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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? Halcyondale   
Location (town, county, or district)? Scriven
Is it a Day or Night-School?  
Of what grade? Primary & English
When did your present session commence? 1 January 
When to close? 
Is your School supported by an Educational Society? No
What Society? 
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?* No
Name of Board or Com.?   
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? No 
Amount paid this month? 
Have you had Bureau transportation this term? No
Who owns the School-building? Willis Young
Is rent paid by Freedmen's Bureau? No
How much per month? 
What number of Teachers and Assistants in your School? One
White? 
Colored? 
Total enrolment for the month?† 15 [[strikethrough]] [[?]] [[/strikethrough]]
Male? 5 [[strikethrough]] [[?]] [[/strikethrough]] 
Female? 10

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

Number enrolled last report? 19
Number left school this month? 4
Number new Scholars this month? None
What is the average attendance? 9

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

How many hours have you taught per day?
How many days have you taught this month?

{Give reasons for deficiency of time, (if any,) in teaching.}

Number of Pupils for whom tuition is paid? 9
Number of White Pupils? None
Number always present? 9
Number always punctual? 9
Number over 16 years of age? One
Number in Alphabet? None           
Number who spell, and read easy lessons? None 
Number in advanced readers? 2
Number in Geography? One
Number in Arithmetic? 2
Number in higher branches? None
Number in Writing? 3
Number in Needle-work? None
Number free before the war? None
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? None

☞ 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? No
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, Favourable
6. How many pupils in your School are members of a Temperance Society? None
Name of the Society? 
Remarks. 

(Signed) Alice Hamilton
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.