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[Ed. Form, No. 3.]

TEACHER'S MONTHLY

SCHOOL REPORT

For the month of June,1869
District or County, Kent
State, Maryland
Name of School, No 5
Name of Teacher, Diana Bush

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 in the remaining spaces.
Night and Sabbath schools taught by a group of teachers should be reported but one. In the "Remarks" notice any important fact which the blank does not call for.
It is hoped that the Educational 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.
BUR[[?]]AU R., F., and A.L., Washington, D.C., October 1, 1868