External Examiner Nomination Form

Supervisors

Fill out this form at least four months before the student's defense.
Review Program Milestones page or LEARN to confirm proposed committee meets PhD Thesis Examination Committee requirements.
Review PhD Thesis Examination Regulations on GSPA website.
- All members must be identified to proceed with submission
- Additional approval is required for multiple adjuncts to serve on the thesis defence committee. Please contact the Graduate Coordinator for details.
Confirm External Examiner meets the following criteria:
- Nominee holds an academic appointment of at least 5 years or similar industry experience
- Nominee provides evidence for successful supervision of highly qualified personnel, preferably including at the PhD level
- Nominee must be at arm’s length from the candidate’s thesis, candidate and supervisor(s) and additionally must not be in a potential conflict of interest with regards to the outcome of the examination. Such conflicts are outlined in the Graduate Studies and Post-Doctoral Affairs PhD Regulations
- Nominee must provide a full (up to date) CV with publications covering at least the past 6 years, as well as a list of supervised students and levels.

Your Name

Your email

Student information

Student's name

Student identification number

(if known)

Tentative Defence Date

Examining committee

Please enter full name of each member of the committee.

Supervisor

Co-supervisor

(if applicable)

Committee member

Internal/External Examiner

External Examiner

External Examiner email

Institution of External Examiner

External Examiner Criteria

Read each statement below and check each box indicating you have read, understand, and agree with the statement. You must select all in order to submit the form.

I confirm that the external examiner has not published nor are there plans to publish with the student in the foreseeable future.

I confirm that the external examiner has not co-authored any publication within the last 6 years, or is in the process of joint publishing with the student , the supervisor, or any member of the examining committee.

I confirm that the external examiner has not held research funding within the last 6 years, or is in the process of applying for research funding with the student, the supervisor, or any member of the examining committee.

I confirm that the external examiner has never had a business, commercial, or financial relationship (or expects to enter into such a relationship) with the student, the supervisor, or any member of the examining committee.

I confirm that the external examiner has never had a personal or professional relationship or has a familial relationship with the student, the supervisor, or any member of the examining committee.

I confirm that the external examiner has never been in a supervisor/student relationship with the supervisor, the student, or any member of the examining committee.

Has the proposed external examiner ever been a student or employee of the University of Waterloo?

Yes

Rationale for Nomination

Please note any irregularities and provide a brief justification in support of the nomination

External Examiner CV

Attach current and complete CV of External Examiner that includes publications covering at least the past 6 years.
One file only.
25 MB limit.
Allowed types: pdf, doc, docx.

Confirmation

I confirm that the information submitted in this form is complete and accurate to the best of my knowledge.

Supervisors

Affiliations