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. 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: Engineers Australia, Professional Accounting Bodies, BOSTES – Teaching accreditation The Supervisor MUST NOT: 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 Copy of the supervisors membership Copy of their Photo I.D Copy of their Business card (if applicable) WHEN TO SUBMIT THIS FORM 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 _________________________