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[Ed. Form, No. 3.]

TEACHER'S MONTHLY
SCHOOL REPORT

For the month of Dec, 1869
District or County, Selma
State, Ala
Name of School, Burrell
Name of Teacher, E.C. Stickel


Fowarded Jan 6 '70
Received

EXPLANATIONS
If any of the within questions cannot be answered by the teacher, they may be left for the Superintendent. Place each answer, to the extent of your knowledge, opposite the question, and he will fill the remaining spaces.
Night and Sabbath schools taught by a group of teachers should be reported but once.
In the "Remarks" notice any important fact which the blank does not call for.
It is hoped that the Educational Societies will adopt this form of Report; if so, the Bureau can furnish the blanks.
Should more extended forms be used, it would oblige the Commissioner to have them include all the items of this.
BUREAU R., F., AND A.L., Washington, D.C., October 1, 1868.

Transcription Notes:
Concerns: name of teacher and if abbreviated words must be shown as abbreviated or what they're meant to represent. Response: sometimes if you look at the full form that either precedes or follows this short form, you can see the teacher's name better. It also helps with the district, and school name sometimes.