK as sponsored researchers, who must be sponsored by King's and be issued with a Certificate of Sponsorship by HR before they are able to proceed with an application to enter the UK. Maximum length of stay in the UK: 24 months. * *please contact your HR Adviser for further details Important: The curriculum vitae of the nominee must accompany this form, without which the proposal cannot be considered. (The CV should contain only that degree of detail relating to the proposed position). Page 2 of 3 Faculty of Life Sciences & Medicine Section 3: Reason for proposed association with the university (please attach separate sheet if necessary) Nature of proposed appointee’s planned contribution to teach and/or research: Name(s) of principal contact(s) within Division: Section 4(a) – Divisional authorisation Name: Division Head of Division Signature: Date: Section 4(b) – Dean of Faculty authorisation (For Visiting Lecturer and above) Name: Dean of Faculty of Life Sciences & Medicine Signature: Date: Page 3 of 3