ࡱ>  Abjbj iee,tX#X#######8$,D$#W^ %6%p%%%999֥إإإإإإ$g#98|999X#X#%%=;=;=;9RX#R%#%֥=;9֥=;=;t#"h% jW9jTJ¥'0W9hhn#֚ =;999:999W9999999999999 ":  Annex 2 (Approval of a new programme) Nomination form for a student member of a new programme scrutiny panel Part A For completion by applicants for the role of student member of a new programme scrutiny panel. Please complete this form and submit to the Academic Representation Co-ordinator, RUSU by emailing  HYPERLINK "mailto:academicreps@rusu.co.uk" academicreps@rusu.co.uk. Part APersonal detailsFull nameProgramme of studyCurrent Part (i.e. Part 2-4 or Postgraduate Taught).School/Department (Students will not be selected for scrutiny panels within the same School.)Telephone No.EmailContact AddressPlease state any dates during the next academic year when you will be unavailable, e.g. if on placement.Please state whether you are currently a Faculty Rep or Course RepHave you been a member of a Periodic Review or new programme scrutiny panel in the past? Please note that students will not normally participate in more than one Review or scrutiny panel in a session.Please explain why you wish to participate in new programme scrutiny. Please describe the skills/knowledge and experience you can bring to a scrutiny panel.  Some of the evidence under scrutiny might relate to individuals or be commercially sensitive. You are therefore required to confirm that you will not disseminate information or views other than through the Report of the Scrutiny Panel, which will be finalised following the discussions of the new programme Scrutiny Panel.SignedDatePart B For completion by the Associate Dean (Teaching and Learning) after discussion with the Students Union. 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