Examiner application form (languages)
Subject(s) applied for
Level(s)
For more information on Cambridge International Examinations 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
Examiner / Moderator Application Form
Subject(s) & Level(s)
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
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, Cambridge
International Examinations 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
F) Electronic Script Management
Cambridge International Examinations 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 7, XP or Vista and a broadband internet
connection. If you are interested in taking part in the new developments you will need to visit the hardware validation
webpage at:
https://www.ca.scoris.rm.com/ehv/index.aspx
Please make a note of your Validation Reference Number and enter it below:
Validation Reference Number:
Examiner / Moderator Application Form
If you have not entered a Validation Number please give the reason below (e.g. Do not own a PC, Failed validation test)
G) Supplementary Form for Examining Work in Languages other than English
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*
* Please delete as appropriate
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*
How do you maintain your contact/connection with the target language?
Examiner / Moderator Application Form
Tell us why you think your experience makes you suitable to be an examiner/moderator in the target
language:
H) References
Please provide details of one referee for the Cambridge examiner recruitment team to contact independently (please
note references will not normally 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.
You must provide a second reference with this application form. We ask that you contact your second referee
and receive the document back before submitting your application (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
Personal / Professional reference to be provided by Applicant
Name*
Official Position*
Email Address*
Relationship *
Postal Address
(inc. Postcode)
Professional reference to be taken up by Cambridge International Examinations
Name*
Official Position*
Email Address*
Relationship *
Postal Address
(inc. Postcode)
*Mandatory Information
Examiner / Moderator Application Form
I) 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, Cambridge Examiner Management, 1 Hills Road, Cambridge, CB1 2EU
Examiner / Moderator Application Form