ML22157A378

ES-201-3 Pre Exam

ML22157A378
Person / Time
Site:	Clinton
Issue date:	01/28/2022
From:	Bruce Bartlett NRC/RGN-III/DRS/OLB
To:	Exelon Generation Co
Bartlett B
Shared Package
ML20136A322	List: ML22157A375 ML22157A377 ML22157A378 ML22157A382 ML22157A387 ML22157A395 ML22157A410 ML22157A414 ML22157A416
References
Download: ML22157A378 (1)

Text

__,....,1 n __________________ 'L

ES-20 1, - Form ES-~01-3

1. Pi::e::.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 1/17 & 1/24/22 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

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) of1/17 & 1/24/Z2From 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 noted below and authorized by the NRC.

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

1. M2H~~ s~lv \\(".,,,.,,4, 1l, *.r

2. E,11( 1'-,,nr e: 1('"---.,4., h,

3. !{.i-fVl,rt f hJ fir-. AJ 11,. r 4. Mu*l C,..,oJ r,,..., "',,.,.,,, ft,,,,7 ~

.- - I s. t\\ulet M,Om,d c: * ~- AJ1h,r Fec.*1,'I., n - Sfi._#

6. /3Vil a Sp,,-1, w*., V fl' 7. D:+o,v'lgrt,..

8. ll., ic k t, I v Erbe:, Ac:fl:.*t: ~-

9. ______ _

10. ______ _

11. ______ _

12. ___ ___ _

13. ______ _

14. ______ _

15. ______ _

NOTES: