ML22195A131

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Nov 2021 Ile ES-201-3 - Exam Security Agreement
ML22195A131
Person / Time
Site: Dresden  Constellation icon.png
Issue date: 12/03/2021
From: Randy Baker
NRC/RGN-III/DRS/OLB
To:
Exelon Generation Co
Baker R
Shared Package
ML21055A861 List:
References
21-0062
Download: ML22195A131 (5)


Text

Es-201

1. pm.Examination -

1 DRESDEN Class 20-2 (2021-302)

Form ES-201-3 I acknowledge that I have acquired specialized knowledge about the U.S. Nuctear Regulatory Commission (NRC) licensing examinations scheduled for 1he week(s) of 1111g1 8-21 as of the date of my signature. I agree that I wiH 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 indlvldual 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 NAC'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 lnfonnation concerning the NRC licensing examinations administered during the week(s) of 1111/21 8:21 . 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 I RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE Sr Ops Inst I Exam Author Sr Ops Inst I Exam Author in Tmg  ;~,. M .-~-

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ES-20 0 Form E~

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 11/1/21 - 11/8/21 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'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 NRG (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) of 11/1/21 - 11/8/21 . 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 I RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2} DATE NOTE 1 . ___:..:...;;.;.;...;;;_=;.;...::...-  :~rz1 fl4t'/ ,; ls 11fto/s1 11lt~k1

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NOTES:

ES*201 1 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 11/1/21-11/8/21 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'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 NRG (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) of 11/1/21-11/8/21 . 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 I RESPONSIBILITY DATE DATE NOTE

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NOTES:

Siuda, Derek S:(Exelon Nuclear)

. rom: Burkhart, Christopher J:(Exelon Nuclear)

Sent: Wednesday, November 10, 2021 10:59 AM To: Siuda, Derek S:(Exelon Nuclear)

Subject:

sign me off Please sign me off of the ILT NRC exam security agreement for Dresden's 2021 ILT NRC exam.

Christopher J. Burkhart Regulatory Exam Expert Exelon Nuclear

.:=r ExelonGenc..irallon.

36400 S. Essex Road, Wilmington, IL 60481 Office: 309-227-4057 I Mobile: 563-271-0 728

  • 1

ES-2010 1 Q Form ES-~

1. Pre--Examination - DRESDEN Class 20-2 (2021-302)

I acknowledge that I have acquired speciatized knowledge about the U.S. Nuclear Regulatory Commission (NRG) licensing examinations scheduled for the week(s) of 11/1/21 8-21 as of the date of my signature. I agree that l 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 vio'lation of the conditions of this agreement may result in cancellation of the

  • examinations and/or an enforcement action against me or the facilfty 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 NRG licensing examinations administered during the week( s) of 11 /1 /21 8-21 . 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 I RESPONSIBILITY DATE SIGNATURE (2) DATE NOTE

1. Frank Winter 4/27/21 - - - - - - - -
2. Aaron Kuzava ii.1/
3. Derek Siuda  ? --------
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5. j--17...,} <.
6. 6.:. 1-"l) 7.

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NOTES: