Invigilator availability and information form

Name Alice Dyson Contact

telephone 07545253115
number(s)
Email Adyson2@talktalk.net

Please insert Yes or No in the white boxes to indicate if you are able to available to invigilate on the dates
shown below or not.

March/April 2022

Week 1 commencing 21 March Week 2 commencing 28 March

Day Date 1&2 3&4 Day Date 1&2 3&4
Monday 21 Yes Yes Monday 28 Yes Yes
Tuesday 22 No Yes Tuesday 29 No Yes
Wednesday 23 No No Wednesday 30 No No
Thursday 24 No No Thursday 31 No No
Friday 25 Yes Yes Friday 1 Yes Yes

Week 3 commencing 4 April

Day Date 1&2 3&4
Monday 4 Yes Yes
Tuesday 5 Yes
Wednesday 6 No No
Thursday 7
Friday 8

Invigilator information

1. Are you related to or have any connection to current students at this centre? No

If yes, please provide name(s):

2. If required, would you be willing to invigilate a candidate in a separate exam room on a 1:1 basis?Yes
3. If required, would you be willing to facilitate an access arrangement for a candidate,for example by acting as
a reader, scribe etc. (training would be provided)?Yes

Additional Information
Periods 1 & 2 = 9.10 -11.10 approx
Periods 3 & 4 = 11.30 – 1.30 approx

This document is provided for members of The Exams Office onlyand must not be shared beyond use in your centre
Invigilator availability and information form template (2021/22)