AWARD OF TITLES Further information can be found at : http://www.essex.ac.uk/personnel/Pol&Proc/policies/awardoftitlescriteria.pdf Official Surname of Nominee: Requested Title: Visiting Fellow Official Forenames of Nominee: Executive Fellow Title of Nominee (Mr/Mrs/Ms/Dr/Professor) Requested title: Preferred/Professional Surname: Honorary Lecturer Honorary Senior Lecturer Preferred/Professional Forename: Visiting Professor Date of Birth: (required for creation of PRID Gender: number, necessary for email account) (Male/Female) Campus: Colchester Southend Campus card required for use in Library/Sports Centre New award Start Date: End Date: Current CV attached Loughton Email account required Extension of award From: To: Expiry date of previous award: Department/School: Signature of HoD: Print name of HoD: Approved and signed by Executive Dean ……………………………..……………….. Requested Title: Emeritus Professor (no CV required) Approved and signed by Executive Dean …………….………………………………… Approved and signed by Vice-Chancellor …………………………..………………….. Requested Title: Honorary Professor *please attach names and contact details of two assessors Approved and signed by Executive Dean ……..……………………………………..… Approved and signed by PVC, Research ……………………………………….……… Approved and signed by Vice-Chancellor ..………………………………………..…… Description of benefit to the University: association with research, unpaid teaching, mutual consultancy etc. PLEASE RETURN THIS FORM TO HUMAN RESOURCES