The Contest Manager and the Principal, Vice Principal, or Headmaster must sign this form which is to be returned with your student Answer Forms
Certification by the Principal, official or person with comparable title:
I certify that the exam package(s) were retained in their sealed condition within an hour of the start of the contest.
I accept for our school the rules and procedures described on this page and pages 3-6, and accept that failure to follow these rules and procedures may result in DISQUALIFICATION from official standing of all scores from our school.
Signature _________________________________
Time ________________________
Title _____________________________________
Date ________________________
Certification by the Contest Manager:
I certify that the following statements are true or that, if there are any exceptions, I have checked the box at the bottom of this page and have listed them on the back of this page. I understand that the absence of either signature from this form, and a consideration of the exceptions may result in DISQUALIFICATION of all scores from our school.
The contest was held on Tuesday, February 10, 2004.
The AMC 10-A/AMC 12-A were given at the same time.
The participants were continually monitored during the contest, and they were separated by an empty space, if possible.
No aids were permitted other than scratch paper, graph paper, ruler, compass, protractor and calculator (see Section IV. Item 4).
Participants had exactly 75 minutes working time.
No students were permitted to proctor or grade the contest.
The instructions relating to the opening of the “Complimentary Solutions Envelope” and/or Solution Packets were followed.
After the contest, the answer forms were kept secure and no changes were made in the answers.
No Home School parent assisted in the administration of the contest.
I have followed all the rules as stated in this Teachers' Manual.
Signature ____________________________
E-mail (please print)
Day & Date Contest was given _________________________________________________
Name of School ____________________________________________________________
City________________________________
State/Province _______________________
Telephone ( ______ ) __________________
School CEEB Number __ __ __ __ __ __
PLEASE INDICATE THE EXACT
NUMBER OF AMC 10-A/AMC 12-A
ANSWER FORMS RETURNED FOR GRADING.____________
EXCEPTIONS
Service Questionaire
1.
Did you receive the AMC High School Registration Brochure in a timely manner to get signed up for this years contest?
YES
NO
2.
Would you like to get an electronic reminder before the registration deadlines?
email address:
_________________________
3.
Did you use the Student Practice Questions starting on page 19 of this Manual?
YES
NO
4.
Did you use the Parents Letter provided on page 27 of this Manual?
YES
NO
5.
What could we provide to help you teach math more effectively?
Do you recall seeing the 2003 AMC 10/12 Summary of Results and Awards?
YES
NO
If you received the 2003 AMC 10/12 Summary of Results and Awards, rate the importance of the following sections (on a scale of 1-5, 5 high)
A. Perfect Scores listing
1
2
3
4
5
B. Historical Listing of Perfect Scores
1
2
3
4
5
C. Honor Roll (listing all students ranking in top 5%)
1
2
3
4
5
D. Distinguished Honor Roll (listing all students ranking in top 1%)
1
2
3
4
5
E. Statistical Tables on the AMC 10/12 Results
1
2
3
4
5
F. School Merit & Honor rolls by state and region
1
2
3
4
5
G. International Lists
1
2
3
4
5
Instead of listing the Honor Roll in the Summary Book, would you accept listing these high-scoring students on the Web?
YES
NO
7.
Would you appreciate receiving a commendation sent by the AMC to your principal/headmaster, commenting on "your promotion of mathematics in your school through your participation in the AMC contests"?
YES
NO
8.
What would encourage your school to continue registering for the AMC Contests? What can we do to insure your school will register again next year?
Please feel free to provide the name of a school or teacher in your area that you believe would be interested in our contests.
Comments on the Contest and/or its implementation:
