Graded examiner panel

Application form

Please read the attached guidance notes before completing this form. Candidates are requested to complete
the application form in black ink for copying purposes. Please ensure all sections are completed.

Personal information
Title Home address

Forename(s)

Surname

Postcode

Applicant number (if known) Telephone

Nationality Mobile

Holder of full driving licence Email

Yes No

Have you made a previous application to become an ABRSM examiner?

Yes No If yes, please give date of application:

How did you hear about this role? please tick all that apply
ABRSM Examiner ABRSM webpage HLR Royal Schools of Music

other (please specify)

Musical specialism(s) e.g. first study, second study, any other specialism(s)

Present appointments (with dates) e.g. orchestras, choirs, conducting, teaching etc.

Previous appointments (with dates)

Qualifications with dates – where necessary please state subject and type of diploma
Postgraduate

Graduate

Other

Awards and prizes with dates

Education and professional training please name institutions and give dates where appropriate

Experience with dates – please state briefly your experience in the fields below
Examining

Adjudication

Teaching

Performing

Communicating with people of all ages

Any other information languages, hobbies, extra-musical interests etc.

Personal statement
After you have read the role description and person specification, please use this section to state your reasons for applying
for this position. Please treat this in the same way as a letter of application giving specific examples of your skills, experience,
personal qualities and knowledge when appropriate, ensuring you demonstrate how you meet the criteria in the person
specification.
If you need more space, please insert an extra sheet of paper, making sure that your name is clearly visible.
Referees
Please give the names and addresses of two individuals who have knowledge of your professional work and have agreed to
act as referees. If possible at least one should be a member of staff at one of the Royal Schools of Music, an ABRSM examiner
or a musician of similar standing. Please state in what capacity they are acting as a referee.

Name Name

Position or capacity as referee Position or capacity as referee

Address Address

Postcode Postcode

Email Email

Safeguarding children
ABRSM is committed to practices which protect children and young people from harm and expects all its employees,
examiners and volunteers to share this commitment. Applicants are referred to ABRSM’s Safeguarding and Child Protection
Policy, which is available on its website. In view of the Children Act 1989, the Safeguarding Vulnerable Groups Act 2006,
other legislation and advice received from the Department of Education, it will be necessary for checks to be made on
successful applicants as to whether their name is included in the Children’s Barred List or the Vulnerable Adults’ Barred List
maintained by the Independent Safeguarding Authority. By signing this application form, you confirm your consent to these
checks and any other appropriate vetting being carried out, including an application for an Enhanced CRB Disclosure.

Declaration
I am aware that the post for which I am applying is exempt from the Rehabilitation of Offenders Act 1974 and therefore that
all convictions, cautions and bind-overs, including those regarded as ‘spent’, must be declared.
I have not been disqualified from working with children or vulnerable adults, am not names on the Children’s Barred List or
the Vulnerable Adults’ Barred List maintained by the Independent Safeguarding Authority, am not subject to any sanctions
imposed by a regulatory body, and either (please delete as appropriate) I have no convictions, cautions or bind-overs or I
have attached details of any convictions, cautions or bind-overs in a sealed envelope marked confidential.
Signed: Date:

How we use your information

ABRSM will use the personal information that you provide to administer your application in accordance with applicable data
protection laws and our Privacy Policy – please visit www.abrsm.org/privacypolicy.

For office use

ABRSM
4 London Wall Place
London EC2Y 5AU
United Kingdom
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T +44 (0)20 7636 5400 the Royal Schools of Music
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www.abrsm.org Registered office: as above