CVE001 | Supervisor Nomination Form Version CVE 001.1 External

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External Examination
CVE001 | Supervisor Nomination
Form
Version CVE 001.1
IMPORTANT INFORMATION
All distance students are expected to sit their final exam on campus. If you are unable to do so, you
must obtain approval from the School before the Census date.
You must demonstrate there are good reasons for not sitting the examination on campus.
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If the external exam is approved by the School, you must sit your exam at an approved examination
venue if you reside within 100km of the venue. Please complete this form.
If you cannot sit your exam on campus or at an approved University or examination venue, you may
nominate a Supervisor. Please complete this form and follow the below guidelines.
The Supervisor MUST HAVE a professional membership. These can include but are not limited to:
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Engineers Australia, Professional Accounting Bodies, BOSTES – Teaching accreditation
The Supervisor MUST NOT:
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Be a relative, friend or family friend or colleague at the same level as student
Have vested interest in the students studies
Be a spouse or partner
The following PROFESSIONS are acceptable: Engineer, Principal of a School, Solicitor/Lawyer, Accountant,
Doctor.
DOCUMENTATION REQUIRED
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Copy of the supervisors membership
Copy of their Photo I.D
Copy of their Business card (if applicable)
WHEN TO SUBMIT THIS FORM
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Semester 1: From 1st April -15th May
Semester 2: From 1st September - 15th October
Failure to submit your nomination form within the dates mentioned above may result in you not
being able to complete the final examination.
LODGEMENT OPTIONS
BY EMAIL: Scan and email your completed application form, including copies of the required documentation
to: cven.enquiries@unsw.edu.au.
BY MAIL: Send your completed application form, including copies of the required documentation to:
Examinations Officer, School of Civil & Environmental Engineering, University of New South Wales, Sydney
NSW, 2052 Australia. Please keep a copy for your record.
IN PERSON: Submit your completed application form, including copies of the required documentation to
School of Civil & Environmental Engineering Office, Level 4 Civil Engineering Building (H20), UNSW.
FAX: 02 9385 6139. Please keep a copy for your record.
External Examination
CVE001 | Supervisor Nomination
Form
Version CVE 001.1
STUDENT DETAILS
Family Name: Click here to enter text.
First Name: Click here to enter text.
zID: Click here to enter text.
Mobile: Click here to enter text.
Course Code: Click here to enter text.
Semester/year: Click here to enter text.
e.g. CVEN1000
e.g. S1, 2015
Is this a short course?
☐ Yes
☐ No
SUPERVISOR DETAILS
Family Name: Click here to enter text.
First Name: Click here to enter text.
Organisation: Click here to enter text.
Position: Click here to enter text.
Professional Body Membership and No: Click here to enter text.
I agree to supervise the above student in the above courses during the University examination period for the
current semester and year as indicated above. I understand that the University makes no payment for this
service.
Supervisor Signature_______________________
Date _________________________
SUPERVISOR WORK MAILING ADDRESS (Exam paper will be mailed to this address)
Street and Street Number: Click here to enter text.
Suburb/Town: Click here to enter text.
State: Click here to enter text.
Country: Click here to enter text.
Phone number: Click here to enter text.
Email: Click here to enter text.
CHECKL LIST:
☐ I have read and understand the important information on the front page of this form
☐ I have included with this application:
☐ A copy of the Supervisor professional membership
☐ A copy of the Supervisor photo ID (i.e. driver licence, passport)
☐ A copy of the Supervisor Business card (if applicable)
STUDENT DECLARATION:
I declare that the information in this form is complete and correct.
I understand that if I intentionally provide wrong information Academic Misconduct Rules will apply.
Student Signature_________________________
Date _________________________
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