Forms

13505 John Glenn School Road | New Concord, Ohio 43762 | Phone: 740-826-7655 | Fax: 740-826-7194

Proud of Our Past,

Providing for Our Future

Forms

Online Forms

- Enrollment Form - to be completed by all NEW students

- Emergency Medical Form - must be completed every school year by ALL returning and new students

Enrollment Forms (PDF version)

- High School and Middle School Enrollment form

Other Forms (PDF Version)

Open Enrollment Application (2021-22 School Year)

Household Information Survey (Formerly titled Free and Reduced Lunch Form)

Athletics Section

2021-22 OHSAA Physical Form

Schools	Address & Phone Number	Schools	Address & Phone Number
John Glenn High School	13115 John Glenn School Road	New Concord Elementary	4 Stormont Street
Grades 9-12	New Concord, OH 43762 \| P: 740-826-7641	Grades K-2	New Concord, OH 43762 \| P: 740-826-4453
	F: 740-826-3039		F: 740-826-1332

East Muskingum Middle School	13120 John Glenn School Road	Perry Elementary	6975 East Pike
Grades 6-8	New Concord, OH 43762 \| P: 740-826-7631	Grades K-2	Zanesville, OH 43701 \| P: 740-872-3436
	F: 740-826-4392		F: 740-872-3372

Larry Miller Intermediate School	13125 John Glenn School Road	Pike Elementary	4533 Peters Creek Road
Grades 3-5	New Concord, OH 43762 \| P: 740-826-2271	Grades K-2	Cambridge, OH 43725 \| P: 740-439-1645
	F: 740-826-7443		F: 740-432-3201