ML21327A424

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ES-201-3
ML21327A424
Person / Time
Site: Fermi DTE Energy icon.png
Issue date: 06/16/2021
From: Joseph Demarshall
NRC/RGN-III/DRS/OLB
To:
DTE Energy
Demarshall J
Shared Package
ML20055D900 List:
References
NRC-21-0039
Download: ML21327A424 (4)


Text

,;r:~ l-OZf ES-201 Examination Securi!Y_Agreement Form ES-201-3

1. Pre-Examination I acknowledge that I av acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of *1/4tt*~~~,,,H~1s of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who h ve not been authorized by the NRC's 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.g., 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's chief examiner any indications or suggestions that examination security may have been compromised.
2. Post-Examination g:J To the best of my knowledg , I id not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered r!., during the week(s) of /-~ZJ:rom the date that I entered into this security agreement until the completion of examination administration, I did

~ not instruct, evaluate, or p ovide performance feedback to those applicants who were administered these licensing examinations, except as specifically

""'D noted below and authorized by the NRC.

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NOTES:

ES-201, Page 31 of 32

ILT 2021 ES-201 Examination Security Agreement Form ES-201-3

1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of ~ ~ X : ~ 1 of the 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's 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.g., 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's chief examiner any indications or suggestions that examination security may have been compromised.
2. Post-Examination rn To ~he best of my knowledge, I did not divulge to any unauthorized per~ons ~ny infor!'llation concernin~ the NRC lic~nsing exa11:in~tions ad_m_inist~red _

rG during the week(s) of

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Q) co PRINTED NAME JOB TITLE/RESPONSIBILITY CD SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE

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1. Malo Berry Senior Nuclear Instructor 5/13/2021 0

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NOTES:

ES-201, Page 31 of 32

-L, 2o2 ES-201 Examination Securi!Y Agreement Form ES-201-3
1. Pre-Examination I acknowledge that I ave acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of ,:-, as of the 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's 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.g., 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's chief examiner any indications or suggestions that examination security may have been compromised.
2. Post-Examination mTo the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered rZ, during the week(s) of r- *1 . From the date that I entered into this security agreement until the completion of examination administration, I did

~ not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically

""'O noted below and authorized by the NRC.

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ES-201, Page 31 of 32

rz:T 3~2021 Exam ES..s&~2t, Examination Security Agreement Form ES-6Q44
1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) requalification examinations scheduled for the week(s) of (1) as of the 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's chief examiner. I understand that I am not to instruct, evaluate, or provide performance feeeback to those operators scheduled to be administered these examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if I do 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's chief examiner any indications or suggestion~ that examination security may have been compromised.

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