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| issue date = 08/22/2014
| issue date = 08/22/2014
| title = 2014 DC Cook Nuclear Power Plant Initial License Examination Form ES-201-3
| title = 2014 DC Cook Nuclear Power Plant Initial License Examination Form ES-201-3
| author name = McNeil D R
| author name = Mcneil D
| author affiliation = NRC/RGN-III/DRS/OLB
| author affiliation = NRC/RGN-III/DRS/OLB
| addressee name =  
| addressee name =  
Line 18: Line 18:


=Text=
=Text=
{{#Wiki_filter:August 21, 2014 U. S. Nuclear Regulatory Commission Attn: Mr. Dell McNeil Region Ill Examiner 2443 Warrenville Road, Suite 210 Lisle, Illinois 60532-4352 Donald C. Cook Nuclear Plant Units 1 and 2 A unit of American Electric Power 2014 INITIAL LICENSE EXAMINATION SECURITY AGREEMENT The initial license examination was administered from July 21, 20*14 to August 4, 2014, at the Donald C. Cook Nuclear Plant (CNP). In accordance with NUREG-1 021, Operator Licensing Examination Standards for Power Reactors, Indiana Michigan Power Company, the licensee for CNP, is providing as an enclosure to this letter the following:
{{#Wiki_filter:A unit of American Electric Power August 21, 2014 U. S. Nuclear Regulatory Commission Attn : Mr. Dell McNeil Region Ill Examiner 2443 Warrenville Road, Suite 210 Lisle, Illinois 60532-4352 Donald C. Cook Nuclear Plant Units 1 and 2 2014 INITIAL LICENSE EXAMINATION SECURITY AGREEMENT The initial license examination was administered from July 21, 20*14 to August 4, 2014, at the Donald C. Cook Nuclear Plant (CNP). In accordance with NUREG-1021 ,
* Finalized Examination Security Agreement pages (five pages) If you have any comments or concerns, please contact Ted Werk or Steve Pettinger at (269) 465-5901, extension 3703 or 3738 respectively, or myself at (269) 466-3333. Sincerely, ,///' rr----V}m Vriezema Operations Training Manager TCW Enclosures (Form ES-201-3) i\UG 2 2 2014 Enclosure to letter titled: Donald C. Cook Nuclear Plant Units 1 and 2 2014 INITIAL LICENSE EXAMINATION SECURITY AGREEMENT dated August 21, 2014 Finalized Examination Security Agreement pages (five pages)
Operator Licensing Examination Standards for Power Reactors , Indiana Michigan Power Company, the licensee for CNP, is providing as an enclosure to this letter the following :
ES-201 Examination Security Agreement Form ES-201-3 1, £:!]1-Exami!latiQD "'f M1t 7t3Pitr i acknowledge that i have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) 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 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 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 wil! immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised. 2. Post-Examination '1 J.:,o(ti.{ To the best of my knowledge, I ,did llJ?t gi;LU\Qe to any unauthorized persons any information concerning the NRC licensing examinations administered during the week{s) of Y..ftH* 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 beiow and authorized by the NRC. PRINTED NAME JOB TITLE I RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE 1. lO .. .tYiy.:JoJ,;""'" ':/-.-. ,. I ... -=Of-.7. . . --*-'* .:...Gt?_w;. J...,S,:.,t!v'l";.r -.--3. *,.rtcj v\levk --!... -YI!:/:J.!.:t ' ri;O s,..,. .. "'l'i fllge IJ 9-:f/M-S: TF4fr¥t.ftU!.* .
* Finalized Examination Security Ag reement pages (five pages)
* U /-tiJ(rf' YdP, , .. ,_.,.,. .... "'-;;< o J r '* ''' .* 1.. ' *
If you have any comments or concerns, please contact Ted Werk or Steve Pettinger at (269) 465-5901 , extension 3703 or 3738 respectively, or myself at (269) 466-3333.
* Q !:( (4 \A _ ::::1 a ' V \.l!! ' 1 J -0'-lJ I ....,----1'!. 37'-Pr.i;!..;J, /v;<tl.$...;
Sincerely,
* t);'Ji' 12. \ ODL/Cs 6-tf S)! m-Ac\m l C\ S-klcf _D 13. (.!111!$ $',W / 11 5"**r*t'f t-7-151 14. Dc.n .SRo I u.S 5/t.slt<f ""&sect;&sect;&sect;JJC 15. Dooown''\ tLo* s--'l:r-t1-!t..JR.Jf---NOTES: 1-0I/ I ' UVl u *-pC19 e 4 I Page 27 of 28 c::: --***
  ,/ //'
ES-291 Examination Security Agreement Form ES-201-3 1, f.[e*EJ'!:.<Jmillatioo 713bitif >b. i acknowledge that! have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of 7!2.1 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 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 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 chief examiner any indications or suggestions that examination security may have been compromised. 2. Post-Examination I To of my to any unauthorized any information concerning the a?ministered aunng tne week(s) or 7 L,--rr .. -of:t; !=rorn the date that I entered mto th1s secunty agreement until the completion of exam1nat1on adm1mstrat1on, I d1d 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. JOB TiTLE I RESPONSIBILITY (1) DA;E NOTE fl!!( r>}' i\;;$1 SH tET )..(AtJ&;.ft( .... _ _ .. )1-:;-*t/( "fl-{,"(q -. _ __ PbfjE 5. **>*-;-n 6*n1y . r ""21-14 .,q __ A *T ' 'T'fN t'h.Gl . -... 9. !Vlw;6.-J 10. ,JoSMUA :1. bAiL.. 11. #aM' l u,.' !{.,!..;,, / 12. Bn(,yd Goy lJ 1. :3. . fiN\ 14._'h'sL1-:2.... i 5. :;y., L\..;) U>'l.n;..d NOTES: ;-<, .. ro' I ' L\-L,;ee '-"' RE.AeTOR. f't &#xa3;l-l&sect; .. Rt6M"f'&&\. ... 8**b *ft_ \.s.. \ \j_ C\ t>J i tJ .;:, I ;:. S/1<. 7'1. f/_i/ij __ rti Cje ,.,,,_, G"". ES-201, Page 27 of 28 i _J 2 c,-F 5' ES-201 Examination Security Agreement Form ES-201-3 1. Pre-Examination <6/Lf-.J,w _713-c/tq ! acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of?izl--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 compietion 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 violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facl!ity iicensee. I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised 2. Post-Examination l:J -r 1})1 :ti To the best of my knowledge, I divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) !=fb'tn 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 auH1orized by the NHC. DATE NOTE r #Vo.rrr: f&fy __ ---r-I . ;; .t./--::.l.!L._ "' 4. --:J'4.rf* \G 'l-I...).S T LUI.C-(0-L. r:. f!<J.., J.-4.-" P ... +......... Pc4t-:"'*"'* r. r-.J"511;..e--f.-,rc 6: Jo,.IJ:714Lrt-TIJt!NtN.t.-_ __ . -,:,;,..:, 7. I,<.\<'v.c..--l..o. a. s ... "i\ 9. .. .............._ ------* --10. ----11 -............... :::::: t 'tt ----'12. -I --, lc . 13._. _______ _ 14. __________ _ 15. _______ _ -----------NOTES: ".f?Vj e ?> of c; ES-201, Page 27 of 28
rr----
:0::: "" 0 N I "" 0 I gg E ci. 0 "" 0 Ill 0 0 e:: LU I!) 0 0 "" CJ\ N "" 0 "" "' f\ ) ) ) ES-201 Examination Security Agreement Form ES-201-3 1. Pre-Examination '1/Jtll:t J. .,f3*'"" I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations acheduled for the week(s) on/u-1./J9/ri= as of the date of my signature. I agree that I witt 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 em not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this data 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 or 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 elCamlnatlons and/or an enforcement action against me or the facility licensee. I will Immediately report to facility management or the NRC chief examiner any Indications or suggestions that examination security may have been compromised. 2. fost-Examlnallon To the best of my knowledge, I did i'YWge to any unauthorized persons any Information concerning the NRC licensing examinations administered during the week(s) of 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 beiWJ and authorized by the NRC. PRINTED NAME JOB TITLE I RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) NOTE lff:JJ.!.'t ,.,,, ?ee ..wte t* U't!VY , -""'IU ! yv-* C> ' ---* *r __ * , ... '':LI-1*1 -I 0
V }m Vriezema Operations Training Manager TCW Enclosures (Form ES-201-3) i\ UG 2 2 2014
* C *' ' --*,.-= -{.IKiL 7 . .:k*Yif V.:Ae.e..,* *' 71-*-:z :: q-; 11. sru .. """ ..... i 12. \on4a OH: 13. (U4ff lciAf.( --14. Pr.n k(,,tfu --. --15. Doao!bo _...,&#xa5;( -w '1\t'f:tf! G b "'=!..-. 0 J JJf.ii!/!'1 --* ----NOTES; r=-01 xed CD F"i Ltne t.t-._, --------H19h ltjh t-eoL ES-201, Page 27 of 28 if pa.;t./ ,P c; cc b 0 _, 0 N 0) '0 0 0 0 ;!':' en 3' c: iii' 0 .., en CD 0 g-::J N 0) (D I;; 0) c.> 1\) Q) 1J N $ l ... ..
 
.. -ES-201 Examination Security Agreement Form ES-201-3 1. Pre-Examination ' = ,J;citJfl..:. I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of zb.i-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 l 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 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 chief examiner any indications or suggestions that examination security may have been compromised. 2. Post-Examination -b To best of my knowl.edge, I to any information the dunng the week(s) of7 the date that I entered Into this secunty 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. JOB TITLE I RESPONSIBILilY DATE SIGNATURE (2) DATE NOTE ---__ -7 )..(of-e.-et.Ae;c...t. ol'f.6..At?>L I?.EAC:.TOI\ .. t,r u., ,..j. S" au-VJ..I.oA. C3?e..n:>-<s:>r ::!:C\ toJIN c; i tl STte. ,--U n e L{ H 11 f-ed 1 ES-201, Page 27 of 28 '7 f'1jC ;I c-f 'i f. q,.&#xa3;6dt}}
Enclosure to letter titled:
Donald C. Cook Nuclear Plant Units 1 and 2 2014 INITIAL LICENSE EXAMINATION SECURITY AGREEMENT dated August 21, 2014 Finalized Examination Security Agreement pages (five pages)
 
ES-201                                                                                                 Examination Security Agreement                                           Form ES-201 -3
*-*----*-*---~-----
1,                &#xa3;:!]1-Exami!latiQD
                                                                                                                                                                            "'f M1t     ~:, 7 t3Pitr i acknowledge that i have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s)                                             ot rfu~Jfz!41tr    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 thi s date until completion of examination admin istration , 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 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 wil! immediately report to facility management or the NRC chief examiner any indications or suggestions that exam ination security may have been compromised .
: 2.                 Post-Examination
                                                            '1 J.:,o(ti.{
To the best of my knowledge, I ,did llJ?t g i;LU\Qe to any unauthorized persons any information concerning the NRC licensing examinations administered during the week{s) of Y..ftH* :tf~F f0m* tf1~* o~te that I entered into this security agreement until the completion of examination administration , I did not instruct, evaluate, or provide pe rform ance feedback to those appl icants who were administered these licensing examinations , except as specifically noted beiow and authorized by the NRC .
PRINTED NAME                                       JOB TITLE I RESPONSIBILITY                       SIGNATURE (1)       DATE             SIGNATURE (2)       DATE NOTE
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ES~201 ,  Page 27 of 28
 
ES-291                                                                         Examination Security Agreement                                           Form ES-201 -3 1,           f.[e*EJ'!:.<Jmillatioo
                                                                                                                                                    'i!>/fHjU~ 713bitif >b.
i acknowledge that! have acq uired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of 7!2.1                 --~- as of the date of my signature. I agree that I will not knowingly divulge any information about these exam inations to any persons who have not been authorized by the NRC ch ief exam iner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants schedu led to be adm inistered 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 operato r or commu nicator is acceptab le if the individual does not select the training content or provide direct or ind irect 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 cond itions of th is agreement may result in cancellation of the examinations and/or an enforcement action aga inst me or the facility licensee. I will immed iately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
: 2.           Post-Examination I
                                        ~
To ~he ~est of my kn?wl~dg~~_l di?d7~},9.ivu lge to any unauthorized p~rsons any information concerni ng the ~RC licens i ~g exa mi na~i ons a?ministered aunng tne week(s) or 7 L,- -rr..-of:t; !=rorn the date that I entered mto th1s secunty agreement until the completion of exam1nat1on adm1mstrat1on , I d1d not instruct, evaluate, or provide perform ance feedback to those applicants who were admin istered these licensing examinations , except as specifically noted below and authorized by the NRC .
JOB TiTLE I RE SPONSIBI LITY                        ~ GNA'')rE      (1 )         DA;E                     OAT~ NOTE w~;~:~E?o.
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ES-201                                                                                  Examination Security Agreement                                   Form ES-201-3
: 1.             Pre-Examination
                                                                                                                                                    <6/Lf- .J,w _7 13-c/tq
! acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of ?izl-- J/..~L't. as of the date of my signature. I agree that I will not know ingly 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 compietion 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 requ irements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this ag reement may result in cancellation of the examinations and/or an enforcement action against me or the facl!ity iicensee. I w ill immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised
: 2.             Post-Examination l:J -r 1})1 :ti To the best of my knowledge, I d)~ I.}-Qt divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the w eek(s) of ~. !=fb'tn the date that I entered into this security agreement until the completion of examination ad ministration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and auH1orized by the NHC.
DATE NOTE r
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NOTES:                                                                                                                                                         ---
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ES-201                                                                Examination Security Agreement                                                      Form ES-201-3                  0 N
                                                                                                                                                                                                      ~
0) 0     1.         Pre-Examination                                                                                                                                                            '0
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      ""I 0     I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations acheduled for the week(s) on/u-1./J9/ri= as of the date gg      of my signature. I agree that I witt not knowingly divulge any Information about these examinations to any persons who have not been authorized by the                                   0 0
NRC chief examiner. I understand that I em not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered                                   0 E      these licensing examinations from this data until completion of examination administration, except as specifically noted below and authorized by the NRC                                 en $
ci.    (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                           3' c: l feedback). Furthermore, I am aware or the physical security measures and requirements (as documented in the facility licensee's procedures) and 0
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                                                                                                                                                                                                            ~
Ill understand that violation of the conditions of this agreement may result in cancellation of the elCamlnatlons and/or an enforcement action against me or                                 0 0        the facility licensee. I will Immediately report to facility management or the NRC chief examiner any Indications or suggestions that examination security                               en CD may have been compromised.                                                                                                                                                               0 g-
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                                            ;l~[lq-To the best of my knowledge, I did ~t i'YWge to any unauthorized persons any Information concerning the NRC licensing examinations administered during the week(s) of ~70m l~ita~te 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 beiWJ and authorized by the NRC.
PRINTED NAME             JOB TITLE I RESPONSIBILITY                           SIGNATURE (1)                 DATE           SIGNATURE (2)       OAT~ NOTE
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"'""                                                                                    ES-201, Page 27 of 28
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ES-201                                                                            Examination Security Agreement                            Form ES-201 -3
: 1.       Pre-Exam ination I ackn owledge that I have acquired specialized know ledge about the NRC licensing examinations scheduled for the week(s) of zb.i -
                                                                                                                                              =      , J;citJfl..:.
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: 2.       Post-Examination
                                        -b 7 i> ~lcf To ~he best of my knowl.edge, I didd)~i,~tvu lge to any unauthori~ed p~rsons a~y information co~cemi ng the ~RC li censi~g ~xami n a~ions a~minist~red dunng the week(s) of7 11-i-~ ~rom the date that I entered Into th is secunty agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were admin istered these licensing examinations, except as specifically noted below and authorized by the NRC.
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Latest revision as of 12:26, 25 February 2020

2014 DC Cook Nuclear Power Plant Initial License Examination Form ES-201-3
ML14279A076
Person / Time
Site: Cook  American Electric Power icon.png
Issue date: 08/22/2014
From: Mcneil D
NRC/RGN-III/DRS/OLB
To:
American Electric Power, Indiana Michigan Power Co
Shared Package
ML13093A427 List:
References
50-315/14-301, 50-316/14-301 50-315/OL-14, 50-316/OL-14
Download: ML14279A076 (7)


Text

{{#Wiki_filter:A unit of American Electric Power August 21, 2014 U. S. Nuclear Regulatory Commission Attn : Mr. Dell McNeil Region Ill Examiner 2443 Warrenville Road, Suite 210 Lisle, Illinois 60532-4352 Donald C. Cook Nuclear Plant Units 1 and 2 2014 INITIAL LICENSE EXAMINATION SECURITY AGREEMENT The initial license examination was administered from July 21, 20*14 to August 4, 2014, at the Donald C. Cook Nuclear Plant (CNP). In accordance with NUREG-1021 , Operator Licensing Examination Standards for Power Reactors , Indiana Michigan Power Company, the licensee for CNP, is providing as an enclosure to this letter the following :

  • Finalized Examination Security Ag reement pages (five pages)

If you have any comments or concerns, please contact Ted Werk or Steve Pettinger at (269) 465-5901 , extension 3703 or 3738 respectively, or myself at (269) 466-3333. Sincerely,

 ,/ //'

rr---- V }m Vriezema Operations Training Manager TCW Enclosures (Form ES-201-3) i\ UG 2 2 2014

Enclosure to letter titled: Donald C. Cook Nuclear Plant Units 1 and 2 2014 INITIAL LICENSE EXAMINATION SECURITY AGREEMENT dated August 21, 2014 Finalized Examination Security Agreement pages (five pages)

ES-201 Examination Security Agreement Form ES-201 -3

  • -*----*-*---~-----

1, £:!]1-Exami!latiQD

                                                                                                                                                                           "'f M1t     ~:, 7 t3Pitr i acknowledge that i have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s)                                              ot rfu~Jfz!41tr     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 thi s date until completion of examination admin istration , 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 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 wil! immediately report to facility management or the NRC chief examiner any indications or suggestions that exam ination security may have been compromised .
2. Post-Examination
                                                            '1 J.:,o(ti.{

To the best of my knowledge, I ,did llJ?t g i;LU\Qe to any unauthorized persons any information concerning the NRC licensing examinations administered during the week{s) of Y..ftH* :tf~F f0m* tf1~* o~te that I entered into this security agreement until the completion of examination administration , I did not instruct, evaluate, or provide pe rform ance feedback to those appl icants who were administered these licensing examinations , except as specifically noted beiow and authorized by the NRC . PRINTED NAME JOB TITLE I RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE

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ES-291 Examination Security Agreement Form ES-201 -3 1, f.[e*EJ'!:.<Jmillatioo

                                                                                                                                                   'i!>/fHjU~ 713bitif >b.

i acknowledge that! have acq uired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of 7!2.1 --~- as of the date of my signature. I agree that I will not knowingly divulge any information about these exam inations to any persons who have not been authorized by the NRC ch ief exam iner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants schedu led to be adm inistered 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 operato r or commu nicator is acceptab le if the individual does not select the training content or provide direct or ind irect 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 cond itions of th is agreement may result in cancellation of the examinations and/or an enforcement action aga inst me or the facility licensee. I will immed iately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.

2. Post-Examination I
                                        ~

To ~he ~est of my kn?wl~dg~~_l di?d7~},9.ivu lge to any unauthorized p~rsons any information concerni ng the ~RC licens i ~g exa mi na~i ons a?ministered aunng tne week(s) or 7 L,- -rr..-of:t; !=rorn the date that I entered mto th1s secunty agreement until the completion of exam1nat1on adm1mstrat1on , I d1d not instruct, evaluate, or provide perform ance feedback to those applicants who were admin istered these licensing examinations , except as specifically noted below and authorized by the NRC . JOB TiTLE I RE SPONSIBI LITY ~ GNA)rE (1 ) DA;E OAT~ NOTE w~;~:~E?o. i\;;$1 ~*-rAJ?.JT. SH tET )..(AtJ&;.ft(

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_J 2 c,-F 5' ES-201, Page 27 of 28

ES-201 Examination Security Agreement Form ES-201-3

1. Pre-Examination
                                                                                                                                                   <6/Lf- .J,w _7 13-c/tq

! acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of ?izl-- J/..~L't. as of the date of my signature. I agree that I will not know ingly 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 compietion 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 requ irements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this ag reement may result in cancellation of the examinations and/or an enforcement action against me or the facl!ity iicensee. I w ill immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised

2. Post-Examination l:J -r 1})1 :ti To the best of my knowledge, I d)~ I.}-Qt divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the w eek(s) of ~. !=fb'tn the date that I entered into this security agreement until the completion of examination ad ministration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and auH1orized by the NHC.

DATE NOTE r

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ES-201 Examination Security Agreement Form ES-201-3 0 N

                                                                                                                                                                                                      ~

0) 0 1. Pre-Examination '0

                                                                                                                                                                '1/Jtll:t J. .,f3*'""

N I

     ""I 0      I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations acheduled for the week(s) on/u-1./J9/ri= as of the date gg      of my signature. I agree that I witt not knowingly divulge any Information about these examinations to any persons who have not been authorized by the                                   0 0

NRC chief examiner. I understand that I em not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered 0 E these licensing examinations from this data until completion of examination administration, except as specifically noted below and authorized by the NRC en $ ci. (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 3' c: l feedback). Furthermore, I am aware or the physical security measures and requirements (as documented in the facility licensee's procedures) and 0 0 iii' ......

                                                                                                                                                                                                           ~

Ill understand that violation of the conditions of this agreement may result in cancellation of the elCamlnatlons and/or an enforcement action against me or 0 0 the facility licensee. I will Immediately report to facility management or the NRC chief examiner any Indications or suggestions that examination security en CD may have been compromised. 0 g-

J
2. fost-Examlnallon
                                           ;l~[lq-To the best of my knowledge, I did ~t i'YWge to any unauthorized persons any Information concerning the NRC licensing examinations administered during the week(s) of ~70m l~ita~te 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 beiWJ and authorized by the NRC.

PRINTED NAME JOB TITLE I RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) OAT~ NOTE

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"'"" ES-201, Page 27 of 28

                                                                                                                                                                                ~-16/lf

~ ES-201 Examination Security Agreement Form ES-201 -3

1. Pre-Exam ination I ackn owledge that I have acquired specialized know ledge about the NRC licensing examinations scheduled for the week(s) of zb.i -
                                                                                                                                             =      , J;citJfl..:.
                                                                                                                                             ~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 l am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from th is 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 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 w il l immed iately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
2. Post-Examination
                                       -b 7 i> ~lcf To ~he best of my knowl.edge, I didd)~i,~tvu lge to any unauthori~ed p~rsons a~y information co~cemi ng the ~RC li censi~g ~xami n a~ions a~minist~red dunng the week(s) of7 11-i-~ ~rom the date that I entered Into th is secunty agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were admin istered these licensing examinations, except as specifically noted below and authorized by the NRC.

JOB TITLE I RESPONSIBILilY DATE SIGNATURE (2) DATE NOTE

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