Academic Board nomination form 2013/14 Nominee Name and title of nominee: ................................................................................. (please print) Academic department/division of nominee: ........................................................ (please print) Work address of nominee: ………………………………………………………………………… …………………………………………………………………………………………………………. Email address of nominee: ………………………………………………………………………… Employment grade of nominee: ...........................................................................(please print) Signature of nominee: …………………………………………………………………………….. (indicates willingness to be nominated) PROPOSER Name and title of proposer: ................................................................................. (please print) Academic department/division of proposer: ........................................................ (please print) Signature of proposer: …………….......................................................................................... SECONDER Name and title of seconder: ................................................................................ (please print) Academic department/division of seconder: ........................................................(please print) Signature of seconder: ……................................................................................................ Nominations should be returned to Mr Trevor Pearce, Secretary to the Academic Board, electronically scanned or in paper form trevor.pearce@kcl.ac.uk Room 7.41, James Clerk Maxwell Building, 57 Waterloo Road, London SE1 8WA no later than 5pm on Friday 8th November 2013. Late or illegible nominations will not be counted 1/2 Extract from Academic Board regulation 9 9.1 9.2 “Eligibility Any teaching or research member of staff on a full-time, or percentage full-time, contract employed within a School within a junior or senior grade recognised for this purpose will be eligible to stand and vote in the elections under Regulation 4.14 above. The grades recognised for this purpose shall be as follows: (a) (b) Junior: Lecturer (Grade 6), Lecturer (Grade 7), Research Fellow, Research Associate, Research Assistant and their clinical equivalents; Teacher, Teaching Assistant, Senior Demonstrator, Demonstrator/Prosecutor; and those not employed by the College but having Recognised Teacher Status within a School of the College. Senior: Professor, Reader and Senior Lecturer (and their clinical equivalents); Professorial Research Fellow, Principal Research Fellow and Senior Research Fellow.” 2/2