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[Ed. Form, No. 3.]
TEACHER'S MONTHLY SCHOOL REPORT
For the Month of June, 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.

[Answers placed here.]
Name of your School? Quiocson Hanna e e o     
Location (town, county, or district)? County   
Is it a Day or Night School? Day
Of what grade? Mixed
When did your present session commence? April    
When to close? dont know
Is your School supported by an Educational Society? yes   
What Society? New York Friends 
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? yes  
Amount paid this month? 50 cts
Have you had Bureau transportation this term? no 
Who owns the School-building? Freedmen
Is rent paid by Freedmen's Bureau? no   
How much per month? 
What number of Teachers and Assistants in your School? one   
White? 
Colored? colored
Total enrolment for the month?† 47   
Male? 25  
Female? 22
Number enrolled last report? 45   

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

Number left school this month? 1 [[crossed out]] ? [[/crossed out]] 
Number new Scholars this month? 3 [[crossed out]] ? [[/crossed out]] 
What is the average attendance? 34 [[crossed out]] ?? [[/crossed out]] 34 
Number of Pupils for whom tuition is paid? non 
Number of White Pupils? non
Number always present? 
Number always punctual? 30
Number over 16 years of age? 6 
Number in Alphabet? 19
Number who spell, and read easy lessons? [[crossed out]] ? [[/crossed out]] 14 
Number in advanced readers? 3 
Number in Geography? 3
Number in Arithmetic? 5
Number in higher branches? non 
Number in Writing? 3
Number in Needle-work? non 
Number free before the war? 20 
Have you a Sabbath-School? yes  
How many Teachers? 3   
How many Pupils? 46 
Have you an Industrial School?   
How many Teachers?   
How many Pupils? 
State the kind of work done? 

☞ 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?   
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?   
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, [[crossed out]] ? [[/crossed out]] 
6. How many pupils in your School are members of a Temperance Society?   
Name of the Society? 
Remarks. 

(Signed) Rebecca Vandervall 
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.