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Muskingum Adult Program Student Interest Form (MAP)
The Muskingum Adult Program may be right for you if you are:
wanting to take classes
online
,
or interested in our Accelerated Nursing Degree (
ABSN
),
or interested in our
MOT
Bridge Program.
If one of those applies to you, please fill out the form below.
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*Required
*
First Name
*
Last Name
*
Email
Phone
By entering a mobile phone number above, you are opting into text communications.
*
Academic Interest
Accelerated BSN
Business Management
Health Science
Healthcare Management
Inclusive Primary Education and Special Education
Intervention Specialist (Special Education)
Master of Occupational Therapy Bridge Program
Medical Laboratory Studies
Nursing (RN to BSN)
Occupational Science
Primary Education
Not finding what you're looking for? We have other options available through our traditional on-campus programs. See available options
on this form
.
*
Are you a licensed OTA
*
Are you a licensed OTA
Yes
No
*
What allied health degree do you currently hold?
*
What allied health degree do you currently hold?
OTA student
Hold a bachelor's degree in an alternate allied health field
Other
*
Please list your degree
*
Other, please describe.
When do you plan to begin at Muskingum?
'26 Summer (May 11)
'26 Summer (June 8)
'26 Summer (July 13)
'26 Fall I (Aug)
'26 Fall II (Oct)
'27 Spring I (Jan)
How did you hear about Muskingum's Adult Program?
Parent
Alumni
Representative at my school/college fair/workplace
Coach
Friend
Reputation
Phone Call
Text Message
Email
ACOTE/AOTA Website
Website
Employer
Social Media
Other
*
Where are you employed?
Which social media platform?
Facebook
Instagram
LinkedIn
Snapchat
TikTok
X (Twitter)
YouTube
Other
List your questions below:
MAP Interest HIDDEN
MAP Interest HIDDEN
Yes
No
Submit