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[Ed. Form, No. 3.]
TEACHER'S MONTHLY SCHOOL REPORT
For the Month of, 18

[[image]] To contain one entire calendar month, and to be forwarded as soon as possible after the close of the month.
[[image]] A School under the distinct control of one Teacher, or a Teacher with one Assistant, Is to be reported as one School.

[Answers placed here.]
Nature of your School? [[strikethrough]] Liberty [[/strikethrough]] Liberty Location (town, county, or district)?
Is it a Day or Night School? Day Of what grade?
When did your present session commence? Mrch of When to close? 1st June
Is your School supported by an Elucational Society? No What Society?
Is your School supported wholly by local School Board?* ditto Name of Board or Com.? Am't pd. this month?
Is your School supported in party by local School Board?* ditto Name of Board or Com.? Am't pd. this month?
Is your School supported wholly by Freedmen? yes Amount paid this month? $20 Dollars
Is your School supported in part by Freedmen? Amount paid this month?
Have you had Bureau transportation this term no
Who owns this School-building? Mr. [[strikethrough]] Milsteyd [[/strikethrough]] Milsapp
Is rent paid by Freedmen's Bureau? ___ How much per month?
What number of Teachers and Assistants in your School? 1 White? Colored? -
Total enrolment for the month?+ Male? Female?
Number enrolled last report? 20 {Number enrolled last report, by adding new scholars and subtracting those left school, must equal the present total enrolment.}
Number left school this month? 1 
Number new Scholars this month? -
What is the average attendance? 15 { Scholars are to be kept five days per week and six hours each day.}
Number of Pupils for whom tuition is paid?
Number of White Pupils? - - How many hours have you taught per day?
Number always present? 15 How many days have you taught this month?
Number always punctual? 15
Number over 16 years of age? 2 (Give reasons for deficiency of time, (if any,) in teaching. X)
Number in Alphabet? 10
Number who spell, and ready easy lessons? 6
Number in advanced readers?
Number in Geography?
Number in Arithmetic?
Number in higher branches?
Number in Writing?
Number in Needle-work?
Number free before the war?
Have you a Sabbath-School? Yes How many Teachers? one +- How many Pupils? 20
Have you an Industrial School? How many Teachers? - How many Pupils? -
State the kind of work done?

[[image]] To the following questions give exact or approximate answers, prefixing to the latter the word "about."
1. Do you know of any Schools for Refugees or Freedmen not reported to the State Superintendent? - How many? -
2. Give (estimated) whole number in all such Schools? - No. of Teachers. - White - Colored.
3. Do you know of Sabbath Schools not reported to the State Superintenlent? - How many? -
4. Give (estimated) whole number of pupils in all such Schools? - No. of Teachers. . - White, - Colored,
5. State the public sentiment towards Colored Schools, the people are in favor of Col. Schools.
6. How many pupils in your School are members of a Temperance Society? - Name of the Society? -
Remarks. - 
(Signed) T H Burrough 
Teacher

*Or School Committee, either District, Town, City, County, or State?
+ A pupil is not to be REPORTED as enrolled until after five days' attendance.

Transcription Notes:
[[image Finger pointing right replace "ditto" with text