External Examiners for Taught Programmes: Extension of Appointment Form

Faculty:

PART I - To be completed by the External Examiner
1Details of External Examiner
Title: / Surname: / Forename(s):
Home Institution, including department (if changed):
Correspondence address (if changed):
E-mail address (if changed):
2Conflict of Interests
Please delete as applicable below to confirm there are no conflicts of interest which may preclude your re-appointment as external examiner at the University of Southampton
Are you a current employee of the University of Southampton or one of its collaborative partners / Yes/No
Are you a member of the governing body or other committee of the University of Southampton or one of its collaborative partners / Yes/No
Do you have a close professional, contractual or personal relationship with any member of staff or student involved with the programme / Yes/No
Are you required to assess colleagues who are recruited as students to the programme / Yes/No
Will you be, in a position to influence significantly the future of students on the programme / Yes/No
Do you have or have you had in the last 3 years any substantive collaborative research activities with members of staff at the University of Southampton (such as joint, funded research contracts, co-authored publications) / Yes/No
Are you a current employee of the University of Southampton or one of its collaborative partners / Yes/No
If Yes please provide details, including names of staff members:
If you are aware of any other association with the University of Southampton which could give rise to a conflict of interest please give details:
3Current external examiner appointments (if any) in addition to the University of Southampton
Please give details below. Add more fields if required
Name of Institution:
Programme title and level (UG/Masters/PhD):
Dates of appointment:
Name of Institution:
Programme title and level (UG/Masters/PhD):
Dates of appointment:
Name of Institution:
Programme title and level (UG/Masters/PhD):
Dates of appointment:
PART II - To be completed by the Director of Programmes
4Programmes and Modules to be examined
List of any changes to Programmes or modules to be examined:
5Duration of appointment and proposed period of Extension
The maximum period of office in total is four years (extensions for 5 years require approval by the Chair of AQSC and this extension form must be accompanied by a memorandum from the Associate Dean (ESE) explaining why the extension is required).
Period External examiner has served: from:to:
Extension requested until:
Fee amount and schedule: (if changed):

6Reciprocity and other conflicts of interest

Confirmation that no reciprocal external examination relationship will result from the extension of this appointment (i.e. no members of the Faculty currently act as external examiners in the appointee’s own disciplinary area) and that there are no other conflicts of interest[i] (click on link/see below for further information)
Signed by the Director of Programmes(Electronic signature accepted)
Date:
PART III - To be completed on behalf of the Faculty Programmes Committee by the Associate Dean (Education and the Student Experience)
The Extension of appointment is endorsed by the Faculty Yes/No
Comments or Conditions:
Signed by the Associate Dean (ESE) (Electronic signature accepted):
Date:

The completed form should be sent to

QSA Hub Team: Confirmed for extension letter to be sent / Date:
Right to work status checked: Date / Date:

University of Southampton1External Examiners for Taught Programmes Extension Form – October 2014

[i] To avoid conflicts of interest:

The continued appointment must not constitute a reciprocal External Examining relationship between same discipline academic groupings in different higher education institutions. Faculties must ensure that in submitting the extension to appointment, the previous situation has not changed and there remains no reciprocal relationship within the relevant Exam Board(s). Disciplines should not regard universities like Oxford, Cambridge and London as the HEI but rather particular colleges. Recruiting from different colleges within the same university is not a breach of the reciprocity rule;

  1. The nominee must not be from the same institution as his or her predecessor or as other External Examiners on the Board of Examiners for that award;
  2. Current members of staff, or members of the governing body or other University committees of the University of Southampton or its Accredited Colleges or its collaborative partners, are not eligible to act as External Examiners for University of Southampton awards;
  3. Former academic staff or students of the University and its accredited colleges may not be invited before a lapse of five years and sufficient time has elapsed for all students taught by or with that person to have passed through the system;
  4. External Examiners should not have any previous or current close involvement with the University (whether professional, personal or contractual) that might compromise their objectivity (for example, a nominee should not be a close relative of a student or member of staff of the University; he/she should not assess colleagues who are recruited as students to the programme nor be in a position to influence strongly the possible employment of examinees);
  5. External Examiners should not be involved significantly in current or recent research collaborations with a member of staff closely involved in the delivery, assessment of management of the programme for which they are appointed.

For further information please refer to the Policies and procedures regarding the appointment of and the , role and responsibilities of external examiners for taught programmes in the Quality Handbook.