20200318_Exhibit3_Blank_TestSecurityAgreement.doc

Confidentiality, Conflict of Interest, and Non-Disclosure Agreement I understand that the work that I will be performing as part of the item review session that I have been contracted for will involve handling confidential documents and information that is property of the United States government. I agree not to share this information with anyone not designated to have it. All materials must not be taken from the work session room. If any materials are downloaded onto a computer or other device, they must be deleted at the end of the session.

Similarly, I certify that I am not involved in any other work that involves development of the DLPT or exposure to it. This includes as a test/item writer or reviewer, personal or business relationship with the development team, being in position that involves instructing people who will take the DLPT or being in a position where I will take the DLPT.

Name of Consultant: ________________________________________ Address: _________________________________________________ Telephone: _______________________________________________ Email: ____ ______________________________________________ Language: ____ ___________________________________________ Signature of Consultant: ____________________________________

Date of Session: __________________________________________