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NEXTera.,                                                     MASTER SECURITY AGREEMENT E~                                                                     (Page 1 of 4)
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NEXTera.,
MASTER SECURITY AGREEMENT E~
(Page 1 of 4)
The Master Security Agreement is used for those personnel having both knowledge of and unrestricted access to Exam Sensitive Material.
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)
: 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 2023 LOILT NRC Licence Examination scheduled for the date(s) of 13 February to 24 February 2023 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.
I acknowledge that I have acquired specialized knowledge about the 2023 LOIL T NRC Licence Examination scheduled for the date(s) of 13 February to 24 February 2023 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.
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.
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 13 February to 24 February 2023. 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.
: 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 13 February to 24 February 2023. 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 JOB TITLE/
PRINTED NAME                                                  Sl~       URE (1) _       DATE         ~RE(2)               DATE     NOTE RESPONSI Bl LITY
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TR-AA-220-1002-F01, Revision o


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NEXTera**                                     MASTER SECURITY AGREEMENT E~                                                     (Page 2 of 4)
NEXTera**
Rm JOB TITLE/
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PRINTED NAME                                                 DATE                DATE    NOTE RESPONSIBILITY
Rm PRINTED NAME
: 7.     -JOE. /LLfA/L         ";J/<.D - 6POS                        ~:w~  --f,~,9F---=-- *#
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: 15.
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: 16.
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: 17.
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: 18.
21.
: 19.
22.
: 20.
23.
: 21.
24.
: 22.
25.
: 23.
26.
: 24.
TR-AA-220-1002-F01, Revision 0
: 25.
: 26.
TR-AA-220-1002-F01, Revision 0  
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MASTER SECURITY AGREEMENT JOB TITLE/
RESPONSIBILITY
";J/<.D - 6POS (Page 2 of 4)
DATE DATE NOTE
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f\JEXTera"                                             MASTER SECURITY AGREEMENT ENER~                                                                   (Page 1 of 4)
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(Page 1 of 4)
The Master Security Agreement is used for those personnel having both knowledge of and unrestricted access to Exam Sensitive Material.
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)
: 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 2023 LOILT NRC Licence Examination scheduled for the date(s) of 13 February to 24 February 2023 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.
I acknowledge that I have acquired specialized knowledge about the 2023 LOIL T NRC Licence Examination scheduled for the date(s) of 13 February to 24 February 2023 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.
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.
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 inf maticmcohs~ning the examination administered during the date(s) of 13 February to 24 February 2023. From the date that I entered into t s security agree ent until completion of examination administration, I did not instruct, evaluate, or provide performance feedback to th se individuals wh were administered this examination.
: 2. Post-Examination
JOB TITLE/
: 1.
PRINTED NAME                                                                                            SIGNATURE (2)         DATE     NOTE RESPONSIBILITY
: 2.
: 1. Jeffrey Hinze                Operation Training Sup                                        2/21/22 ,S,le,JJt~ i'~ l tt'ieo   ~
: 3.
2.
: 4.
3.
: 5.
4.
: 6.
5.
To the best of my knowledge, I did not divulge to any unauthorized persons any inf maticmcohs~ning the examination administered during the date(s) of 13 February to 24 February 2023. From the date that I entered into t s security agree ent until completion of examination administration, I did not instruct, evaluate, or provide performance feedback to th se individuals wh were administered this examination.
6.
PRINTED NAME Jeffrey Hinze JOB TITLE/
RESPONSIBILITY Operation Training Sup SIGNATURE (2)
DATE NOTE 2/21/22  
,S,le,JJt~ i'~ l tt'ieo  
~
TR-AA-220-1002-F01, Revision 0
TR-AA-220-1002-F01, Revision 0
_ _ _ __ _ _ _ _ _ _ _ __ _ _ _ __ _ _ _ _ _ __L_
_ _ ____________ ____________L_


                )                                                                   )                                                                       )
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* ENERGY '.~                                                 MASTER SECURITY AGREEMENT
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    ~         h'. ~U.--                                                     (Page 1 of 4)
I\\Ji::=xrera **
The Master Security Agreement is used for those personnel having both knowledge of and unrestricte d access to Exam Sensitive Material.
MASTER SECURITY AGREEMENT ENERGY'.~  
: 1. Pre-Exam ination (Review TR-AA-220-1002, Attachme nt 1 for pre-job briefing requirem ents)
~
I acknowledge that I have acquired specialized knowledge about the 2023 LOILT NRC Licence Examina tion scheduled for the date(s) of 13 February to 24 February 2023 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 periormance 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.
h'..~U.--
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 documen ted 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 c*ompromised.
(Page 1 of 4)
Furthermore, I agree to NOT discuss any aspects associated with the contents of this examinati on with ANY exarninee until completion of their examination administration. I further understand that violation of the conditions of this agreemen t may result in cancellation of the examination and/or enforcement action against the facility licensee or me.
The Master Security Agreement is used for those personnel having both knowledge of and unrestricted access to Exam Sensitive Material.
: 2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concernin g the examination administered during the date(s) of 13 February to 24 February 2023. From the date that I entered into this security agreemen t until completion of examination adm inistration, I did not instruct, evaluate, or provide performance feedback to those individual s who were administered this examination.
: 1. Pre-Examination (Review TR-AA-220-1002, Attachment 1 for pre-job briefing requirements)
PRINTED NAME                         JOB TITLE/
I acknowledge that I have acquired specialized knowledge about the 2023 LOIL T NRC Licence Examination scheduled for the date(s) of 13 February to 24 February 2023 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 periormance 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.
SIGNATU RE (1)           DATE 4~
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 c*ompromised.
RESPONSIBILITY                                                          SIGNATU RE (2)         DATE     NOTE
Furthermore, I agree to NOT discuss any aspects associated with the contents of this examination with ANY exarninee 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.
: 1.        SEAN WYLIE                    PSL p_EER REVIEWER 2121122   ~i:,1>11) lW Hll'&deg;"*'/'&#xa2;;
: 2. Post-Examination
2.
: 1.
3.
: 2.
4.
: 3.
5.
: 4.
6.
: 5.
TR-M-220-1002-F01 , Revision 0
: 6.
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 13 February to 24 February 2023. 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 SEAN WYLIE JOB TITLE/
RESPONSIBILITY PSL p_EER REVIEWER SIGNATURE (1)
DATE SIGNATURE (2)
DATE NOTE 4~
2121122 ~i:,1>11) lW Hll'&deg;"*'/'&#xa2;;
TR-M-220-1002-F01, Revision 0  


                    )                                                                     )                                                             )
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NEXTer a*
)  
LIMITED SECURITY AGREE MENT E~                                                                             (Page 1 of 2)
)
NEXTera*
LIMITED SECURITY AGREEMENT E~
(Page 1 of 2)
The Limited Security Agreement is used for those personnel having limited knowledge of, without unrestricted access to, Exam Sensitive Material.
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, Attachm ent 1*for pre-job briefing requirem ents)
: 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 2023 NRC ILT License Examination scheduled for the date(s) of ll February to 24 February 2023 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.
I acknowledge that I have acquired specialized knowledge about the 2023 NRC ILT License Examination scheduled for the date(s) of ll February to 24 February 2023 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.
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 examinat ion with ANY examinee until completion of their examination administration. I further understand that violation of the conditions of this agreemen t may result in cancellation of the examination and/or enforcem ent action against the facility licensee or me.
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
: 2. Post-Examination  
                                                                                                                                                '\.
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To the best of my knowledge, I did not divulge to any unauthorized persons any information concernin g the examination administered during the date(s) of 13 February to 24 February 2023. From the date that I entered into this security agreeme nt until completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those individual s who were administered this examination.
: 1.
PRINTED NAME                               JOB TITLE/
: 2.
RESPONSIBILITY                                  DATE                                      DATE      NOTE
: 3.
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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 13 February to 24 February 2023. 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.
: 4.      \l':!\iP      w~b~I\S~
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TR-AA-220-1002-F02, Revision 0  


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NEXTera**
NEXTera**
LIMITED SECURITY AGREEMENT
LIMITED SECURITY AGREEMENT  
~~                                                               (Page 2 of 4)
~~
(Page 2 of 4)
JOB TITLE/
JOB TITLE/
PRINTED NAME               RESPONSIBILITY 1
PRINTED NAME RESPONSIBILITY  
                                                                      ,, } GNATURE (1)               ? ATE                                           DATE           NOTE
,,1}GNATURE (1)  
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Latest revision as of 02:39, 27 November 2024

Form 1.3-1 Examination Security Agreements
ML23199A205
Person / Time
Site: Point Beach  NextEra Energy icon.png
Issue date: 03/24/2023
From:
NRC/RGN-III/DORS/OB
To:
Point Beach
Jim Nance
Shared Package
ML22007A028 List:
References
Download: ML23199A205 (1)


Text

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NEXTera.,

MASTER SECURITY AGREEMENT E~

(Page 1 of 4)

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 2023 LOIL T NRC Licence Examination scheduled for the date(s) of 13 February to 24 February 2023 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 13 February to 24 February 2023. 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/

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DATE ~RE(2)

DATE NOTE RESPONSI Bl LITY

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TR-AA-220-1002-F01, Revision o

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TR-AA-220-1002-F01, Revision 0

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MASTER SECURITY AGREEMENT JOB TITLE/

RESPONSIBILITY

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DATE DATE NOTE

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f\\JEXTera" MASTER SECURITY AGREEMENT ENER~

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(Page 1 of 4)

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 2023 LOIL T NRC Licence Examination scheduled for the date(s) of 13 February to 24 February 2023 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
1.
2.
3.
4.
5.
6.

To the best of my knowledge, I did not divulge to any unauthorized persons any inf maticmcohs~ning the examination administered during the date(s) of 13 February to 24 February 2023. From the date that I entered into t s security agree ent until completion of examination administration, I did not instruct, evaluate, or provide performance feedback to th se individuals wh were administered this examination.

PRINTED NAME Jeffrey Hinze JOB TITLE/

RESPONSIBILITY Operation Training Sup SIGNATURE (2)

DATE NOTE 2/21/22

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TR-AA-220-1002-F01, Revision 0

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MASTER SECURITY AGREEMENT ENERGY'.~

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(Page 1 of 4)

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 2023 LOIL T NRC Licence Examination scheduled for the date(s) of 13 February to 24 February 2023 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 periormance 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 c*ompromised.

Furthermore, I agree to NOT discuss any aspects associated with the contents of this examination with ANY exarninee 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
1.
2.
3.
4.
5.
6.

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 13 February to 24 February 2023. 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 SEAN WYLIE JOB TITLE/

RESPONSIBILITY PSL p_EER REVIEWER SIGNATURE (1)

DATE SIGNATURE (2)

DATE NOTE 4~

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TR-M-220-1002-F01, Revision 0

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LIMITED SECURITY AGREEMENT E~

(Page 1 of 2)

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 2023 NRC ILT License Examination scheduled for the date(s) of ll February to 24 February 2023 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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1.
2.
3.
4.
5.
6.

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 13 February to 24 February 2023. 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

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LIMITED SECURITY AGREEMENT

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JOB TITLE/

PRINTED NAME RESPONSIBILITY

,,1}GNATURE (1)

? ATE DATE NOTE

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