FFLM Examiner Reference Form FFLM Examiner Reference Form Your First Name(Required)Your Last Name(Required)Applicant First Name(Required)Applicant Last Name(Required)Your Relationship to the ApplicantHow long have you known the applicant?(Required)In what capacity do you know the applicant?(Required)Applicant ReliabilityPlease select the appropriate option to describe the applicants reliability.(Required) Excellent Good Moderate Poor Consider both both scientific and behavioural reliability.Please provide the reasons for your selection about the applicants reliability.(Required)Please select the appropriate option to describe the applicants ability to interpret and apply agreed marking schedules.(Required) Excellent Good Moderate Poor Please provide the reasons for your selection about the applicants ability to interpret and apply agreed marking schedules.(Required)Please select the appropriate option to describe the applicants ability to make consistent and unbiased judgements, and to rank-order examination candidates.(Required) Excellent Good Moderate Poor Please provide the reasons for your selection about the ability to make and justify pass/fail decisions.(Required)Please select the appropriate option to describe the applicants ability to make and justify pass/fail decisions.(Required) Excellent Good Moderate Poor Please provide the reasons for your selection about the applicants ability to make and justify pass/fail decisions.(Required)Please select the appropriate option to describe the applicants willingness to subordinate personal opinion to group consensus.(Required) Excellent Good Moderate Poor Please provide the reasons for your selection about the applicants willingness to subordinate personal opinion to group consensus.(Required)Please select the appropriate option to describe the applicants effective functioning in small and large groups of people.(Required) Excellent Good Moderate Poor Please provide the reasons for your selection about the applicants effective functioning in small and large groups of people.(Required)Please select the appropriate option to describe the applicants management abilities under stress.(Required) Excellent Good Moderate Poor Please provide the reasons for your selection about the applicants management abilities under stress.(Required)Please select the appropriate option to describe the applicants ability to combine courtesy and sensitivity to examination candidates with the necessary degree of challenge.(Required) Excellent Good Moderate Poor Please provide the reasons for your selection about the applicants ability to combine courtesy and sensitivity to examination candidates with the necessary degree of challenge.(Required)Please select the appropriate option to describe the applicants ability to work as part of a team.(Required) Excellent Good Moderate Poor Please provide the reasons for your selection about the applicants ability to work as part of a team.(Required)Please select the appropriate option to describe the applicants ability to work under stress/pressure.(Required) Excellent Good Moderate Poor Please provide the reasons for your selection about the applicants ability to work under stress/pressure.(Required)Please select the appropriate option to describe the applicants capacity to think on their feet and maintain control in clinical/practical examinations.(Required) Excellent Good Moderate Poor Please provide the reasons for your selection about the applicants capacity to think on their feet and maintain control in clinical/practical examinations.(Required)Please select the appropriate option to describe the applicants flexibility to adapt examining styles to individual examination candidates.(Required) Excellent Good Moderate Poor Please provide the reasons for your selection about the applicants capacity to contribute and respond to long-term policy changes.(Required)Please select the appropriate option to describe the applicants ability to contribute and respond to long-term policy changes.(Required) Excellent Good Moderate Poor Please provide the reasons for your selection about the applicants ability to contribute and respond to long-term policy changes(Required)Finally, please summarise your professional opinion as to the overall suitability of this applicant for the appointment as examiner for the FFLM.(Required)Please select the box below to confirm the information you have provided is an accurate record of the applicants ability.(Required) I confirm the information I have provided is an accurate record of the applicants ability.
