ML22250A720

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Form 1.3-1 Exam Security Agreement DC-Cook 2022
ML22250A720
Person / Time
Site: Cook  American Electric Power icon.png
Issue date: 08/10/2022
From: Ted Wingfield
NRC/RGN-III/DRS/OLB
To:
Indiana Michigan Power Co
Wingfield T
Shared Package
ML21263A041 List:
References
Download: ML22250A720 (6)


Text

Form 1.3-1 Examination Security Agreement (1) Preexamination I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRG) licensing examinations scheduled for the week(s} of j,,.\1 ,v, ic-..~ 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 the completion of examination administration, except as specifically noted below or authorized by the NRG. 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, an enforcement action by the NRG against me or the facility licensee, or both. I will immediately report to facility licensee management m or the NRC chief examiner any indications or suggestions that examination security may have been compromised.

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..... (2) Postexam ination w

"'O To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing ll>

examinations administered during the week(s} of J"'\1 ,r,Le~t- From the date that I entered into this examination security agreement (0

(1) 00 until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants Q. who were administered these licensing examinations, except as specifically noted below or authorized by the NRC.

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Form 1.3-1 Examination Security Agreement (1) Preexam ination I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of JJCty ,w, un.L 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 NRG 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 the completion of examination administration, except as specifically noted below or authorized by the NRC. 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, an enforcement action by the NRG against me or the facility licensee, or both. I will immediately report to facility licensee management m or the NRC chief examiner any indications or suggestions that examination security may have been compromised.

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(2) Postexamination yJ

"'O To the best of my knowledge, I did not divulge to any unauthorized persons any inf ormation concerning the NRG licensing Q)

(0 (I) examinations administered during the week(s) of 1-\'<.- *n... From the date that I entered into this examination security agreement 00 until the completion of examination administration, I did not instruct, evaluate. or provide performance feedback to those applicants a

(X) who were administered these licensing examinations, except as specifically noted below or authorized by the NRC.

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.I Form 1.3*1 Examination Security Agreement (1) Preexamination I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of Jv.l~ \f, -i.1.zas 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 the completion of examination administration, except as specifically noted below or authorized by the NRC. 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, an enforcement action by the NRC against me or the facility licensee, or both. I will immediately report to facility licensee management m or the NRC chief examiner any indications or suggestions that examination security may have been compromised.

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I (2) Postexam ination

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"'O To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing CD examinations administered during the week(s) of , *,,- 'l. "l-. From the date that I entered into this examination security agreement co until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants

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y y 7 0 Form 1.3-1 Examina tion S~wity Agr9efflent "

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.. I acknowle dge that I have acquired specialize d knowledge about the U.S. Nuclear Regulator y Commission {NRC) licensing t.f..

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examinations scheduled for the week(s) of .L.'t ,,,-....,a s of tt,e date of my signature. I agree that I will not knowingly dwuSge any information about these examinations to any persons who have not been authoriZed by the NRC am not to instruct, evaluate, or provide performance feedback to those applicants d\ief exanmer. I und8rstand that I schedwed to be administe red these licensing R:_

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exari\atio ns from this date until the completion of examination administration, except ... i,_..11:.

as speclfk:aly noted below or aulhoriZed by lhe NRC. Furthenn <<e, I am awa111 of 1he physical security measures and requintme procedures) and understand that violation of the conditions of this agraement may resul n(s (aa. documen ted In the facility licenaee's in cancelaUon of the examinations, an t:~*1!-.:..:

enforcement action by lhe NRC against me or the facility licensee, or both. I will immedlate Jy report to facility licensee managem ent .

orlhe NRC c h i e f ~ any lndlc:atiOnS or suggestio ns that examination secuty may (2) Postuam lnation To the best of my knowledge, I did not divulge to any unauthoriz:ed penions any informatio have been compromised.

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I n concerning the NRC licensing eXMlinallons 8Clmlnl$tered dUrtng the week(a) of -, -\~ * 'l.~ From the dale that I entered unCI the completiOn of examinat ion adminiatnltion, I did not instruct, evaluate, or Into this exammatlon security agreemen t

~petfonnanc:e feedback to those applicants t* *,.

who were administe red these lklensing examinations, except as specifically noted below<< authorized by the NRC.

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0 Form 1.3-1 Examination Security Agreement (1) Preexamination I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of ~L,,, f'/ \9 11911. 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 the completion of examination administration, except as specifically noted below or authorized by the NRC. 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, an enforcement action by the NRC against me or the facility licensee, or both. I will immediately report to facility licensee management m or the NRC chief examiner any indications or suggestions that examination security may have been compromised.

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I (2) Postexamination 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 1-\\ -"l.-i... From the date that I entered into this examination security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were admini,stered these licensing examinations, except as specifically noted below or authorized by the NRC.

Print Name Job Title Date Note 1.

2.

3.

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Form 1.3-1 Examination Security Agreement (1) Preexam ination I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of ;i 1.-\'l fl , 2 0,i.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 the completion of examination administration, except as specifically noted below or authorized by the NRC. 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, an enforcement action by the NRC against me or the facility licensee, or both. I will immediately report to facility licensee management m or the NRC chief examiner any indications or suggestions that examination security may have been compromised.

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who were administered these licensing examinations, except as specifically noted below or authorized by the NRC.

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NOTES: