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[Ed. Form, No. 3.]
TEACHER'S MONTHLY SCHOOL REPORT
For the Month of  December 1st, 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? Furnace Branch schooll
Location (town, county, or district)?  
Is it a Day or Night-School? Day schooll
Of what grade? 
When did your present session commence? Dec 1st
When to close? Dec 31st
Is your School supported by an Educational Society? yes   
What Society? home missions
Is your School supported wholly by local School Board?* no
Name of Board or Com.? board of county
Am't pd. this month? 
Is your School supported in part by local School Board?* yes
Name of Board or Com.? school Commis
Am't pd. this month? 
Is your School supported wholly by Freedmen? in Part
Amount paid this month? 
Is your School supported in part by Freedmen? yes
Amount paid this month? 
Have you had Bureau transportation this term? no
Who owns the School-building? freedmen bureau
Is rent paid by Freedmen's Bureau?   
How much per month? 
What number of Teachers and Assistants in your School? one
White? no
Colored? yes
Total enrolment for the month?† 42
Male? 28
Female? 14
Number enrolled last report? 30

{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? 4
What is the average attendance? 

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

How many hours have you taught per day? 6
How many days have you taught this month? 20
{Give reasons for deficiency of time, (if any,) in teaching.
The reason why i did not teach [strikethrough]the[/strikethrough] all the month. is that i gave the scholars one weeks vacation and a little over that was Christmas week}

Number of Pupils for whom tuition is paid? 
Number of White Pupils? about
Number always present? about 30
Number always punctual? 
Number over 16 years of age? one
Number in Alphabet? 3
Number who spell, and read easy lessons? about 12
Number in advanced readers? about 14
Number in Geography? 23
Number in Arithmetic? 9
Number in higher branches? 2
Number in Writing? 14
Number in Needle-work? none
Number free before the war? 
Have you a Sabbath-School? no
How many Teachers? none
How many Pupils? none
Have you an Industrial School? no 
How many Teachers? none 
How many Pupils? none
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, none
White, none
Colored, none
3. Do you know of Sabbath Schools not reported to the State Superintendent? i do not
How many? 
4. Give (estimated) whole number of pupils in all such Schools?   
No. of Teachers, none
White, no
Colored, no
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) Wm. H. Still
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. spelling mistakes transcribed as is