ML17214A101

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2017 Fer Ile Administrative Files Es 201-3
ML17214A101
Person / Time
Site: Fermi 
Issue date: 04/03/2017
From: Bielby M
Operations Branch III
To:
NRC/RGN-III/DRS/OLB
Shared Package
ML17061A771 List:
References
Download: ML17214A101 (3)


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ES-201 Examination Security Agreement Form ES-201-3

1.

Pre-Examination

/ Lo bt7 -l lacknowledgethatlhaveacquiredspecializedknowledgeabouttheNRClicensingexaminationsscheduledfortheweek(s) s 3/¿o-"st,/¿cZ asofthe d{9 of my signature. I agree that I wíll not knowingly divulge any information about these examínations to any persons wno nau not be6n autnori=ed by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administeied these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.9., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct ór indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the faility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or 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 examinatin security may have been compromised.

2.

Post-Examination To the best ofmy knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of )/¿c - >,/zct -

From the date that I entered into this security agreement until the ompletion of examination administration, I did not instruct, evaluaté, or próvide performance feedback to those applicants who were administered these licensing examinations, except as specically noted below and authorized by the NRC.

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ES-201 Shft 4 Examination Security Agreement

1.

Pre-Examinarion LOll - I I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of Form ES-201-3 3t20.r17 as of the mØ I

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date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.9., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or 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.

Post-Examination To the best of mynowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of vl4 From the date that I entered into this security agreement untilthe completion of examination administration, I did not instruct, evaluate, or provide performance feedback to ihose applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC PRINTED NAME JOB TITLE / RESPONSIBILITY TU (1)

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ES-201 Examination

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)Ol7-l I acknowledge that I have acquired specialized knowledge about the NRC licensing exan'inations scheduled for the week(s) of Form ES-201-3 as ofthe m

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o N) date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.9., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or 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.

Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during From the date that I entered into this security agreement until the completion of examination administration, I did not the week(s) of 3lz7 tl1 instruct, evaluate, or proúide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.

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DATE NOTE

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