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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? infant School
Location (town, county, or district)? Baltimore
Is it a Day or Night-School? Day
Of what grade? Primary
When did your present session commence? Sept 7  
When to close? about the last July
Is your School supported by an Educational Society? no
What Society? no Society
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? 
Is your School supported in part by Freedmen? no  
Amount paid this month? about $9.00
Have you had Bureau transportation this term? I have
Who owns the School-building? I do
Is rent paid by Freedmen's Bureau? no  
How much per month? 
What number of Teachers and Assistants in your School? one
White? 
Colored? Colored
Total enrolment for the month?† about 17 
Male? 7
Female? about. 10.

Number enrolled last report? about the 4
{Number enrolled last report, by adding new scholars and subtracting those left school, must equal the present total enrolment.}
Number left school this month? a bout 5
Number new Scholars this month? a but 2
What is the average attendance? 

{Schools are to be kept five days per week and six hours each day.}
How many hours have you taught per day? 5 
How many days have you taught this month? 20
{Give reasons for deficiency of time, (if any,) in teaching.}

Number of Pupils for whom tuition is paid? all
Number of White Pupils? 0
Number always present? about 10
Number always punctual? abut 10
Number over 16 years of age? none
Number in Alphabet? about 3
Number who spell, and read easy lessons? abut 5
Number in advanced readers? abut 5
Number in Geography? abut 5
Number in Arithmetic? about 3
Number in higher branches? 0
Number in Writing? about 5
Number in Needle-work? 0
Number free before the war? all
Have you a Sabbath-School?   0
How many Teachers? one
How many Pupils? abut 17
Have you an Industrial School? 0  
How many Teachers? 
How many Pupils?  
State the kind of work done? 0

☞ 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? 0  
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? 0  
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:
Check: Number enrolled last report? ---------- Reopened for Editing 2023-05-29 21:44:57 Correct number enrolled and added [blank] for answers that were left blank ---------- Reopened for Editing 2023-05-30 07:14:42 removed [blank] per SI instructions ---------- Reopened for Editing 2023-05-30 03:15:37