ML23038A114

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NRC Exam Security Agreement
ML23038A114
Person / Time
Site: Perry  FirstEnergy icon.png
Issue date: 01/12/2023
From:
NRC/RGN-III/DORS/OB
To:
Energy Harbor Nuclear Corp
Greg Roach
Shared Package
ML21188A236 List:
References
Download: ML23038A114 (3)
v • d • e


Text

{{#Wiki_filter: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 12/11/22 & 12/18/22 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 chief examiner. I understand that lam 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 managementor 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 12/11/22 & 12/18/22 . 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 applicantswho were administered these licensing examinations, except as specifically noted below or authorized by the NRC. S~l~;~ Printed Name Job Title/Responsibility Signature (1) _ ____ __ ,-- -- --- _ ,- , Date Note _1_. f1/2( 4?NU--c 1.;,..A,,,_, D&v. IB1:Q 5 

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NOTES Sheet _1_ of _2_

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 12/11/22 & 12/18/22 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 chief examiner. I understand that lam 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 managementor 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 12/11 /22 & 12/18/22 . 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 applicantswho were administered these licensing examinations, except as specifically noted below or authorized by the NRC. Printed Name Job Title/Responsibility Signatu_re{1) Date Date Note

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NOTES Sheet _2_ of ~

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 12/11/22 & 12/18/22 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 chief examiner. I understand that lam 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 managementor 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 12/11/22 & 12/18/22 . 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 applicantswho were administered these licensing examinations, except as specifically noted below or authorized by the NRC. Printed Name Job Title/Responsibility . s5* nature (1) Date Date Note -1,_ 'Q_ g3~( CO. Glo-e-rlo,n d.g,r ~Y~'-' - Oe: \r~\" ~ /1.. IL 2.:2- ~~:::CU;:;===:_ __ 1i._ _ _ - - - - __L .Jim C-/lf~ 'L L- 0 (fi/4/tJlf,/41_ ~ ~ I I 1'7-- I ~ - /' z.-._ __ ~ o1Jl,y 4- ~,.,., n-  ::rL.o t ..l~e.vc...,..JL - - 3-,_ f.{ vt~ j,~~ Lo .. y..w L:l-v-u..r / ~ pl.l'JLJ-i. ~ n. .- *1.. *11*1..1. 2.f.f;f, Mr~,l'-: <: 1 t /fa ,,.:'1 7Mi1lM.ZL ,Jii ft,_,. fii!JJIJ!iJi.!(6£)C ,,__ , ,In - - - ....2.... ________ - - -- - - - -~ - - - - - - -- - - -- - - - - - - - - - - - - - - - - - - - _L_ _ _ _ _ _ _ _ _ - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - -- ---- ---- 

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NOTES Sheet _3_ of _E_}}

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