Muskingum College: Admission

You may complete this form online and submit using the "Sign Me Up" button at the bottom, or print and mail to:

Muskingum College, 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.

*Sorry, on-line registration for Muskie Preview is closed. Incoming first-year students, please contact the Admission Office at 1-800-752-6082 to register.

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

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

The following people will attend with me:

(1) Name: Relationship:

(2) Name: Relationship:

(3) Name: Relationship:

If anyone in your party has special needs or requires an accommodation, please contact us. Email jburnett@muskingum.edu or call 800-752-6082.