ML25107A138

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Form 1.3-1 Exam Security Agreement (Pb 2025)
ML25107A138
Person / Time
Site: Point Beach  NextEra Energy icon.png
Issue date: 03/21/2025
From:
NRC/RGN-III
To:
Point Beach
Troy Henning
Shared Package
ML23202A130 List:
References
Download: ML25107A138 (1)
v • d • e


Text

{{#Wiki_filter:) NEXTera"* MASTER SECURITY AGREEMENT E~ (Page 1 of 2) a*~ The Master Security Agreement is used for those personnel having both knowledge of and unrestricted access to Exam Sensitive Material.

1. Pre-Examination (Review TR-AA-220-1002, Attachment 1 for pre-job briefing requirements)

I acknowledge that I have acquired specialized knowledge about the 2025 LOIL T NRC License Examination scheduled for the date(s) of 03 March to 14 March 2025 as of the date of my signature. I agree that I will not knowingly divulge any information about this examination to any persons who have not been authorized by the Exam Project Manager. I understand that I am not to instruct or provide performance feedback to those individuals scheduled to be administered this examination from this date until completion of examination administration. I also understand that I am not to evaluate individuals scheduled to be administered this examination from this date until the date of administration. Acting as a simulator booth operator or communicator is acceptable if I do not select the training content or provide direct or indirect feedback to an examinee. Furthermore, I am aware of the physical security measures and requirements (as documented in procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examination and/or an enforcement action against my facility or me. I will immediately report to the Exam Project Manager any indications or suggestions that examination security may have been compromised. Furthermore, I agree to NOT discuss any aspects associated with the contents of this examination with ANY examinee until completion of their examination administration. I further understand that violation of the conditions of this agreement may result in cancellation of the examination and/or enforcement action against the facility licensee or me.

2. Post-Examination
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To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the examination administered during the date(s) of 03 March to 14 March 2025. From the date that I entered into this security agreement until completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those individuals who were administered this examination. PRINTED NAME JOB TITLE/ SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE RESPONSIBILITY br.rJ Mi:lQQ.fj..: i-,ca~ efl~ H ----:1 g 0~-8~ 1i l""t. ~¥}<'" Al\\~ 1£,<..) Lo N\\,M&f f'} ~ /V\\ 't>-R \\.K. \\..ofl~c ~ ~\\k ~£l s-,,--.. Sup~r+ ~I Jilk 1?t),J t::: ~~ rl" c/4v.tl t1L~ P /' tr/4 ,/t'lj,.5 I ,1/t /l1, C.t/A!L ~ tlL..V ) t i?'.) JJp/JIC/ -3 /,q(,is J~ &t-EM. E/Jos l/,7/z r' TR-AA-220-1002-F01, Revision 0

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NEXTera~ MASTER SECURITY AGREEMENT E~ (Page 1 of 1) The Master Security Agreement is used for those personnel having both knowledge of and unrestricted access to Exam Sensitive Material.

1. Pre-Examination (Review TR-AA-220-1002, Attachment 1 for pre-job briefing requirements)

I acknowledge that I have acquired specialized knowledge about the 2025 LOIL T NRC License Examination scheduled for the date(s) of 03 March to 14 March 2025 as of the date of my signature. I agree that I will not knowingly divulge any information about this examination to any persons who have not been authorized by the Exam Project Manager. I understand that I am not to instruct or provide performance feedback to those individuals scheduled to be administered this examination from this date until completion of examination administration. I also understand that I am not to evaluate individuals scheduled to be administered this examination from this date until the date of administration. Acting as a simulator booth operator or communicator is acceptable if I do not select the training content or provide direct or indirect feedback to an examinee. Furthermore, I am aware of the physical security measures and requirements (as documented in procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examination and/or an enforcement action against my facility or me. I will immediately report to the Exam Project Manager any indications or suggestions that examination security may have been compromised. Furthermore, I agree to NOT discuss any aspects associated with the contents of this examination with ANY examinee until completion of their examination administration. I further understand that violation of the conditions of this agreement may result in cancellation of the examination and/or enforcement action against the facility licensee or me.

2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the examination administered during the date(s) of 03 March to 14 March 2025. From the date that I entered into this securit a reement until completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those individuals inistered this examination.
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PRINTED NAME Jeffrey A. Hinze Sean Wylie Josh Reuer NOTES: JOB TITLE/ RESPONSIBILITY Fleet Training Supervisor Fleet Training Supervisor Fleet Training Manager This Master Security Agreement is for Fleet individuals not assigned to Point Beach. TR-AA-220-1002-F01, Revision 0 SIGNATURE (2) DATE NOTE

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(Page 1 of 3) m= The Limited Security Agreement is used for those personnel having limited knowledge of, without unrestricted access to, Exam Sensitive Material.

1. Pre-Examination (Review TR-AA-220-1002, Attachment 1 for pre-job briefing requirements)

I acknowledge that I have acquired specialized knowledge about the 2025 LOIL T NRC License Examination scheduled for the date(s) of 03 March to 14 March 2025 as of the date of my signature. I agree that I will not knowingly divulge any information about this examination to any persons who have not been authorized by the Exam Project Manager. I understand that I am not to instruct or provide performance feedback to those individuals scheduled to be administered this examination from this date until completion of examination administration. I also understand that I am not to evaluate individuals scheduled to be administered this examination from this date until the date of administration. Acting as a simulator booth operator or communicator is acceptable if I do not select the training content or provide direct or indirect feedback to an exarninee. Furthermore, I am aware of the physical security measures and requirements (as documented in procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examination and/or an enforcement action against my facility or me. I will immediately report to the Exam Project Manager any indications or suggestions that examination security may have been compromised. Furthermore, I agree to NOT discuss any aspects associated with the contents of this examination with ANY examinee until completion of their examination administration. I further understand that violation of the conditions of this agreement may result in cancellation of the examination and/or enforcement action against the facility licensee or me.

2. Post-Examination
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To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the examination administered during the date(s) of 03 March to 14 March 2025. From the date that I entered into this security agreement until completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those individuals who were administered this examination. Oou) w~t"l J. j e,1 k/~; JOB TITLE/ RESPONSIBILITY s~o C (J SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE zid._t stt.tJIT)u-A-ru.t,tJ,,Ar-!/.,,1, r

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NOTES: PRINTED NAME TR-AA-220-1002-F02, Revision 0 ( ) LIMITED SECURITY AGREEMENT JOB TITLE/ RESPONSIBILITY (Page 3 of 3) SIGNATURE (1) DATE ( ) SIGNATURE (2) DATE NOTE

NEXTera* LIMITED SECURITY AGREEMENT E~ (Page 1 of 1) The Limited Security Agreement is used for those personnel having limited knowledge of, without unrestricted access to, Exam Sensitive Material.

1. Pre-Examination (Review TR-AA-220-1002, Attachment 1 for pre-job briefing requirements)

I acknowledge that I have acquired specialized knowledge about the 2025 ILT NRC License Examination scheduled for the date(s) of 03 March to 14 March 2025 as of the date of my signature. I agree that I will not knowingly divulge any information about this examination to any persons who have not been authorized by the Exam Project Manager. I understand that I am not to instruct or provide performance feedback to those individuals scheduled to be administered this examination from this date until completion of examination administration. I also understand that I am not to evaluate individuals scheduled to be administered this examination from this date until the date of administration. Acting as a simulator booth operator or communicator is acceptable if I do not select the training content or provide direct or indirect feedback to an examinee. Furthermore, I am aware of the physical security measures and requirements (as documented in procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examination and/or an enforcement action against my facility or me. I will immediately report to the Exam Project Manager any indications or suggestions that examination security may have been compromised. Furthermore, I agree to NOT discuss any aspects associated with the contents of this examination with ANY examinee until completion of their examination administration. I further understand that violation of the conditions of this agreement may result in cancellation of the examination and/or enforcement action against the facility licensee or me.

2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the examination administered during the date(s) of 03 March to 14 March 2025. From the date that I entered into this security agreement until completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those individuals who were administered this examination.

JOB TITLE/ PRINTED NAME RESPONSIBILITY SIGNATURE (1)

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_)VM) (!_ 1/4(1/4~ ex~ wP-ll(l_~ ---'---'-""---'--------- ~ ~~ ./ NOTES: This Limited Security Agreement is for individuals not assigned to Point Beach. TR-AA-220-1002-F02, Revision 0 DATE SIGNATURE (2) DATE 11-2i-z'I 9tb1\\.b",,4-~~ ~1111-tr NOTE

NEXTera~ LIMITED SECURITY AGREEMENT E~ (Page 1 of 1) The. Limited Security Agreement is used for those personnel having limited knowledge of, without unrestricted access to, Exam Sensitive Mciterial.

1. Pre-Examination (Review TR-AA-220-1002, Attachment 1 for pre-job briefing requirements)

I acknowledge that I have acquired specialized knowledge about the 2025 IL T NRC License Examination s.cheduled for the date(s) of 03 March to 14 March 2025 as of the date of my signature. I agree that I will not knowingly divulge any information about this examination to any persons who have not been authorized by the Exam Project Manager. I understand that I am not to instruct or provide performance feedback to those individuals scheduled to be administered this examination from this date until completion of examination administration. I also understand that I am not to evaluate individuals scheduled to be administered this examination from this date until the date of administration. Acting as a simulator booth operator or communicator is acceptable if I do.not select the training content or provide direct or indirect feedback to an examinee. Furthermore, I am aware of the physical security measures and requirements (as documented in procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examination and/or an enforcement action against my facility or me. I will immediately report to the Exam Project Manager any indications or suggestions that examination security may have been compromised. Furthermore, I agree to NOT discuss any aspects associated with the contents of this examination with ANY examinee until completion of their e.xamination administration. I further understand that violation of the conditions ofthis agreement may result in cancellation of the examination and/or enforcement action against the facility licensee or rne.

2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the examination administered during the date{s) of 03 March to 14 March 2025. From the date that I entered into this security agreement until completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those individuals who were administered this examination.
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PRINTED NAME (Y\\",e.-~c,.~) /-tn6e55on NOTES: This Limited Security Agreement is for individuals not assigned to Point Beach. TR-AA-220-1002-F02, Revision 0 SIGNATURE (2) DATE NOTE}}

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