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[En FORM, No 3.]

TEACHER'S MONTHLY
SCHOOL REPORT

For the month of November, 1868.
District or County, Broad Creek Neck
State, Maryland. Talbot Co
Name of School, Colored Public School
Name of Teacher, Alice M. Smith

Forwarded Dec 1st 1868
Received 4

EXPLANATIONS.

If any of the within questions cannot be answered by the teacher, they may be left for the Superintendent. Place each answer to the extent of your knowledge, opposite the question, and he will fill the remaining spaces.
Night and Sabbath schools taught by a group of teachers should be reported but once.
In the "Remarks" notice any important fact which the blank does not call for.
It is hoped that Education Societies will adopt this form of Report; if so, the Bureau can furnish the blanks.
☞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., Jan.1, 1868.