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Register for Fall Open House

You may complete this form online and submit using the "Sign Me Up" button at the bottom, or print and mail to: Muskingum University, Office of Admission, 163 Stormont Street, New Concord, OH 43762.

Please register at least one week prior to the program you wish to attend. Questions? Call 800-752-6082.


Open House 2014 (select one)
October 24
November 1
November 11
November 14

First Name:      M. I.: 
Last Name:
Street Address:
Apartment:
City:
    Zip: 

Area Code & Phone: -
E-Mail Address:
Gender:  Male     Female

Graduate HS in:  2015    2016   2017
High School:
Academic Interest(s):

The following people will attend with me:
(1) Name:     Relationship:
(2) Name:     Relationship:
(3) Name:     Relationship:

Special Needs or AccommodationIf anyone in your party has special needs or requires accommodation, please contact us. Email croberts@muskingum.edu or call 800-752-6082.