FORM B
USAMO Information Form

When a student qualifies for the United States of America Mathematical Olympiad (USAMO), both the student and the USAMO School Manager are notified at least one week before the USAMO date. Don't worry about an invitation getting lost in the mail. When a USAMO invitation is extended, both the student and the USAMO School Manager must complete and return a USAMO Response Form. If the Form is not returned, we do a follow-up.

Please provide the information requested below if you agree to administer the USAMO. There is no fee for participating in the USAMO.

AGREEMENT STATEMENT:
In the event that I have a qualifying student(s), I or my designee (indicated below) agree to:

1. Serve as the USAMO School Manager.
2. Administer the USAMO on Tuesday, April 19th , and Wednesday, April 20th, 2005, to the student(s) in my school who qualify and not to any other students.
3. Arrange for the exclusive use of a room for four and a half hours (from 12:30 p.m. to 5:00 p.m., eastern daylight time or your time zone equivalent, see below) on the designated days which will be used to administer the USAMO.
4. Be present in the room to supervise the student(s) during the entire nine hours duration of the examination.
5. Have the ability to fax the students answer sheets to the central location immediately, to be graded with the rest of the papers at the central location.

I understand that results of my participating USAMO students could be voided if the rules and procedures associated with the administration of the USAMO are not followed.

Signature: ____________________________________________________________
Phone Number: (_______) ______________________	Date: _________________
Name of USAMO School Manager: ________________________________________
Email: _______________________________________________________________
School: ______________________________________	CEEB: __ __ __ __ __ __
City: ________________________________________	State: ____ Zip: _________

PLEASE NOTE THIS YEARS 4.5 HOURS PER DAY TIME LENGTH AND 2 DAYS LENGTH FOR THE 2005 USAMO:
TUESDAY, April 19, 2005		WEDNESDAY, April 22, 2005
12:30-5:00 p.m., Eastern Daylight Time	&	12:30-5:00 p.m., Eastern Daylight Time
11:30-4:00 p.m., Central Daylight Time		11:30-4:00 p.m., Central Daylight Time
10:30-3:00 p.m., Mountain Daylight Time		10:30-3:00 p.m., Mountain Daylight Time
9:30-2:00 p.m., Pacific Daylight Time		9:30-2:00 p.m., Pacific Daylight Time