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| number = ML030580031
| number = ML030580031
| issue date = 02/10/2003
| issue date = 02/10/2003
| title = Examination Security Agreement Form Es - 201-3 for the Dresden Retake Examination - Jan. 2003
| title = Examination Security Agreement Form Es - 201-3 for the Dresden Retake Examination - Jan. 2003
| author name = Lanksbury R
| author name = Lanksbury R
| author affiliation = NRC/RGN-III
| author affiliation = NRC/RGN-III
Line 18: Line 18:
{{#Wiki_filter:EXAMINATION SECURITY AGREEMENT, FORM ES-201-3 FOR THE DRESDEN RETAKE EXAMINATION - JAN 2003
{{#Wiki_filter:EXAMINATION SECURITY AGREEMENT, FORM ES-201-3 FOR THE DRESDEN RETAKE EXAMINATION - JAN 2003


DRESDEN ES-201                                                       Examination Security                   eement                                         Form ES-201-3
DRESDEN ES-201 Examination Security eement Form ES-201-3
: 1.       Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC date of my signature. I agree that I will not knowingly divulge any                  licensing examinations scheduled for the week(s) of Y/OJ,/*           as of the information about these examinations to any persons who have by the NRC chief examiner. I understand that I am not to instruct,                                                                             not been authorized evaluate, or provide performance feedback to those applicants administered these licensing examinations from this date until                                                                                 scheduled to be completion of examination administration, except as specifically authorized by the NRC.Furthermore, I am aware of the physical                                                                               noted below and procedures) and understand that violation of the conditions of security measures and requirements (as documented in the facility licensee's this agreement may result in cancellation of the examinations and/or action against me or the facility licensee. I will immediately report                                                                             an enforcement to facility management or the NRC chief examiner any indications examination security may have been compromised.                                                                                                   or suggestions that 2..       Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations during the week(s) of J,.-,       .. From the date that I entered into this security agreement until                                                   administered instruct, evaluate, or provide performance feedback to those applicants                                         the completion of examination administration, I did not who were administered these licensing examinations, except as noted below and authorized by the NRC.                                                                                                                 specifically PRINTED NAME             JOB TITLE / RESPONSIBILITY                         SIGNATURE (1)                   DATE       SIGNATURE (2) DATENOTE
: 1.
                              -.----------                  ------                            - (-          -*-
Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of Y/OJ,/*
: 2.                                 ,    _      ,._-_                                                    -
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.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.
"5.            --                                                - -                            -    --------    -                                      .
2..
6     _ _.
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 J,.-,  
                                                                                                            ---- -                                      J 8.......                 --- ------- - -.--
.. From 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 authorized by the NRC.
11-.----                                                                                        ---- --
PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1)
: 9.                      -  -...
DATE SIGNATURE (2) DATENOTE  
                                                    ---------------        --                                        /40,     a-                           _
- (
1Z_
: 2.  
                                                                                                                        ,,L , ;                   I       . .     -
"5.
            -PaQZ-1---------------------------------
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10.
8.......
                                              -      -    -        - --- -                                ----        -                                      2 NOTES:           -- -- -      - --                ---
11-.----  
NUREG-1021, Revision 8, Supplement 1
/40, a-9.
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: 10.  
-PaQZ-1 ---------------------------------
2 NOTES:
NUREG-1021, Revision 8, Supplement 1 24 of 24
,AoT* L.  
*-a ALA
*A~ j.44 £*,4 c.*  
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ES-201                                                                          DRESDEN(
DRESDEN(
Examination Securit.y.Areement
(
(
Form ES-201-3
ES-201 Examination Securit.y.Areement Form ES-201-3
: 1.       Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for date of my signature. I agree that I will not knowingly                                                                                                                                                           the week(s) of 'A0 4Z                as of the divulge any information about these examinations to any by the NRC chief examiner. I understand that I am not                                                                                                                                                           persons who have not been authorized to instruct, evaluate, or provide performance feedback administered these licensing examinations from this                                                                                                                                                         to those applicants scheduled to be date until completion of examination administration, except authorized by the NRC.Furthermore, I am aware of the                                                                                                                                                               as specifically noted below and physical security measures and requirements (as documented procedures) and understand that violation of the conditions                                                                                                                                                             in the facility licensee's action against me or the facility licensee. I will immediately of this agreement may result in cancellation of the examinations and/or an enforcement report to facility management or the NRC chief examiner examination security may have been compromised.                                                                                                                                                                         any indications or suggestions that
: 1.
: 2.       Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the during the week(s) of             . From the date that I entered into this NRC licensing examinations administered instruct, evaluate, or provide performance feedback to                                                                 security agreement until the completion of examination those applicants who were administered these licensing                                                                                   administration, I did not examinations, except as specifically noted below and authorized by the NRC.
Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of 'A04Z 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.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.
PRINTED NAME               JOB TITLE / RESPONSIBILITY                                                                SIGNATURE (1                                                  DATE                      SGNA        E          DATENOTE
: 2.
                                                                -          - - -..        ---V-/-----
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 From 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 authorized by the NRC.
                                                                                                      .    .  -..      , '                              .      . .                      '    _ L' _                    -
PRINTED NAME 8. r-x
: 4. 8. r- I-.Zx *            ..                                                                                              _                                    -------
* I -.
3
Z
                                                                                                              - -                -6
: 12.
                                                                                                                                                                                                                              -~
                                                                                                                                                                                                                                  ---                /
                                                                                                                                                                                                                                                              !P 12.
13....
13....
                                                        +4                                           - -,- . ......
: 4.
                                                                                                                                                                                            ,,4-*--- 43/4                                  -      -    -- -_ - -
: 15.
15.
: 12.
: 13.                                                                                       -----------------
: 13.
: 12.                                                                                                               --          ----------------------                                          ------ -------------------- ----- ----
: 14.
: 14.                               -------------------------------
: 15.
: 15.                                                                                                                                                           ---            ------                -------------------
NOTES:
NOTES:
NUREG-1021, Revision 8, Supplement 1 24 of 24}}
JOB TITLE / RESPONSIBILITY SIGNATURE (1 DATE SGNA E
DATENOTE
-- -V
-/
_ L ' _
3
-~
/
-6
!P
+4
,,4-43/4 NUREG-1021, Revision 8, Supplement 1 24 of 24}}

Latest revision as of 12:21, 16 January 2025

Examination Security Agreement Form Es - 201-3 for the Dresden Retake Examination - Jan. 2003
ML030580031
Person / Time
Site: Dresden  
Issue date: 02/10/2003
From: Lanksbury R
NRC/RGN-III
To: Skolds J
Exelon Generation Co, Exelon Nuclear
References
50-237/02-302, 50-249/02-302
Download: ML030580031 (3)


Text

EXAMINATION SECURITY AGREEMENT, FORM ES-201-3 FOR THE DRESDEN RETAKE EXAMINATION - JAN 2003

DRESDEN ES-201 Examination Security eement Form ES-201-3

1.

Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of Y/OJ,/*

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.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 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 J,.-,

.. From 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 authorized by the NRC.

PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1)

DATE SIGNATURE (2) DATENOTE

- (

2.

"5.

6 J

8.......

11-.----

/40, a-9.

1Z_

,,L, ;

I

10.

-PaQZ-1 ---------------------------------

2 NOTES:

NUREG-1021, Revision 8, Supplement 1 24 of 24

,AoT* L.

  • -a ALA
  • A~ j.44 £*,4 c.*

-/i,4,

DRESDEN(

(

ES-201 Examination Securit.y.Areement Form ES-201-3

1.

Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of 'A04Z 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.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 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 From 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 authorized by the NRC.

PRINTED NAME 8. r-x

  • I -.

Z

12.

13....

4.
15.
12.
13.
14.
15.

NOTES:

JOB TITLE / RESPONSIBILITY SIGNATURE (1 DATE SGNA E

DATENOTE

-- -V

-/

_ L ' _

3

-~

/

-6

!P

+4

,,4-43/4 NUREG-1021, Revision 8, Supplement 1 24 of 24