ML14140A159

2014-04 Public Forms

ML14140A159
Person / Time
Site:	Waterford
Issue date:	04/14/2014
From:	Chris Steely Operations Branch IV
To:	Entergy Operations
laura hurley
References
50-382/14-004
Download: ML14140A159 (14)

Text

ES-201 Examination Security Agreement Form ES-201-3 I, Pre Exammation I acknowlcd I have .i. ir I spec. alizel kowledge about the NRC licensing examinations scheduled for the week(s) of 0313112014 and 04/07/2014 as of the date of my signature. rc ti at will ic Fr w ngly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understanc it ri not b iitAiu t tveluati piuvide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until complet I exarninatioi ad snistration except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptablc I thc individual does ot select the tr ining content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requiremenL is documented in the taciiit licensee s procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations andor an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.

2. PostExarnination To the best of my knowledge. i did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of of 03/31/2014 and 04/0712014. From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance Ic edback to ihosc df plic ants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.

PR I NAME J03 11TLE!RLPONSIBILI1Y SIGNATUI1) DATE SIGNATURE (2) DATE NOTE oE eiopment Lead 1 JimM r Ic LA,.

Exam Developer __ ¶/zc/3 2 Sear cr 3 JoLm gr .relIi Facility eviewer______ 3 4 4z 5

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10 11 12 13 14 15 NOTES: