Cambridge esol oral examiner supplementary nomination form




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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

Centre Name

CLM BELL




Centre No

IT016




Examiner Name







UCLES ID







Please tick box(es) to indicate additional level(s) for which the Oral Examiner is being nominated

KET




PET




FCE




CAE




CPE




ILEC




ICFE







BEC P




BEC V




BEC H




YLE S*




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


LEVEL

DATE

LEVEL








































Section 2 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


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