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[Ed. Form No. 3.]
TEACHER'S MONTHLY SCHOOL REPORT
For the Month of June 30th 1870.
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[[Figure 1]] To contain one entire calendar month, and to be forwarded as soon as possible after the close of the month.
[[Figure 1]] A School under the distinct control of one Teacher, or a Teacher with one Assistant, is to be reported as one School.
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[Answers placed here.]
Name of your School? Location (town, county, or district)? 
Is it a Day or Night School? Of what grade? 
When did your present session commence? When to close? 
Is your School supported by an Educational Society? No What Society?
Is your School supported wholly by local School Board? Name of Board or Com.? this month?
Is your School supported in part by local School Board?  Name of Board of Com.? this month?
Is your School supported wholly by Freedmen?  Amount paid this month? 
Is your school supported in part by Freedmen?  Amount paid this month? Seven Dollars & half
Have you had Bureau transportation this term? no 
Who owns the School-building? D. Righton
Is rent paid by Freedmen's Bureau? yes  How much per month? $10.00
What number of Teachers and Assistants in your School? 1 White? 0 Colored? 1
Total enrolment for the month? Sixty one Male? Nineteen Female? Forty two 
Number enrolled last report? Sixty one {Number enrolled last report, by adding new scholars and sutracting those left school, must equal the present total enrolment.}
Number left School this month? none
Number new Scholars this month? none {Schools are to be kept five days per week and six hours each day.}
What is the average attendance? 22
Number of Pupils for whom tuition is paid? Fifteen How many hours have you taught per day? none
Number of White Pupils? nine  How many days have you taught this month? twenty one
Number always present? one (Give reasons for deficiency of time, (if any,) in teaching.)
Number always punctual? sixty twenty
Number over 16 years of age? forty
Number in Alphabet? 
Number who spell, and read easy lessons? Four
Number in advanced Readers? Forty
Number in Geography? 
Number in Arithmetic? Forty
Number in higher branches? 
Number in Writing? Forty
Number in needle-work? 
Number free before the war? None
Have you a Sabbath School? Yes How many Teachers? one How many Pupils? sixty
Have you an Industrial School? yes How many Teachers? one How many Pupils? sexty
State the kind of work done?  
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[[Figure 1]] 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 of pupils in all such Schools? No. of Teachers, White, Colored 
3. Do you know of any Sabbath Schools not reported to the State Superintendent? 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,
6. How many pupils in your School are members of a Temperance Society Name of the Society? 
Remarks: the people say that they have to has this child
(Signed.) L. L. Desdone
Teacher.
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* Or School Committee, either District, Town, City, County, or State?
+ A pupil is not to be REPORTED as enrolled until after five days' attendance.