ML22165A308

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2021 Perry Ile Es 201-3 Security Agreement-Final
ML22165A308
Person / Time
Site: Perry FirstEnergy icon.png
Issue date: 03/22/2021
From: Randy Baker
NRC/RGN-III/DRS/OLB
To:
Baker R
Shared Package
ML20136A290 List:
References
Download: ML22165A308 (3)


Text

{{#Wiki_filter:ES-201 Examination Security Agreell'l~n_! Form ES-201-3

1.

Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of 2/08/21 & 2/15/21 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 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 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) of 2/08/21 & 2/15/21 . 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 noted below and authorized by the NRC.

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

1.

Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of 2/08/21 & 2/15/21 as of the date of my signature. I agree that I w ill 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.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 chief examiner any indications or suggestions that examination security may have been compromised.

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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) of 2/08/21 & 2/15/21 . 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 noted below and authorized by the NRC. PRINTED NAME JOB TITLE / RESPONSIBILITY URE (1) DATE DATE NOTE

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NOTES: Sheet --2_ of _1_

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r-A~ _l,.) /' y..if I ES-201 Examination Sectir!!_y Agreement

1.

Pre-Examination l acknowledge that I have acquired specialized knowledge about the NRC licensir19 examinations scheduled for the week(s) of 2/08 date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled these licensing exr1minations from this date until completion of examination administration, except as specifically noted below and au (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provi feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's pro understand that violation of the conditions of tl1is agreement may result in cancellation of the examinations and/or an enforcement ac facility licensee. I will immediately report to facility management or the NRC chief examiner any indications or suggestions that exami 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 exarninatic the week(s) of 2/08/2_L&.1/15/21 . From the date that I entered into this security agreement until the completion of examination ad instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except below and authorized by the NRC. PRINTED NAME JOB TITLE/ RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2

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