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[Ed. Form, No. 3.]
TEACHER'S MONTHLY SCHOOL REPORT
For the Month of November, 1868.

☞ 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? Miss Johnson's School   
Location (town, county, or district)?  
Is it a Day or Night-School? Day 
Of what grade? Primary
When did your present session commence? Sept 7th 
When to close? About the 15th of July.
Is your School supported by an Educational Society? No  
What Society? None
Is your School supported wholly by local School Board?* No  
Name of Board or Com.? None 
Am't pd. this month? 
Is your School supported in part by local School Board?* No  
Name of Board or Com.? None  
Am't pd. this month? 
Is your School supported wholly by Freedmen? No  
Amount paid this month? None
Is your School supported in part by Freedmen? No  
Amount paid this month? None
Have you had Bureau transportation this term? No
Who owns the School-building? Miss Aun Johnson. 
Is rent paid by Freedmen's Bureau? No  
How much per month? 
What number of Teachers and Assistants in your School? one  
White? 
Colored? one
Total enrolment for the month?† Nineteen  
Male?  
Female? 11
Number enrolled last report?   

{Number enrolled last report, by adding new scholars and subtracting those left school, must equal the present total enrolment.}

Number left school this month? One
Number new Scholars this month? Two
What is the average attendance? Fifteen

{Schools are to be kept five days per week and six hours each day.}

How many hours have you taught per day? Six
How many days have you taught this month? Twenty
{Give reasons for deficiency of time, (if any,) in teaching.}

Number of Pupils for whom tuition is paid? All
Number of White Pupils? None
Number always present? 
Number always punctual? Twelve
Number over 16 years of age? None
Number in Alphabet? Three
Number who spell, and read easy lessons? Seven
Number in advanced readers? Four
Number in Geography? Four
Number in Arithmetic? Four
Number in higher branches? 
Number in Writing? Seven
Number in Needle-work? Seven
Number free before the war? Nearly all
Have you a Sabbath-School?   
How many Teachers?   
How many Pupils? 
Have you an Industrial School?   
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 Schools for Refugees or Freedmen not reported 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 a Temperance Society?   
Name of the Society? 
Remarks. 

(Signed) 
Teacher.

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

Transcription Notes:
Please fill in answers. Per SI staff, these reports are not to be transcribed as tables.