Subject(s) applied for
Level(s)
For more information on CIE qualifications please refer to www.cie.org.uk/qualifications
A) Personal Details
Title*
Surname*
Forename(s)*
Home Address*
(Inc. Postcode)
Email
Address*
Home Telephone*
(Inc. Area Code)
Work Telephone
(Inc. Area Code)
Mobile Number
*Mandatory Information
B) Employment History
Present Appointment
Appointment
Date Appointed
School/Employer
Subject(s) & Level(s)
Previous Appointment(s)
Appointment
From
To
From
To
School/Employer
Subject(s) & Level(s)
Appointment
School/Employer
Subject(s) & Level(s)
Examiner / Moderator Application Form
C) Examination Board Experience (External Examining/ Coursework Moderation)
Board
Subject
Level
Role*
Examiner Number
Board
Subject
Level
Role*
Examiner Number
Board
Subject
Level
Role*
Examiner Number
From
To
From
To
From
To
*Please state whether Principal Examiner, Team Leader, Assistant Examiner, Principal Moderator, etc.
D) University Degree or other relevant qualifications
Awarding institution
Qualification
Class / Grade
Date awarded
Subject
Awarding institution
Qualification
Class / Grade
Date awarded
Subject
Awarding institution
Qualification
Class / Grade
Date awarded
Subject
Examiner / Moderator Application Form
E) Availability
F)
Have you worked as an examiner for
Cambridge International Examinations in the
past?
Yes/No*
If ‘yes’ please provide us with your examiner
creditor number (if applicable)
Where did you hear about examining
opportunities with Cambridge International
examinations?
Please indicate which examination periods you would be free to undertake work:
Summer: Overall marking period: May – July
Yes/No*
Winter:
Yes/No*
Overall marking period: October - January
Can you attend meetings:
Weekdays?
Yes/No*
Weekends?
Yes/No*
* Please delete as appropriate
Do you expect that your time would be taken up by other external examining work? If so, please give details:
Do you or the school where you teach, prepare candidates for any Cambridge Assessment (OCR, CIE or ESOL) suite of
examinations? If so, please give details?
Please use the space provide to add any additional information/ experience to support your application:
Do you have a UK Bank Account? (Yes/No) Please do not provide details of your account on this form
Examiner / Moderator Application Form
G) Electronic Script Management
CIE is committed to various forms of electronic script management (ESM). In order to mark using these systems you
need to have a PC running Windows XP, Vista, 7, 8 or 8.1, or a Mac running MacOS10.5.7+ and a good internet
connection. If you do not meet these requirements please give a reason below.
H) Supplementary Form for Examining Work in Languages other than English
This section of the form is for applicants wishing to mark Languages other than English. Please
skip the whole of section G if this does not apply to you.
In addition to your application for examining work, would you
be interested in setting examination questions?
Yes/No*
For each of the following skills, please indicate your level in the target language
Speaking
Native speaker/ Fluent/ Moderately fluent*
Writing
Native speaker/ Fluent/ Moderately fluent*
Have you ever taught literature?
Yes/No*
Would you feel confident to examine literature?
Yes/No*
Would you be interested in being a visiting Oral Examiner for the Cambridge Pre-U
(you would need to be available for visits to schools between March and June)?
Yes/No*
* Please delete as appropriate
Examiner / Moderator Application Form
How do you maintain your contact/connection with the target language?
Tell us why you think your experience makes you suitable to be an examiner/moderator in the target
language:
I) References
You must provide one completed reference with this application form. The application should be submitted
with the completed reference form attached.
The reference documents can be found under the following link:
http://www.cie.org.uk/aboutcie/jobs/aboutcie/jobs/examiners
You must provide details below of a second referee for the Cambridge Examiner Recruitment team to
contact independently. References will not be accepted from spouses, partners and close family members.
Referees will be contacted by email in the first instance. Please note that personal email addresses should be provided
where possible to prevent delays during school holidays.
Examiner / Moderator Application Form
Professional reference to be taken up by CIE
Name*
Official Position*
Email Address*
Relationship *
Postal Address
(inc. Postcode)
*Mandatory Information
J) Declaration
By completing and returning this application you consent to UCLES seeking and receiving relevant information held by
other exam boards regarding your performance as well as giving consent to UCLES to disclose such information should
any other exam board make a request for a relevant reason.
I certify that the information I have given in this application is true and complete to the best of my knowledge and that
I include a personal reference to support my application.
Signed
Please type name here
Date
Please email your completed application form and reference to: recruitment.c@cie.org.uk
Or post to: Examiner Recruitment, CIE Examiner Management, 1 Hills Road, Cambridge, CB1 2EU
Examiner / Moderator Application Form