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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.

Left Column
Name of your School? No 2
Is it a Day or Night School? Day
When did your present session commence? June 20
Is your School supported by an Educational Society?   
What Society? 
Is your School supported wholly by local School Board?*  
Name of Board or Com.?   
Is your School supported in part by local School Board?* It is
Is your School supported wholly by Freedmen? 0 
Is your School supported in part by Freedmen? It is
Have you had Bureau transportation this term? No

Amount paid this month? 


[Right Column]

Franen's got Location (town, county, or district) [not legible]
Of what grade?  
When to close? [[5.O.Clock?]]
Am't pd. this month? 
Name of Board or Com.   
Am't pd. this month? 

Amount paid this month? 0


Who owns the School-building? [[R Fratess?]]
Is rent paid by Freedmen's Bureau? It is
How much per month? [[H C?]] 
What number of Teachers and Assistants in your School? One  
White? 
Colored? Colored
Total enrolment for the month?† 32
Male?  
Female? Male
Number enrolled last report? 10 

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

Number left school this month? 0
Number new Scholars this month? 22
What is the average attendance? 25

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

How many hours have you taught per day? 7
How many days have you taught this month? 20
{Give reasons for deficiency of time, (if any,) in teaching.
[[stamp]]THE NATIONAL ARCHIVES OF THE UNITED STATES[[/stamp]]}

Number of Pupils for whom tuition is paid? 0
Number of White Pupils? 0
Number always present? 20
Number always punctual? 20
Number over 16 years of age? 6
Number in Alphabet? 10
Number who spell, and read easy lessons? 22
Number in advanced readers? 3
Number in Geography? 3
Number in Arithmetic? 3
Number in higher branches? 0
Number in Writing? 0
Number in Needle-work? 0 
Number free before the war? 0
Have you a Sabbath-School? I have   
How many Teachers? 0 
How many Pupils? 0 
Have you an Industrial School? No 0   
How many Teachers? 0  
How many Pupils? 0 
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? 0
2. Give (estimated) whole number of pupils in all such Schools? 0  
No. of Teachers, 
White, 0
Colored, 
3. Do you know of Sabbath Schools not reported to the State Superintendent? No
How many? 0
4. Give (estimated) whole number of pupils in all such Schools? 0  
No. of Teachers, 0 
White, 0 
Colored, 
5. State the public sentiment towards Colored Schools, Good 
6. How many pupils in your School are members of a Temperance Society? No 
Name of the Society? 
Remarks. Every thing is quiet [[?]]

(Signed) Wm. C. Payne
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.sdkjl

Transcription Notes:
I think the school's name is partly the building owner's last name. There are two columns I have clarified the columns as left Column and right column