The Examination 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, Vice Principal, or Headmaster: a) I certify that the exam package(s) were retained in their sealed condition within a half hour of the start of the examination; b) I accept for our school the rules and procedures described on this page and page 2, 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 Examination Manager: I certify that the 2002 American Invitational Mathematics Examination was given today, Tuesday, March 26, 2002; that all students who took it did so at the same time and place; that only invited students took it; that the 3-hour time limit was strictly enforced; that the test envelope was sealed until the time of the test; that no student had access to the test questions in advance; that the students were continually supervised by a certified teacher while they were taking the test; that I am returning those materials as required in Section V; and that all other rules for administering the test were followed.
YES	NO	If no, describe the exceptions on a separate sheet of paper.
I also certify that I understand and accept the following for our school. The Committee on the American Mathematics Competitions reserves the right to: Disqualify all scores from our school if it is determined that the required security procedures were not followed. Re-examine students if, after an inquiry, there is a reasonable basis to believe that the scores do not validly represent the ability of the students. (The procedures for disqualification, follow-up inquiries and re-examination are similar to those for the AMC 10 and AMC 12, as outlined in the AMC 10/12 Teachers' Manual.)
Signature of AIME School Manager	______________________________________________________________
E-mail (please print clearly)	______________________________________________________________
Date	______________________________________________		Telephone	____/____-_______
School Name	______________________________________________________________
School CEEB Number	____ _____ _____ _____ __________
The AIME was administered on		MARCH 26, 2002	YES please circle NO
Starting Time ________________________		Ending Time __________________