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[Ed. Form No. 4]
-
TEACHERS MONTHLY
SCHOOL REPORT
For month of October, 186[[?]]
District or [["county" crossed out]], District of [[?]]
[["State" crossed out]], Washington. D.C.
Name of School, [[?]]
Name of teacher, [[?]]
Ref. Presley [[?]]
Forwarded________ 
Received_________

EXPLANATIONS.
The accompanying Blank is a copy of the Bureau Superintendent's Blank places columnar form for the sake of simplicity and to preserve uniformity.
It is hoped that the Education Association will adopt this blank, or one which will contain questions, (Should this exact form be adopted the Bureau can furnish the blanks.)
If any questions cannot be answered by the teacher, it mat be left for the Superintendent. Place each answer, to the extent of your knowledge, opposite of the question, and he will fill the remaining spaces.
It is supposed that no teacher has more than one day and one night school, or but one of either.
Night and Sabbath schools taught by a group of teachers should be reported but once.
The above explanations are deemed necessary where this blank is adopted by the Associations.
Should more extended forms be used, it would oblige the Commissioner to have them include all the items of this.
BUREAU R. F. & A. L., Washington, D. C., Oct. 1, 1866.