Request to Research Degrees Sub-Committee Form

CONFIDENTIAL

LEEDS BECKETT UNIVERSITY

REQUEST TO RESEARCH DEGREES SUB-COMMITTEE FORM

APPLICATION FOR APPROVAL OF EXAMINATION ARRANGEMENTS

This form should be typewritten or word-processed *PLEASE ENSURE THAT ALL SECTIONS ARE COMPLETED. THE RESEARCH DEGREES SUB-COMMITTEE WILL NOT ACCEPT ANY UNCOMPLETED FORMS*

FACULTY: SCHOOL:

1: CANDIDATE DETAILS Surname: First name(s) Contact address:

Telephone number: Candidate email: Mobile: Fax number: Date of birth: Candidate ID number: Mode of study: Initial date of registration: Main place of study: End of registration period: Is the candidate a member of staff: YES NO Expected date of examination: Expected date of submission:

RESEARCH AWARD (tick one box as appropriate): MASTER OF PHILOSOPHY (MPHIL) MASTER OF RESEARCH (MRES) PROFESSIONAL RESEARCH DOCTORATE DOCTOR OF PHILOSOPHY (PHD) (DPROF; EDD; DENG; DBA) DOCTOR OF PHILOSOPHY BY EXISTING PUBLISHED WORK

2: TITLE OF THESIS

3 RESEARCH TRAINING PROGRAMME Date of Completion: Date of expected completion (if in progress):

Exempt: Date/Details of Exemption

POSTGRADUATE CERTIFICATE IN RESEARCH Date of Completion: METHODOLOGY (if appropriate) Exempt: Date/Details of Exemption

1 4: SUPERVISION DETAILS Director of Studies Name: Post Held: School:

Supervisor Name: Post Held: School:

5: RATIONALE FOR EXAMINATION TEAM INTERNAL EXAMINER: EXTERNAL EXAMINER(S): INDEPENDENT CHAIR:

Please state briefly the rationale for the selection of the examination team:

Please identify any personal relationships between an examiner and members of the supervisory team:

Please specify any other relevant information relating to this proposal:

6: RECOMMENDATION FOR INDEPENDENT CHAIR: Name: Post held: School:

Confirmation that the proposed independent chair is on the panel approved by the University Research and Enterprise Committee: YES NO

7: PROPOSED EXAMINERS (Please attach a CV1 (ex) proforma for each examiner) External Examiner (1) Name: Post held: Qualifications: Institution:

Full correspondence and email address:

Number of candidates previously examined for MPhil:

Number of candidates previously examined for PhD:

2 Has the proposed examiner been employed by Leeds Yes No Beckett University in the last 5 years?

How many times has the examiner examined for the None Indicate the Number university in the past 3 years including taught courses:

Has the proposed examiner had any other form of Yes No association with Leeds Beckett University (eg visiting fellow, supervisor, external advisor)? If so, please give details: Details:

Has the proposed examiner worked in the same institution Yes No as any of the candidate’s supervisors? If so, please give details and dates: Details:

Have any of the supervisors examined students supervised Yes: No by the proposed examiner? If so. please give details and dates: Details: Has the proposed examiner engaged in collaborative work Yes No with the supervisor(s)? If so, please give details and dates: Details:

External Examiner (2)

Name: Post held: Qualifications: Institution:

Full correspondence and email address:

Has the proposed examiner been employed by Leeds Yes No Beckett University in the last 5 years?

How many times has the examiner examined for the None Indicate the Number university in the past 3 years including taught courses:

Has the proposed examiner had any other form of Yes No association with Leeds Beckett University (eg visiting fellow, supervisor, external advisor)? If so, please give details: Details:

Has the proposed examiner worked in the same institution Yes No as any of the candidate’s supervisors? If so, please give details and dates: Details:

3 Have any of the supervisors examined students supervised Yes: No by the proposed examiner? If so. please give details and dates: Details: Has the proposed examiner engaged in collaborative work Yes No with the supervisor(s)? If so, please give details and dates: Details:

Internal Examiner (1)

Name: Post held: Qualifications: School :

Has the proposed examiner ever examined students Yes No supervised by a proposed external examiner? If so, please give details and dates: Details:

Has the proposed examiner ever engaged in collaborative Yes No work with a proposed external examiner? If so, please provide details and dates: Details: Is the internal examiner a former member of staff? If so Yes No please give post held and dates of employment. Details:

Internal Examiner (2)

Name: Post held: Qualifications: School :

Has the proposed examiner ever examined students Yes No supervised by a proposed external examiner? If so, please give details and dates: Details:

Has the proposed examiner ever engaged in collaborative Yes No work with a proposed external examiner? If so, please provide details and dates: Details: Is the internal examiner a former member of staff? If so Yes No please give post held and dates of employment: Details:

4 5 CV1ex Leeds Beckett University

CURRICULUM VITAE

THIS FORM SHOULD BE TYPEWRITTEN

Examiners are requested to complete the form as fully as possible. Please do not include additional pages (KEEP TO 2 PAGES IN LENGTH).

CURRENT POSITION:

PREVIOUS EXPERIENCE:

QUALIFICATIONS:

RESEARCH INTERESTS:

6 RESEARCH EXAMINERS EXPERIENCE:

Experience of examiners of registered research candidates

Previously examined: MPhil ...... PhD ...... MA/MSc ……………

PUBLICATIONS (continual 5 years maximum)

Signed ...... Date ......

7 CV1ex Leeds Beckett University

CURRICULUM VITAE

THIS FORM SHOULD BE TYPEWRITTEN

Examiners are requested to complete the form as fully as possible. Please do not include additional pages (KEEP TO 2 PAGES IN LENGTH).

CURRENT POSITION:

PREVIOUS EXPERIENCE:

QUALIFICATIONS:

RESEARCH INTERESTS:

8 RESEARCH EXAMINERS EXPERIENCE:

Experience of examiners of registered research candidates

Previously examined: MPhil ...... PhD ...... MA/MSc ……………

PUBLICATIONS (continual 5 years maximum)

Signed ...... Date ......

9 8: RECOMMENDATION BY SUPERVISORY TEAM

We support the application for Approval of Examination Arrangements Director of Studies Signature Date

Supervisor (1) Signature Date

Supervisor (2) Signature Date

9: APPROVAL BY RESEARCH DEGREE SUB COMMITTEE

APPROVED REJECTED ADDITIONAL INFORMATION / COMMENTS RELEVANT TO DECISION:

Chair: Signature: Date:

COMMUNICATION TRACKING

Candidate written to Date:

Copy to DoS Date:

Confirmation of approval to examiners Date: