ML20070J452

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2020 Fermi Retake Examination Form ES-201-3
ML20070J452
Person / Time
Site: Fermi 
Issue date: 02/27/2020
From: Chuck Zoia
NRC/RGN-III/DRS/OLB
To:
DTE Energy, Detroit Edison, Co
Zoia C
Shared Package
ML19303A625 List:
References
Download: ML20070J452 (2)


Text

ILO j19 -

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

1. Pre-Examination (NRC) licensing examinations scheduled for I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission 7/ ' as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to the week(s) of I understand that I am not to instruct, evaluate, or provide performance any persons who have not been authorized by the NRC's chief examiner. I of examination administration, feedback to those applicants scheduled to be administered these licensing examinations from this date until completion by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual except as specifically noted below and authorized of the physical security measures and requirements does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the conditions of this agreement may result in cancellation of the (as documented in the facility licensee's procedures) and understand that violation immediately report to facility management or the NRC's chief examinations and/or an enforcement action against me or the facility licensee. I will examiner any indications or suggestions that examination security may have been compromised.
2. Post-Examination concerning the NRC licensing examinations administered M To the best of my knowled e, I id not divulge to any unauthorized persons any information

-7 . From the date that I entered into this security agreement until the completion of examination administration, I did during the week(s) of /

except as specifically not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, noted below and authorized by the NRC.

SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE PRINTED NAME JOB TITLE/RESPONSIBILITY z

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4. N___Iee V 12-5-PJ 5.
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NOTES:

1 ~~~ES-201, Page 31 of 32 / / ~ +-

ILO . 19 °- 4 Examination Security Agreement Form ES-201-3 ES-201

1. Pre-Examination Commission (NRC) licensing examinations scheduled for I acknowledge that I h ve acquired specialized knowledge about the U.S. Nuclear Regulatory 02 as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to the week(s) of i; I understand that I am not to instruct, evaluate, or provide performance any persons who ave not been authorized by the NRC's chief examiner.

feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual except as specifically noted below and authorized aware of the physical security measures and requirements does not select the training content or provide direct or indirect feedback). Furthermore, I am of this agreement may result in cancellation of the (as documented in the facility licensee's procedures) and understand that violation of the conditions I will immediately report to facility management or the NRC's chief examinations and/or an enforcement action against me or the facility licensee.

examiner any indications or suggestions that examination security may have been compromised.

2. Post-Examination concerning the NRC licensing examinations administered M To the best of my knowledge, I did not divulge to any unauthorized persons any information until the completion of examination administration, I did

-iM . From the date that I entered into this security agreement N during the week(s) of I / licensing examinations, except as specifically C not instruct, evaluate, or pro ide performance feedback to those applicants who were administered these noted below and authorized by the NRC.

SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE PRINTED NAME JOB TITLE/RESPONSIBILITY w2.

3.

4.

5.

6.

7.

8.

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10.

11.

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13.

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15.

NOTES:

ES-201, Page 31 of 32