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[Ed. Form, No.3.]
TEACHER'S MONTHLY SCHOOL REPORT
For the Month of _________, 186_.

☞To contain one entire calendar month, and to be forwarded 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.

[Answers placed here.]
Name of your School?  Palandilenhnil [[?]] Location (town, county, or district)? Hashington H. [[?]]
Is it a Day or Night-School?  day  Of what grade? Intermediate
When did your present session commence?  Sept/4 [[?]] When to close? July 1 [[?]]
Is your School supported by an Educational Society?  What Society?
Is your School supported wholly by local School Board?*  Name of Board or Com.?  Am't pd. this month?
Is your School supported in part by local School Board?*  Name of Board or Com.? Am't pd. this month?
Is your School supported wholly by Freedmen?  no  Amount paid this month?
Is your School supported in part by Freedmen?  It is not  Amount paid this month?
Have you had Bureau transportation this term?  Have not
Who owns the School-building?
Is rent paid by Freedmen's Bureau?  It is not
What number of Teachers and Assistants in your School?  1  White? 0 Colored? 1
Total enrolment for the month? + 50 Male? 24  Female? 26
Number enrolled last report? {Number enrolled last repot, by adding new scholars and subtracting those left school, must equal the present total enrolment.}
Number left school this month?  1
Number new Scholars this month? 6
What is the average attendance 45 4/7 {Schools are to be kept five days per week and six hours each day.
Number of Pupils for whom tuition is paid?  not any
Number of White Pupils? 0 How many hours have you taught per day? fometimes[[?]] 5 1/2 others 6 1/2
Number always present?  14  How many days have you taught this month 21
Number always punctual?  8
Number over 16 years of age?  0 { Give reasons for deficiency of time, (if any,) in teaching.
fehoot elased [[?]] one day, for want of fecel. [[?]] }
Number in Alphabet?  0
Number who spell, and read easy lessons?  0
Number in advanced reader?  50
Number in Geography?  50
Number in Arithmetic?  50
Number in higher branches? 0
Number in Writing?  50
Number in Needle-work? 
Number free before the war?
Have you a Sabbath-School?  Have not How many Teachers?  Now many Pupils?
Have you an Industrial School?  Have not  How many Teachers?  How many Pupils?
State the kind of work done?
To the following questions give exact or approximate answers, prefixing to the latter the word "about".
1. Do you know of any School for Refugees or Freedmen not reported to the State  Superintendent? Do not.  How many?
2.Give (estimated whole) whole number of pupils in all such Schools?  No. of Teachers,  White,  Colored, 
3. Do you know of Sabbath School not reported to the State Superintendent?  Do not  How many? 
4. Give (estimated) whole number of pupils in all such Schools?  No. of Teacher,  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.

(Signed)____________________
Teacher.

[[footnote]] * Or School Committee, either District, Town, City, County, or State? [[/footnote]]
[[footnote]] + A pupil is not to be REPORTED as enrolled until after five days' attendance. [[/footnote]]

Transcription Notes:
Not entirely sure on the bracket and the school name. ---------- Reopened for Editing 2023-05-19 18:37:44 ---------- Reopened for Editing 2023-05-20 11:12:56 ---------- Reopened for Editing 2023-05-21 09:32:25