WELCOMEWELCOME

STEP-BY-STEP HOW TO GUIDE FOR COMPLETING A TVA ELECTRONIC PERSONAL HISTORY

QUESTIONNAIREQUESTIONNAIRE

LETS GET STARTED LETS GET STARTED

1. Know the work site and company and Local Union you are going to work for

2. Personal Information including Citizenship and Drivers License detailsg p

1. Residence History (street, city and state) up to seven years back

2. Foreign Travel (date and port of departure, date of return, purpose)

3 Personal References (you will need to list three including good contact information such as day and night or cell phone)3. Personal References (you will need to list three including good contact information – such as day and night or cell phone)

4. Badge activities (last time and location that you were nuclear badged and type of termination of the badge)

5. Credit History (some applicants will need to list a source of established credit such as your bank, credit card or utility account with location and telephone number)

6. Personal References (you will need to list three including good contact information – such as day and nights numbers and cell phone numbers)

7. Credit History (some applicants will need to list a source of established credit such as your bank, credit card or utility account with location and telephone number)

8. Education Information (may require official, sealed transcripts)

9. Military Information (may require original DD214 Member 4 Form)

10. Employment History (up to five years back)

11. Alcohol and Drug Questionnaire

12. Criminal History including offense with month and year of each occurrence (may require additional paperwork)

This website can be used by any perspective Tennessee Valley Authority applicant to fill out his/her personal history questionnaire (PHQ) in anticipation of their arrival for in-processing in order to gain unescorted access at a TVA nuclear facility.

1. From the World Wide Web (internet screen), in address bar, type in the following link

The below image will appear on the screen

2. Click on the blue link that reads “Non-R30 Personal History Questionnaire”.3. Read and complete all requested information on the Personal History Questionnaire p q y Q

pertaining to you.4. Read and understand the electronic signature agreement before you submit.5. Upon agreement click on the submit button.6. An option will appear to print a confirmation number.6. An option will appear to print a confirmation number.7. Print the confirmation page for your records.

Enter your TVA LocationEnter your TVA LocationEnter your TVA LocationEnter your TVA Location

Ch h k h ll bChoose the work site that you will be reporting toAdd your personal information as requested

TRADES AND LABOR PERSONNELIf you do not know your assigned work site, contact

your local business agent y g

.

ENTER YOUR EMPLOYER AND BADGING HISTORY INFORMATION

EMPLOYER is the company you are being badged with at TVAEMPLOYER is the company you are being badged with at TVASELECT the correct FILE TYPE option depending on your last badge dateSELECT the correct FILE TYPE option depending on your last badge datep p g y gp p g y gBADGE HISTORY if you have held Nuclear Access, you will also enter the DATE BADGE HISTORY if you have held Nuclear Access, you will also enter the DATE and SITE of the last place you were at. and SITE of the last place you were at.

In the following section, there is a gray box. Inside the gray box is a link. Place your mouse anywhere on the link and left click. This will allow y yinstructions for completing the PHQ to appear.

PLEASE READ ALL INFORMATION CAREFULLY

Complete Badge and Union Information

DEFINITIONS UAA/UA= Unescorted AccessUAA/UA= Unescorted AccessNPP = Nuclear Power PlantSafeguards Information is documents that contain sensitive security information relating to a nuclear plant site. Safeguards documents must b h k d i d i h i i l kbe checked in and out with a site security clerk.

NRC ESCALATED ENFORCEMENT ACTION

Expand the link above in blue (Click Here to expand) and read the information.

This will guide you on how to answer the questions that are relevant to you.y

Fill out your personal information in this section. Some information has been auto-filled from above.

If you are NOT a U.S. Citizen, please provide Port of Entry and alternate identification source, and number.

ALL APPLICANTS MUST COMPLETE THIS INFORMATION

Personal Description

Pl t l d i ti d li i f ti t dPlease enter personal description and license information as requested.

**Click Add**

FOR APPLICANTS WHO HAVE HELD ACCESS OVER 3 YEARS AGO OR NEVERAlthough you have already stated your address on a previous page, this section is a MUST. List all residences where you have lived for more than 30 days within the past 7 years In

Click Add

List all residences where you have lived for more than 30 days within the past 7 years. In order for this page to be submitted correctly, you have to click the “Add Residence tab for EACH entry. Otherwise your residence will not be entered and your PHQ will be incomplete.

FOR APPLICANTS BADGED WITHIN THE LAST THREE YEARSAl h h h l d d dd i hi i i MUSTAlthough you have already stated your address on a previous page, this section is a MUST. List all residences where you have lived for more than 30 days since you last held unescorted access. In order for this page to be submitted correctly, you have to click the “Add Residence tab for EACH entry. Otherwise your residence will not be entered and your PHQ will be incomplete.p

In this section, please select if you have ever been out of the country in any of the specified f h l 5 i 18th bi hd If h i d h

**Click Add**

areas for the last 5 years or since your 18th birthday. If the answer is yes, respond to the following questions.

1.Enter Country Name2.Enter Date Departed United States: From3.Enter Date Returned to United States: To 4.Enter Port of Departure5.Enter Purpose of Travel**Click ADD TRAVEL

**The ADD TRAVEL button must be clicked after each series of answers (1-4) is completed.

Personal ReferencePersonal Reference

You must provide three personal referencesWhen adding personal references, be sure that each referenceis not related to youyaddress for the reference is listed daytime and evening phone number is listedyears known box indicates the length of time you have known the referenceClosest relative that is not living with youg yBe sure to complete all boxes that pertain to this reference

Credit HistoryYou must answer yes or no in the credit

history section if applicable. If you answer t f th ti tyes to any of the questions, you must

provide reason or circumstance in the box below the section.

Education History

**Click Add**

You will need to complete the education history segment AND provide (bring with you when reporting for in-processing) official high school or college transcripts issued by the school in a sealed envelope if the following applies:transcripts issued by the school in a sealed envelope, if the following applies:

You have either been a full or part time student in the past five yearsOR

h h b f ll d l h ld l dYou have either been a full or part time student since you last held nuclear unescorted access.

MILLITTARY

You will need to complete the military history segment AND provide (bring with you when reporting for in-processing) original DD214 Member 4 if the following applies

YOU HAVE SERVED IN RESERVE OR ACTIVE DUTY IN THE PAST FIVE YEARS OR

IF YOU HAVE SERVED IN RESERVE OR ACTIVE DUTY SINCE YOU LAST HELD UNESCORTED ACCESSIF YOU HAVE SERVED IN RESERVE OR ACTIVE DUTY SINCE YOU LAST HELD UNESCORTED ACCESS

SOME VALUABLE INFORMATION ABOUT LISTING YOUR EMPLOYMENT HISTORY

How far back do I have to go when inputting my employment/unemployment?

I am New to Nuclear. Go back 5 calendar years from today’s date.

I last held unescorted access more than3 years ago. Go back 5 years from today’s date.

I have held access within last three years. Go back to your last date of unescorted access to today’s date.

What are the employment type definitions?

Employment is any period of work that you were actively on the payrollEmployment is any period of work that you were actively on the payroll.

Self Employment is any period of time that you were self-employed. This requires a reference to verify.

Unemployment is any period that you were not actively employed or self employed. This requires a reference to verify.

What are the requirements for a qualified reference?

Any person that can verify your activities during the period listed.

Exception: You cannot use your union hall to verify any types of employment and/or unemployment.

What if my employer is no longer in business?

There is a box to indicate this on the form. This requires you to list a person, with a valid phone number, that you worked with that

can verify your employment.

Other Common Issues

GAPS. You cannot have any gaps (days that are not listed as either employment, unemployment or self-employment) during the

period you are required to go back to.

SHORT TERM JOBS. Even jobs lasting one or two days need to be listed.

LEAVING OUT NEEDED INFORMATION. Be sure to populate every box that is applicable about the employment entry.

UNEMPLOYMENT DEFINED Unemployment does not mean you were collecting unemployment compensation it means that you wereUNEMPLOYMENT DEFINED. Unemployment does not mean you were collecting unemployment compensation, it means that you were

neither employed or self-employed during that period.

BE SURE TO CLICK ADD AFTER EVERY ENTRY. The listed periods will only save if you click add after every period entered.

Unemployment

EmploymentIf you are self employed fill out this section.

DON’T FORGET TO CLICK THE ADD BUTTONDON’T FORGET TO CLICK THE ADD BUTTONWHEN YOU HAVE COMPLETED EACH PERIOD BE SURE TO CLICK

“ADD UNEMPLOYMENT HISTORY”

OROR

“ADD EMPLOYMENT HISTORY”

SELF DISCLOSURESELF DISCLOSURE

In this section are questions regarding your personal history. Please answer the

questions accurately as they apply to youyou.

Criminal History

If you answered yes to any of the criminal history questions:

**Click Add**

If you answered yes to any of the criminal history questions:Complete the boxes provided with specific information on each

occurrence including:-Date of Offense

-Offense-City/State

-Misdemeanor or Felony-Disposition/Current Status

Then click the “ADD CRIMINAL HISTORY” button for each incident.

This is the last section of the PHQ. -Please click and expand the links as listed, and read all material. Wh d i i PHQ d i h ll

Submit

-When you are done reviewing your PHQ and agree with all terms, check the “I agree” box. -Be sure to press the “Submit” button and print confirmation page for your records. -If you do not get a confirmation page, there may be y g p g , yinformation left out that is required before it can be submitted. -Please review the message box and all asterisk symbols in order to fill out all information requested. Once you are done reviewing submit your document for-Once you are done reviewing, submit your document for

completion. Thank you for your cooperation.