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[Ed. Form, No. 3.]
TEACHER'S MONTHLY SCHOOL REPORT
For the Month of ..., 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? Private
Location (town, country, or district)? Balto
Is it a Day or Night school? Day 
Of what grade? Primary 
When did your present session commence? o
When to close? o
Is your school supported by an Educational Society? no
What Society? no
Is your school supported wholly by local School Board?* No
Name of Board or Com.? no
Am't pd. this month? 
Is your school supported in part by local School Board?* No
Name of Board or Com.? no
Am't pd. this month? 
Is your school supported wholly by the Freedmen? yes
Amount paid for this month? 
Is your school supported in part by the Freedmen? Yes
Amount paid for this month? 
Have you had Bureau transportation this term? - 
Who owns the School-building? -
Is rent paid by the Freedmen's Bureau? -
How much? 
What number of Teachers and Assistants in your School? 2 Teacher 
White? 0
Colored? 2 
Total enrolment for the month?✝ 20
Male? 
Female? 10

Number enrolled last report? 25 
{Number enrolled last report, by adding new scholars and subtracting those left school, will equal the present total enrolment.}  
Number left school this month? 5
Number new Scholars this month? none
What is the average attendance? 18
Number of Pupils for whom tuition is paid? 20
Number of White Pupils? 0
Number always present? 13
Number always punctual? 17
Number over 16 years of age? none 
Number in Alphabet? 7
Number who spell, and read easy lessons? 6
Number in advanced readers? 11
Number in Geography? 8
Number in Arithmetic? 13
Number in higher branches? none
Number in Writing? 19
Number in Needle-work? none
Number free before the war? all
Have you a Sabbath-School? no
How many Teachers? no
How many Pupils? no
Have you an Industrial School? no
How many Teachers? no
How many Pupils? no
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? No
How many? 0
2. Give (estimated) whole number of pupils in all such Schools? 0
No. of Teachers, 0
White, 0
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, continues favorable.
6. How many pupils in your School are members of a Temperance Society? 
Name of the Society? 
Remarks. 
(Signed) Miss Eliza Maybury [[ozc?]]
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.