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[ED. FORM NO. 4.]

TEACHER'S MONTHY
SCHOOL REPORT.

For month of October 1st - 29th 1867.
District or County  Shelby County
State, Alabama
Name of School, Oak Grove Academy (Columbiana)
Name of Teacher, Miss. Eliza. S. Thompson


Forwarded Forwarded, Oct 29th /67
Received

EXPLANATIONS.
The accompanying Blanks is a copy of the Bureau Superintendent's Blank placed in columnar form for the sake of simplicity and to reserve entire uniformity.
It is hoped that the Educational Associations will adopt this blank, or one which will contain these questions. (Should this exact form be adopted the Bureau can furnish the blanks).
If any question cannot be answered by the teacher, it may be left for their Superintendent. Place each answer, to the extent of your knowledge, opposite the question and he will fill the remaining spaces.
It is supposed that no teacher has more than one day and one night school, or but one of either.
Night and Sabbath schools taught by a group of teachers should be reported but once.
The question, "when opened?" has reference to the present season.
The above explanations are deemed necessary where this blank is adopted by the Associations.
☞ Should more extended forms be used, it would oblige the Commissioner to have them include all the items of this.

Bureau R.F. &. A L., Washington, D.C., Oct. 1, 1866.

P.S. Please Direct to Miss, Eliza S. Thompson
Columbiana, Shelby County, Alabama
Box - 19       Hope to hear from ya very soon.