SECTION ONE: OE MANAGEMENT DOCUMENTATION (DOCUMENT 1.5)
INT
CAMBRIDGE ESOL ORAL EXAMINER SUPPLEMENTARY NOMINATION FORM
Use this form to nominate a person who is already an Oral Examiner to examine additional levels
(complete all boxes)
You may send or fax this form to the TL/OETC or RTL/PSL who should sign to signify approval and then send the form to Examiners & Pretesting Administration
Unit at Cambridge ESOL, 1 Hills Road, Cambridge, CB1 2EU, United Kingdom
or fax the form to (+44) 1223 553069. If you are sending the form electronically, you and the nominee should type your names and the date on the form and you
should then forward it to the Team Leader/OETC, Regional Team Leader or Professional Support Leader or Cambridge ESOL as appropriate.
Please also see the Notes to Accompany Oral Examiner Nomination Forms
Please write legibly (preferably in block capitals) using black ink especially if faxing the form
Section 1
NOMINATION DETAILS
CLM BELL
Centre Name
IT016
Centre No
Examiner Name
UCLES ID
Please tick box(es) to indicate additional level(s) for which the Oral Examiner is being nominated
KET
PET
BEC P
FCE
BEC V
CAE
BEC H
CPE
YLE S*
ILEC
ICFE
YLE M*
YLE F*
Please add here any further information relevant to this nomination with dates, e.g. experience with Young Learners for YLE (please give age
groups), experience in Business English teaching for BEC, current teaching relevant to other levels such as KET, CPE, etc.
* Applicants for YLE Speaking Tests must complete this Declaration.
Declaration by nominee for position of Oral Examiner for the Cambridge Young Learners Test
I hereby certify that in undertaking the position of Oral Examiner for the Cambridge Young Learners Tests, I understand that I shall be
responsible for examining children between the ages of 7 and 12 on a one-to-one basis. I declare that I am a fit person to undertake
such work and that I comply with current local legislation relating to working with children.
Signature of YLE nominee ..................................................................
Date .......................................
Confirmation that the nominee has completed induction using the appropriate self-access Induction Pack
(to be completed by Centre Exams Manager or Team Leader/OETC)
Please note that this nomination will not be approved if details of Induction are not given
General Induction Pack
Date:
*YLE Induction Pack
Date:
Confirmation that the nominee has completed training for each qualification covered by this nomination
(to be completed by Centre Exams Manager or Team Leader/OETC)
Please note that this nomination will not be approved if details of training are not given
DATE
Section 2
LEVEL
DATE
LEVEL
AUTHORISATION
I certify that this nominee meets the Minimum Professional Requirements as Oral Examiner for the specific qualification(s) indicated above.
Signature/Name of Centre Exams Manager
PAUL MURPHY
Date
Signature/Name of Team Leader/OETC
Date
Approved by Professional Support Leader/Regional Team Leader
Date
Data input to Database by
on
Owner: GMYL Manager
Revised November 2009
Ref: NOM003
Version 2.1
F:\AOG\Examiners & Pretesting Admin\Nominations\Overseas Nominations\Nomination Documents\1.5 Supplementary Nomination form.DOC