ML25083A134
| ML25083A134 | |
| Person / Time | |
|---|---|
| Site: | Nuclear Energy Institute |
| Issue date: | 03/11/2025 |
| From: | Klein S Nuclear Energy Institute |
| To: | NRC/NRR/DANU |
| References | |
| Download: ML25083A134 (1) | |
Text
NRC FORM 1106 (09-09-2024)
U.S. NUCLEAR REGULATORY COMMISSION Page 1 of 1 NRC Form 1106 (09-09-2024)
RIC EXTERNAL SPEAKER AGREEMENT FORM Speaker information and slide presentations are included in RIC conference materials and are made available on the public RIC website. Conference materials are available to the general public in advance of the RIC and on site at the facility. Your consent is required for NRC to publish your information in RIC conference materials and on the public RIC website. Note: Fill out form completely before applying digital signature. Once signed, you cannot change the form.
AGREEMENT #1 (Agree to have all of my information made available to the public).
I accept the invitation to be a speaker at the RIC, and grant NRC permission to: photograph, video record, audio record and post my image, voice, and written information and materials such as my biography and presentation slides on the public RIC website (Internet); and use the aforementioned images in educational and information activities as needed.
AGREEMENT #2 (Agree to have only the following checked items made available to the public).
I accept the invitation to be a speaker at the RIC, however, the NRC has my permission to make the following checked items available on the public RIC website. (Check only the information to be made public).
I acknowledge that the RIC is video recorded in its entirety; I understand that my voice, image, presentation and presentation slides (if applicable) will be captured; and I am aware that recordings are made available to the public.
Typed or Printed Name of Speaker Speaker's Organization Speaker's Signature Date I understand that the agency may be required to release such recordings to the public if requested under the Freedom of Information Act.
Contact information (name, position title, organization (for the program and website).
Biography Presentation Photographs I understand that the agency may be required to release such recordings to the public if requested under the Freedom of Information Act.
I understand and agree that I will not receive specific compensation, now nor in the future, in connection with the NRC's exercise of the rights granted here under.
I understand and agree that I will not receive specific compensation, now nor in the future, in connection with the NRC's exercise of the rights granted here under.
I acknowledge that the RIC is video recorded in its entirety; I understand that my voice, image, presentation and presentation slides (if applicable) will be captured; and I am aware that recordings are made available to the public.
Instructions to Coordinators:
Please save form and submit by uploading to the RIC Tool at: https://tsdest.ric.nrc.gov
Spencer Klein Nuclear Energy Institute (NEI)
Spencer Paul Klein 01/28/2025