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[Ed. Form, No. 3.]
TEACHER'S MONTHLY SCHOOL REPORT
For the Month of January the 31st, 1869.

☞ 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? Zion School house   
Location (town, county, or district)?  
Is it a Day or Night-School?  day school
Of what grade? a Primary school
When did your present session commence? 31 of october
When to close? the last day of June
Is your School supported by an Educational Society?   
What Society? 
Is your School supported wholly by local School Board?*   
Name of Board or Com.? Pennsylvania BR
Am't pd. this month? 
Is your School supported in part by local School Board?*  
Name of Board or Com.? American Freedman 
Am't pd. this month? 
Is your School supported wholly by Freedmen?   
Amount paid this month? 
Is your School supported in part by Freedmen?   
Amount paid this month? 
Have you had Bureau transportation this term? no
Who owns the School-building? 
Is rent paid by Freedmen's Bureau?   
How much per month? 
What number of Teachers and Assistants in your School?   
White? 
Colored? 
Total enrolment for the month?† 56   
Male?  
Female? 
Number enrolled last report? about 54 schoolers

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

Number left school this month? about 3
Number new Scholars this month? about 4
What is the average attendance? is about 49

{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? 25
{Give reasons for deficiency of time, (if any,) in teaching.}

Number of Pupils for whom tuition is paid? 
Number of White Pupils? 
Number always present? is about 34
Number always punctual? is about 34
Number over 16 years of age? about 12
Number in Alphabet? about 13
Number who spell, and read easy lessons? about 8
Number in advanced readers? about one
Number in Geography? 
Number in Arithmetic? 
Number in higher branches? 
Number in Writing? 
Number in Needle-work? 
Number free before the war? 
Have you a Sabbath-School? i have a sabath school 
How many Teachers? one
How many Pupils? 54
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, 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, 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? Am union Commission
Remarks. 

(Signed) Mrs Mary A Davenger
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.