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[Ed. Form, No 3.]
TEACHER'S MONTHLY SCHOOL REPORT
For the Month of December, 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
Location (town, county, or district)? 
Is it a Day or Night School? day school
Of what grade? viz Primary School
When did your present session commence? 31 of Nov.
When to close? about the last day of June
Is your School supported by an Educational Society? 
What Society? Pennsylvania Branch
Is your School supported wholly by local School Board?* 
Name of Board or Com.? american Freedmens
Am't pd. this month?
Is your School supported in part by local School Board? 
Name of Board or Com.? union Commission
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? one
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? Colored Colored
Total enrolment for the month?† about 49
Male? 
Female? Male & Female

Number enrolled last report? about 48
{Number enrolled last report, by adding new scholars and subtracting those left in school, must equal the present total enrolment.}
Number left school this month? about 5
Number new Scholars this month? about 7

{Schools are to be kept five days per week and six hours each day.}
How many hours have you taught per day? about six and 7
How many days have you taught this month? about 25
{Give reasons for deficiency of time, (if any,) in teaching.}

What is the average attendance? about 54

Number of Pupils for whom tuition is paid? about 54
Number of White Pupils? 
Number always present? about 39
Number always punctual? about 39
Number over 16 years of age? about 5
Number in Alphabet? about 19
Number who spell, and read easy lessons? about 27
Number in advanced readers? about 6
Number in Geography? 
Number in Arithmetic? 
Number in higher branches? 
Number in Writing? about 12
Number in Needle-work? 
Number free before the war?
Have you a Sabbath-School? i have
How many Teachers? one
How many Pupils? about 54
Have you an Industrial School? i have not
How many Teachers? 
How many Pupils? 54
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, the public sentiment are for the colored are very good 
6. How many pupils in your School are members of a Temperance Society?
Name of the Society?
Remarks.

(Signed) Mrs Mary A Davenger Teacher
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.