Curriculum Vitae for Membership of the Panel of Examiners for the Viva in the Professional Doctorate in Health Psychology A proforma CV must be completed for each proposed examiner (external and internal) Approval of the CV will confirm membership of the panel for a period of 4 years. Name and Title: Current Position and Place of Work: Address for Correspondence: Qualifications: Previous Examination Experience: Please Indicate Precise Numbers. ** Internal Are you a Health Psychologist registered with the HCPC? MPhil YES/NO (*delete as appropriate) Prof Doc External PhD Eligibility to Work in the United Kingdom The University is required by the UK Border Agency (UKBA) Immigration Regulations (2008) to verify the right to work in the UK of any person undertaking work at Staffordshire University. Is the nominee eligible to work in the UK? YES/NO (*delete as appropriate) If confirmation has not yet been obtained, confirm that the Faculty/School agrees to undertake the necessary checks to confirm eligibility and make and maintain appropriate record of confirmation: YES/NO (*delete as appropriate) 1 Employment History: Recent/Current Research (last 5 years): Which Methodologies Do You Use (Qualitative and/or Quantitative)? Recent Research Publications and/or Conference Papers (last 5 years): Publications: Conference papers: Please continue overleaf if you require additional space. Do not append additional papers. ** Our regulations require at least one of the examiners to have examined a minimum of 3 dissertations, of at least the level of this examination. 2