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[Ed. Form, No. 3.]
TEACHER'S MONTHLY SCHOOL REPORT
For the Month of June or 6th mo, 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? Pine Grove   
Location (town, county, or district)? Charles Co 
Is it a Day or Night-School?  Day
Of what grade? Primary
When did your present session commence? 11th Mo 16  
When to close? At the end of the 6th mo 1869
Is your School supported by an Educational Society?   
What Society? 
Is your School supported wholly by local School Board?*   
Name of Board or Com.?   
Am't pd. this month? 
Is your School supported in part by local School Board?*   
Name of Board or Com.?   
Am't pd. this month? 
Is your School supported wholly by Freedmen? Yes  
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? The Freedmen
Is rent paid by Freedmen's Bureau?   
How much per month? 
What number of Teachers and Assistants in your School? One
White? Yes
Colored? 
Total enrolment for the month?†  22 
Male?  9
Female? 13
Number enrolled last report? 21  

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

Number left school this month? 
Number new Scholars this month? 1
What is the average attendance? 16 nearly
Number of Pupils for whom tuition is paid? All
Number of White Pupils? None
Number always present? 
Number always punctual? 13
Number over 16 years of age? 
Number in Alphabet? None
Number who spell, and read easy lessons? 15
Number in advanced readers? 8
Number in Geography? 8
Number in Arithmetic? 20
Number in higher branches? None
Number in Writing? 20
Number in Needle-work? 
Number free before the war? 
Have you a Sabbath-School? No   
How many Teachers?   
How many Pupils? 
Have you an Industrial School? No  
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?  No
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? None  
Name of the Society? 
Remarks. 

(Signed) E.F. Haviland
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. Incorrect form pasted over correct form. Correct form restored.