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[Ed. Form, No. 3.]
TEACHER'S MONTHLY SCHOOL REPORT
For the Month of  , 18 

☞ 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? New London
 
Location (town, county, or district)?...
 
Is it a Day or Night School? Both
 
Of what grade? Primary

When did your present session commence?...
 
When to close? July

Is your School supported by an Educational Society? 
What Society? Yes

What Society? Pensylvania Freedmans Relief Sociation
 
Is your School supported wholly by local School Board?* 0
 
Name of Board or Com.? 0

Am't pd. this month? 0

Is your School supported in part by local School Board?* 0
 
Name of Board or Com.? 0

Am't pd. this month? 0

Is your School supported wholly by Freedmen? No
 
Amount paid this month? $12.00
 
Is your School supported in part by Freedmen? Yes
   
Amount paid this month? ...
 
Have you had Bureau transportation this term? No
 
Who owns the School-building? Freedman
 
Is rent paid by Freedmen's Bureau? No
How much per month? 0

What number of Teachers and Assistants in your School? 1

White? No

Colored? Yes

Total enrolment for the month?† 39

Male? Yes

Female? Yes
 
Number enrolled last report? 0 

{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? 0

What is the average attendance? 15

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

Number of Pupils for whom tution is paid? 39

How many hours have you taught per day?...

Number of White Pupils? 0

How many days have you taught this month? ...

Number always present? 35

{Give reasons for deficiency of time, (if any,) in teaching....}
 
Number always punctual? 30
 
Number over 16 years of age? 9
 
Number in Alphabet? 2

Number who spell, and read easy lessons? 30
 
Number in advanced readers? 9

Number in Geography? 6

Number in Arithmetic? 17

Number in higher branches? 0
 
Number in Writing? 24

Number in Needle-work? 0

Number free before the war? 3

Have you a Sabbath-School? No

How many Teachers? ...
 
How many Pupils? ...
 
Have you an Industrial School? 0

How many Teachers? 0

How many Pupils? 0

State the kind of work done? 0

☞ 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, ...
 
6. How many pupils in your School are members of a Temperance Society?...
 
Name of the Society? ...

Remarks.... 

(Signed),...
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.