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{{#Wiki_filter:(                                                                                                                                                                         (
{{#Wiki_filter:,(
f.J,SALUE                           /7-/               CLA~5 ES-201                                                                                 Examination Securi~         reement                                 Form ES-201-3
(
: 1.           Pr_e-ExaminatiQn I acknowledg~ that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of         "1{\m ,             \, h1..\i& 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 ~een authorized by the NRC's 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's chief examiner any indications or suggestions that examination security may have been compromised.
(
: 2.           Post-ExamktatiQn rn   To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered r!.> during the week(s) of \\\Sh'b- \\~*,\,~. From the date that I entered into this security agreement until the completion of examination administration, I did
f.J,SALUE  
~ not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically
/7-/ CLA~5 ES-201 Examination Securi~
~     noted below and authorized by the NRC.
reement Form ES-201-3
: 1.
Pr_e-ExaminatiQn I acknowledg~ that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of "1{\\m, \\, h1..\\i&
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 ~een authorized by the NRC's 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's chief examiner any indications or suggestions that examination security may have been compromised.
: 2.
Post-ExamktatiQn rn To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered r!.> during the week(s) of \\\\\\Sh'b- \\\\~*,\\,~. 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.
n, (0
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ES-201, Page 31 of 32
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(
ES-201                                                                                                 Examination Security Agreement                                   Form ES-201-3
(-
: 1.           Pre-Examination I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of               ,J   /fht,-llf'U/t               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's 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's chief examiner any indications or suggestions that examination security may have been compromised .
ES-201 Examination Security Agreement Form ES-201-3
: 2.           Po&#xa3;t-E_xamination rn To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRG licensing examinations administered N   during the week(s) of 1                   ,l~Ot, - \\j\J.)lf,. From the date that I entered into this security agreement until the completion of examination administration, I did
: 1.
~   not instruct, evaluate, or i:Jrovide pe ormance feedback to those applicants who were adm inistered these licensing examinations, except as specifically
Pre-Examination I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of  
, J /fht,-llf'U/t 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's 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's chief examiner any indications or suggestions that examination security may have been compromised.
: 2.
Po&#xa3;t-E_xamination rn To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRG licensing examinations administered N during the week(s) of 1,l~Ot, -\\\\j\\J.)lf,. From the date that I entered into this security agreement until the completion of examination administration, I did  
~ not instruct, evaluate, or i:Jrovide pe ormance feedback to those applicants who were administered these licensing examinations, except as specifically  
*-u noted below and authorized by the NRC.
*-u noted below and authorized by the NRC.
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ES-201 , Page 31 of 32


(                                                                                               (                                                         (
(
ES-201                                                                         Examination Securi~reement                                 Form ES-201-3
(
: 1.           Pre-Euininati_on I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of I t/f li6- 11]11../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 hav~ not been authorized by the NRC's 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's chief examiner any indications or suggestions that examination security may have been compromised.
(
: 2.           e_os_i-E>@mJJ\aiioo m     To the best of my knowledge, did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered I
ES-201 Examination Securi~reement Form ES-201-3
r:.., during the week(s) of \\l:S:j\t- \\ t\lfl\ From the date that I entered into this security agreement until the completion of examination administration, I did
: 1.
~       not instruct, evaluate, or provide p rformance feedback to those applicants who were administered these licensing examinations, except as specifically
Pre-Euininati_on I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of I t/f li6-11]11../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 hav~ not been authorized by the NRC's 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's chief examiner any indications or suggestions that examination security may have been compromised.
~       noted below and authorized by the NRC.
: 2.
e_os_i-E>@mJJ\\aiioo m
To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered r:.., during the week(s) of \\\\l:S:j\\t- \\\\ t\\lfl\\ From the date that I entered into this security agreement until the completion of examination administration, I did  
~ not instruct, evaluate, or provide p rformance feedback to those applicants who were administered these licensing examinations, except as specifically  
~ noted below and authorized by the NRC.
Q)
Q)
(Q (I)               PRINTED NAME                JOB TITLE/RESPONSIBILITY                                      SIGNATURE (1)      DATE SIGNATURE (2)  DATE            NOTE u.)
(Q (I) u.)
1 ,...
PRINTED NAME
I
~ 1. Mo:yk s. ~n,;+i  
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Latest revision as of 00:20, 30 November 2024

Ile Form ES-201-3
ML20265A239
Person / Time
Site: LaSalle  Constellation icon.png
Issue date: 12/11/2018
From: Chuck Zoia
Operations Branch III
To:
Exelon Generation Co, NRC/RGN-III/DRS/OLB
Zoia C
Shared Package
ML17164A408 List:
References
50-373/18-301, 50-374/18-301, RA18-100 50-373/OL-18, 50-374/OL-18
Download: ML20265A239 (3)


Text

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1.

Pr_e-ExaminatiQn I acknowledg~ that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of "1{\\m, \\, h1..\\i&

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 ~een authorized by the NRC's 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's chief examiner any indications or suggestions that examination security may have been compromised.

2.

Post-ExamktatiQn rn To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered r!.> during the week(s) of \\\\\\Sh'b- \\\\~*,\\,~. From the date that I entered into this security agreement until the completion of examination administration, I did

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