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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? Pleasant View 
Location (town, county, or district)?  
Is it a Day or Night-School? Day
Of what grade? Primary
When did your present session commence? May 29  
When to close? Nov. 29
Is your School supported by an Educational Society? yes  
What Society? Presbyterian home mission
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.? Presbyterian home  
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? yes  
Amount paid this month? $.12 board
Have you had Bureau transportation this term? No
Who owns the School-building? the people
Is rent paid by Freedmen's Bureau? No  
How much per month? 
What number of Teachers and Assistants in your School? one  
White? no
Colored? yes
Total enrolment for the month?† 35  
Male? 15 
Female? 20
Number enrolled last report? 40  

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

Number left school this month? 5
Number new Scholars this month? None
What is the average attendance? 25

{Schools are to be kept five days per week and six hours each day.}
 
{Give reasons for deficiency of time, (if any,) in teaching.}

Number of Pupils for whom tuition is paid? None
Number of White Pupils? None
How many hours have you taught per day? 5 1/2
Number always present? 21
How many days have you taught this month? 25
Number always punctual? 15
Number over 16 years of age? 3
Number in Alphabet? [[?]]
Number who spell, and read easy lessons? 25
Number in advanced readers? 10
Number in Geography? 10
Number in Arithmetic? 10
Number in higher branches? None
Number in Writing? 10
Number in Needle-work? None
Number free before the war? 3
Have you a Sabbath-School? yes  
How many Teachers? 5  
How many Pupils? 45
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?   
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? 38  
Name of the Society? Harvard Division
Remarks. 

(Signed) Philip A. Lee
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. don't know what word is for the answer to the question "Number in Alphabet?"