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[Ed. Form. No 4.]
TEACHER'S MONTHLY SCHOOL REPORT.
   For the Month of    1867
A School under the district control of one Teacher, or a Teacher with one assistant is to be reported as one School.

Number of Day-Schools....................1
Number of Night-Schools..................0
Location, and Name of school.............
When opened..............................
Societies, &c.. Patrons..................
Number of Schools sustained by freedman..
Number of Schools sustained in part by freedman.................................
Number of teachers transported by Bureau.
Number of School buildings owed by freedmen.................................
Number of School buildings furnished by Bureau...................................
Whole number of teachers.................
Whole number of pupils enrolled..........
Number of pupils enrolled last report....
Number left school this month............
Number of new scholars this month........
Average attendance.......................
Number of pupils paying tuition..........
number of White pupils...................
Number always present....................
Number always punctual...................
Number over 16 years of age..............
Number in Alphabet.......................
Number who spell and read easy lessons...
Number of advanced readers...............
Number in geography......................
Number in arithmetic.....................
Number in higher branches................
Number in writing........................
Number on needlework.....................
Number free before the war...............
Number of Sabbath Schools................
Number of pupils in Sabbath Schools......

To these questions give exact, or approximate answers.
1.How many of above Schools are graded?..1...How many grades? 1...
2.How many Day or Nights Schools, within your knowledge, not reported above? 0.. Number of pupils (estimated)
3.How many Teachers in the above Day or Night Schools? ...1..White 1..Colored0..
4.How many Sabbath-Schools, within your knowledge, and not reported above?.0...Number of pupils (estimated) in such Schools?...
5.How many Teachers in the above Sabbath-Schools?....White,...Colored,...
6.How many Industrial Schools?..0.. Whole number of pupils in all?... State the kind of work done,..
7.Whole amount of tuition paid by the Freedmen during the month.0..
8.Whole amount of cost of transportation furnished by the Bureau for the month,0...
9.Grand total of expense per month for support of above schools by all parties,...$55.
10.Whole number of High or Normal Schools,..0..How many pupils in all?....
11.Remarks.....................