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( Ed. Form, No. 3)
Teacher's Monthly School Report
For the Month of  , 18 .

 - To contain one entire calendar month, and to be forwarded as soon as possible after the close of the month.
- 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]
Name of your School? Hammith School Location (town, county or district)?

Is it a Day of Night School? Day School     Of what grade?

When did your present session commence? 1 of April  When to close?

Is your School supported by an Educational Society? no  What Society?

Is your School supported wholly by local School Board?* no  Name of Board or Com.?

Is your School supported in part by local School Board?* no Name of Board or Com.?

Is your School supported wholly by Freedmen? yes   Amount paid this month?

Is your School supported in part by Freedmen? hale Amount paid this month?

Have you had Bureau transportation this term?

Who owns the School-building? The Mielon Danca

Is rent paid by the Freedmen's Bureau? Breast How much per month?

Number of Teachers and Assistants in your School? 1 Teacher  White?   Colored? Colored

Total enrolment for the month?+ 27  Male?   Female?  

Number enrolled last report? [Number enrolled last report, by adding new scholars and subtracting those left school, must equal the present total enrolment.]

Number left school this month?

Number new Scholars this month?

What is the average attendance? 22 [ Schools are to be kept five days per week and six hours each day]

Number of Pupils for whom tuition is paid? 20

Number of White Pupils? 0 0 0 0  How many hours have you taught per day?

Number always present? 20     How many days have you taught this month?

Number always punctual?

Number over 16 years of age?

Number in Alphabet?

Number who spell, and read easy lessons?

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?   How any Teachers?  How many Pupils?

Have you an Industrial School? How many Teachers? How many Pupils?

State the kind of work done?

To the following questions give exact or appropriate answers, prefixing to the latter the word "about."

1. Do you know any Schools for Refugees or Freedmen not reported to the State Superintendent? How many?

2. Give (estimated) whole numbers of pupils in all such Schools? No. of Teachers? White,  Colored,

3. Do you know of Sabbath School not reported to the State Superintendent?  How many?

4. Give (estimated) whole numbers of pupils in all such Schools? No. of Teachers,  White, Colored,

5. State the public sentiment toward Colored School,

6. How many pupils in your School are members of a Temperance Society?  Name of the Society?

                                 (Signed)



Remarks.

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