Millstone Scholars Program 2026-2027

Please note if you a returning Millstone student you do not need to fill out this application. You should have received an email with a re-enrollment form. If you do not see this, please email sbanda@tikvah.org

Student Information

Student's First Name

Student's Last Name

Student's Date of Birth

Please make sure the correct year is entered.

What grade will your student enter in fall 2026?

Student's Gender

MaleFemale

Please upload a headshot of the student

Student's email address (Optional, please do not put in your own email)

We highly encourage you to register the student’s email. If the student does not have an email, please leave blank

Student Address

Address

City

State/Province

Postal Code

Country

School Information

Please select the student's school from the dropdown below

School Affiliation

Student's school does not appear on the dropdown list

What is the name of the Student's school?

Which of the following best describes your current school?

Public SchoolPrivate SchoolJewish Day SchoolHomeschool

Cohort Selection

Please select a location by typing in the two letter abbreviation for your state:

If you are attending by virtually, please search for "zoom"

My location does not appear in the dropdown above

Product Code Name

Coupon Code 1

Please select a zoom class to apply for:

Product Code Name Zoom

Coupon Code 2

Parent/Guardian #1 Information

Parent/Guardian #1 Title

Parent/Guardian #1 First Name

Parent/Guardian #1 Last Name

Parent/Guardian #1 Email

Confirmation email will be sent to this address

Parent/Guardian #1 Phone Number

Address

Please check here if Parent #1 has the same address as the student

Address

City

State/Province

Postal Code

Country

Parent/Guardian #2 Information (Optional)

Parent/Guardian #2 Title

Parent/Guardian #2 First Name

Parent/Guardian #2 Last Name

Parent/Guardian #2 Email

Parent/Guardian #2 Phone Number

Do not include this parent/guardian on any Millstone Scholars Program communications

Address

Please check here if Parent #2 has the same address as the student

Address

City

State/Province

Postal Code

Country

Tikvah History

Student Questions

I'm filling this out on behalf of my student

Please tell us about yourself. You can also include your interests, hobbies activities and anything else you want to share.

Name an historical figure you admire or book you enjoyed and share why.

Why are you interested in joining Millstone Scholars?

Please tell us about your child. You can also include interests, hobbies activities and anything else you want to share.

Why are you interested in your child joining Millstone Scholars?

Payment Information

Coupon Code

Application Processing Fee

$

Name on Card

Card Number

MM

YY

Code

Billing Email

Parent	Friend
Teacher or Rabbi	JCC/Local Federation
Tikvah website or email	WhatsApp or social media
Online Search	Other