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[[stamp]] THE NATIONAL ARCHIVES OF THE UNITED STATES [[/stamp]]

[Ed. Form, No. 4.]
TEACHER'S MONTHLY SCHOOL REPORT,
For the Month of February 1867.

☞ A School under the distinct control of one Teacher, or a Teacher with one assistant, is to be reported as one School.
☞ To be forwarded as soon as possible after the 1st of each month.

Number of Day-Schools  one 
Number of Night-Schools  one
Location, and Name of School  Mesopotamia  
When opened  Feb 11  
Societies, &c., Patrons.  
Number of Schools sustained by freedmen  
Number of Schools sustained in part by freedmen  
Number of teachers transported by Bureau  
Number of School buildings owned by freedmen  
Number of School buildings furnished by Bureau  
Whole number of teachers   White 1   Colored  
Whole number of pupils enrolled    Male 12  Female  14.
Number of pupils enrolled last report  
Number left school this month  
Number of new scholars this month  
Average attendance  - 26.
Number of pupils paying tuition  
Number of White Pupils  
Number always present - 26.  
Number always punctual - 26  
Number over 16 years of age - 1  
Number in Alphabet - 11.  
Number who spell and read easy lessons - 11  
Number of advanced readers - 4  
Number in geography  
Number in arithmetic  
Number in higher branches  
Number in writing  - 5.  
Number on needlework  
Number free before the war  
Number of Sabbath Schools  
Number of pupils in Sabbath Schools  

To these questions give exact, or approximate answers.
1. How many of above Schools are graded?   How many grades?  
2. How many Day or Night Schools, within your knowledge, not reported above?   Number of pupils (estimated) in such Schools?  
3. How many Teachers in the above Day or Night Schools?  White,  Colored,  
4. How many Sabbath Schools, within your knowledge, and not reported above?   Number of pupils (estimated) in such Schools?  
5. How many Teachers in the above Sabbath Schools?   White,  Colored,  
6. How many Industrial Schools?   Whole number of Pupils in all?  State the kind of work done,  
7. Whole amount of tuition paid by the Freedmen during the month,  
8. Whole amount of cost of transportation furnished by the Bureau for the month,
9. Grand total of expense per month for support of above schools by all parties,  
10. Whole number of High or Normal Schools,  How many pupils in all?  
11. Remarks.  

Pasquale Vassitti

☞ This Report is incomplete unless each blank is filled by a number, or cypher.