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ED. Form, No. 4.]

TEACHER’S MONTHLY SCHOOL REPORT
For the Month of       186   .
A School under the distinct control of one Teacher, or a Teacher with one assistant, is to be reported as one School
To be forwarded as soon as possible after the 1st of each month.

Number of Day-Schools
Number of Night-Schools
When opened.
Societes &c. Patrons
Location of Schools?  
Number of Schools sustained by freedmen
Number of Schools sustained in part by freedmen
Number of teachers transported by Bureau
Number of School Buildings owned by freedmen
Number of School buildings furnished by Bureau
Whole number of Teachers?     White?     Colored?    
Whole number of pupils enrolled    Male    Female
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 in needlework, 
Number free before the war, 
In what Sabbath School do you teach? 
Number of pupils in Sabbath School, 

1. How many of above Schools are graded? How many grades?
2. How many Day or Night Schools, within your knowledge, not reported above?      Whole No. of (estimated) in all such Schools? 
3.How many Teachers in the above Day or Night Schools?   White,   Colored, 
4. How many Sabbath-Schools, within your knowledge and not reported above? Number of pupils (estimated) in such Schools? 
5.How many Teachers in the above Sabbath-Schools? ,  White,  Colored,
6. How many Industrial Schools?    Whole number of pupils in all?    State the kind of work done
7. Whole amount of tuition paid by Freedmen during the month,
8. Whole amount of cost of transportation furnished by the Bureau for the month,
9. Grand total of expenses per month for support of above schools by all parties,
10. Whole No. of High or Normal schools, How many pupils in all?
11. Remarks. 


This Report is incomplete unless each blank is filled by a number, or cypher.