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[Ed. Form, No. 3.]
TEACHER'S MONTHLY SCHOOL REPORT
For the Month of July, 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? [[?]]
Location (town, county, or district)?  
Is it a Day or Night-School? [[?]] 
Of what grade? Primary [[?]]
When did your present session commence? July 1st 
When to close? Sept 1st
Is your School supported by an Educational Society? no   
What Society? [[?]] Commission
Is your School supported wholly by local School Board?* no   
Name of Board or Com.?   
Am't pd. this month? 
Is your School supported in part by local School Board?* yes   
Name of Board or Com.?   
Am't pd. this month? 
Is your School supported wholly by Freedmen? yes  
Amount paid this month? Twenty Five Dollars
Is your School supported in part by Freedmen? no  
Amount paid this month? 
Have you had Bureau transportation this term? [[already there?]]
Who owns the School-building? [[Freedmen?]]
Is rent paid by Freedmen's Bureau? no 
How much per month? 
What number of Teachers and Assistants in your School? 1  
White? none
Colored? yes
Total enrolment for the month?† [[?]] Fifty two 
Male? yes 
Female? no
Number enrolled last report?   

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

Number left school this month? none
Number new Scholars this month? none
What is the average attendance? 45

{Schools are to be kept five days per week and six hours each day.}

How many hours have you taught per day? Eight
How many days have you taught this month? 20
{Give reasons for deficiency of time, (if any,) in teaching. [[1?]] July Holiday the other three days not well [[?]] preparation for renovating school [[?]]}

Number of Pupils for whom tuition is paid? none
Number of White Pupils? none
Number always present? twenty
Number always punctual? twenty
Number over 16 years of age? five
Number in Alphabet? [[six?]]
Number who spell, and read easy lessons? 
Number in advanced readers? 
Number in Geography? 
Number in Arithmetic? 
Number in higher branches? none
Number in Writing? 
Number in Needle-work? none
Number free before the war? four
Have you a Sabbath-School? yes  
How many Teachers? 1  
How many Pupils? [[fifty-two?]]
Have you an Industrial School? [[none?]]  
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? none  
How many? none
2. Give (estimated) whole number of pupils in all such Schools? none  
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, very good [[?]]
6. How many pupils in your School are members of a Temperance Society? 45 
Name of the Society? [[?]]
Remarks. Every thing is [[progressing nicely educationally and ?]]

(Signed) John Cajay
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.