<p>CONFIDENTIAL</p><p>LEEDS BECKETT UNIVERSITY</p><p>REQUEST TO RESEARCH DEGREES SUB-COMMITTEE FORM</p><p>APPLICATION FOR APPROVAL OF EXAMINATION ARRANGEMENTS </p><p>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*</p><p>FACULTY: SCHOOL:</p><p>1: CANDIDATE DETAILS Surname: First name(s) Contact address:</p><p>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:</p><p>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</p><p>2: TITLE OF THESIS</p><p>3 RESEARCH TRAINING PROGRAMME Date of Completion: Date of expected completion (if in progress): </p><p>Exempt: Date/Details of Exemption </p><p>POSTGRADUATE CERTIFICATE IN RESEARCH Date of Completion: METHODOLOGY (if appropriate) Exempt: Date/Details of Exemption </p><p>1 4: SUPERVISION DETAILS Director of Studies Name: Post Held: School:</p><p>Supervisor Name: Post Held: School:</p><p>5: RATIONALE FOR EXAMINATION TEAM INTERNAL EXAMINER: EXTERNAL EXAMINER(S): INDEPENDENT CHAIR:</p><p>Please state briefly the rationale for the selection of the examination team:</p><p>Please identify any personal relationships between an examiner and members of the supervisory team:</p><p>Please specify any other relevant information relating to this proposal:</p><p>6: RECOMMENDATION FOR INDEPENDENT CHAIR: Name: Post held: School: </p><p>Confirmation that the proposed independent chair is on the panel approved by the University Research and Enterprise Committee: YES NO</p><p>7: PROPOSED EXAMINERS (Please attach a CV1 (ex) proforma for each examiner) External Examiner (1) Name: Post held: Qualifications: Institution: </p><p>Full correspondence and email address: </p><p>Number of candidates previously examined for MPhil:</p><p>Number of candidates previously examined for PhD: </p><p>2 Has the proposed examiner been employed by Leeds Yes No Beckett University in the last 5 years?</p><p>How many times has the examiner examined for the None Indicate the Number university in the past 3 years including taught courses:</p><p>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:</p><p>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:</p><p>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:</p><p>External Examiner (2)</p><p>Name: Post held: Qualifications: Institution: </p><p>Full correspondence and email address: </p><p>Number of candidates previously examined for MPhil:</p><p>Number of candidates previously examined for PhD: </p><p>Has the proposed examiner been employed by Leeds Yes No Beckett University in the last 5 years?</p><p>How many times has the examiner examined for the None Indicate the Number university in the past 3 years including taught courses:</p><p>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:</p><p>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:</p><p>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:</p><p>Internal Examiner (1)</p><p>Name: Post held: Qualifications: School : </p><p>Number of candidates previously examined for MPhil:</p><p>Number of candidates previously examined for PhD:</p><p>Has the proposed examiner ever examined students Yes No supervised by a proposed external examiner? If so, please give details and dates: Details:</p><p>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:</p><p>Internal Examiner (2)</p><p>Name: Post held: Qualifications: School : </p><p>Number of candidates previously examined for MPhil:</p><p>Number of candidates previously examined for PhD:</p><p>Has the proposed examiner ever examined students Yes No supervised by a proposed external examiner? If so, please give details and dates: Details:</p><p>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:</p><p>4 5 CV1ex Leeds Beckett University</p><p>CURRICULUM VITAE</p><p>THIS FORM SHOULD BE TYPEWRITTEN</p><p>Examiners are requested to complete the form as fully as possible. Please do not include additional pages (KEEP TO 2 PAGES IN LENGTH). </p><p>NAME:</p><p>CURRENT POSITION:</p><p>PREVIOUS EXPERIENCE:</p><p>QUALIFICATIONS:</p><p>RESEARCH INTERESTS:</p><p>6 RESEARCH EXAMINERS EXPERIENCE:</p><p>Experience of examiners of registered research candidates</p><p>Previously examined: MPhil ...... PhD ...... MA/MSc ……………</p><p>PUBLICATIONS (continual 5 years maximum)</p><p>Signed ...... Date ...... </p><p>7 CV1ex Leeds Beckett University</p><p>CURRICULUM VITAE</p><p>THIS FORM SHOULD BE TYPEWRITTEN</p><p>Examiners are requested to complete the form as fully as possible. Please do not include additional pages (KEEP TO 2 PAGES IN LENGTH). </p><p>NAME:</p><p>CURRENT POSITION:</p><p>PREVIOUS EXPERIENCE:</p><p>QUALIFICATIONS:</p><p>RESEARCH INTERESTS:</p><p>8 RESEARCH EXAMINERS EXPERIENCE:</p><p>Experience of examiners of registered research candidates</p><p>Previously examined: MPhil ...... PhD ...... MA/MSc ……………</p><p>PUBLICATIONS (continual 5 years maximum)</p><p>Signed ...... Date ...... </p><p>9 8: RECOMMENDATION BY SUPERVISORY TEAM</p><p>We support the application for Approval of Examination Arrangements Director of Studies Signature Date </p><p>Supervisor (1) Signature Date </p><p>Supervisor (2) Signature Date </p><p>9: APPROVAL BY RESEARCH DEGREE SUB COMMITTEE</p><p>APPROVED REJECTED ADDITIONAL INFORMATION / COMMENTS RELEVANT TO DECISION:</p><p>Chair: Signature: Date:</p><p>COMMUNICATION TRACKING</p><p>Candidate written to Date: </p><p>Copy to DoS Date: </p><p>Confirmation of approval to examiners Date:</p><p>10</p>