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(F.D. Form, No. 3,)
TEACHER's MONTHLY SCHOOL REPORT
For the Month of April, 1868.

To contain one entire calendar month, and to be forward 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.

Column 1:

Name of your School?...
Is it a day or Night School?
When did your present session commence?...
Is your School suppported by an Education Soceity?...
Is your School supported wholly by local School Board?...
Is your School supported wholly by the Freedmen?...
Is your School supported in part by the Freedmen?...
Have you had Bureau transportatin this term?
Who owns the school-building?...
Is rent paid by the Freedmen's Bureau?
What number of Teachers and Assistants in your School?..
Total enrollment for the month?...
Number enrolled last report?
Number left school this month?..
Number left school this month?
Number new Scholars this month?
What is the average attendance?..
Number of pupils for whom tuition is paid?..
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 in advanced readers?
Number in Geography?
Number in Arithmetic?
Number in higher branches?
Number in Writing?
Number in Needlo-work?
Number free before the war?
Have you a sabbath-school?
Have you an industrial School?
State the kind of work done.

Second Column:
[Answers Placed her.]
??..Location (town, county, or district)?
Day of what grade? Primary + Secondary
No What Society?
Yes Name of board or Com.? Trustee Col Scholars. Am't pd this month?
... Name of Board or com?... Am't Pd. This month?..
No Amount paid for this month?...
No Amount paid for this month?...
Yes
Freedmen Bureau
No, How much?...
1 White? 1 Colored? 50
48 Male? 25 Female 23
42 {Number enrolled in the last report, adding new scholars and subtracting those who left school will equal the present total enrollment.}
8
7
33
9
0
11
10
0
14
24
0
41
41
0
0
0.. how many Teachers?... How many pupils?..
0.. Number of pupils?
.........................
To the following question five exact or approximate answers prefrixing to the letter the word "about"
1. Do you know of any schools for refugees or Freedmen nor reprted 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 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 Temperance Society?... Name of the Society?...
Remarks, Old Temperance Fruity divided new and not yet friend.
(R=Signed) L Withington Teacher.

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* Or School committee, either District, town, City, county, or state?
(Cross) a pupil is not to be REPORTED as enrolled until after five days of attendance.