2027 Current Student Scholarship Application – Connecticut Society for Respiratory Care

Current Student Scholarship Application

Connecticut Society for Respiratory Care 2027 Scholarship Application for Current Students

This year’s scholarship is partially funded by a generous donation from the Hartford Health Care Respiratory Care Departments

*This application is for a currently enrolled student in an accredited Respiratory Care Program at a Connecticut college who will not be graduating in 2027.

SCHOLARSHP ELIGIBILITY:

The applicant must submit the following information and meet the listed criteria for eligibility. If ALL documents are not submitted with the completed application, the application will not be considered. Please have the following requirements scanned and ready to upload before starting application.

1. Have an overall GPA of at least 2.75 or the equivalent thereof, as verified by submission of unofficial transcripts from the college in which you are currently enrolled, and all colleges previously attended. The transcripts must be verified for accuracy by the Respiratory Care program director or the director of clinical education.

2. Be a U.S. citizen and submit a copy of a birth certificate or US Passport OR proof of permanent residency in the US.

3. Write an essay paper in response to one of the two questions contained within this application.

4. Submit this application and all the required documentation by March 1st, 2027.

FINAL DECISIONS AND NOTIFICATION OF AWARD WILL BE MADE UPON VERIFICATION OF ENROLLMENT IN AN ACCREDITED RESPIRATORY CARE PROGRAM AND NOTIFICATION OF ACTUAL STUDENT ATTENDANCE. APPLICATIONS AND AWARDS ARE FOR THE YEAR IN WHICH APPLIED ONLY.

BACKGROUND INFORMATION

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone(Required)

Valid Email(Required)

WORK EXPERIENCE

Beginning with your most recent work experience, list your employment in the last 5 years.

1. Employer – Most recent(Required)

Dates Employed

Employer Address

Street Address Address Line 2 City State ZIP Code

Position Held

2. Employer

Dates Employed

Employer Address

Street Address Address Line 2 City State ZIP Code

Position Held

3. Employer

Dates Employed

Employer Address

Street Address Address Line 2 City State ZIP Code

Position Held

Section Break

APPLICATION INFORMATION:

Name of College Now Attending:(Required)

Number of Years Attended(Required)

Please enter a number from 1 to 10.

Expected Date of Graduation(Required)

Please enter a number from 1 to 10.

EXTRACURRICULAR ACTIVITY/COMMUNITY SERVICE

Extracurricular Activity/Community Service 1 – please note Type of Activity, Position Held and Years Participating

Extracurricular Activity/Community Service 2 – please note Type of Activity, Position Held and Years Participating

Extracurricular Activity/Community Service 3 – please note Type of Activity, Position Held and Years Participating

Section Break

ESSAY SUBMISSION

This essay will be scored on content, grammar, and spelling accuracy. Please use Times New Roman 12 Font with 1-inch margins, double-spaced. Please upload as a PDF.

Answer one of the following questions:

1. Describe a clinical experience you had while attending the respiratory care program or any other health care field that solidified your decision to pursue respiratory care as a career.

OR

2. As a future respiratory care practitioner, describe what you would do to increase public awareness of the profession.

Essay submission
Max. file size: 100 MB.

UNOFFICIAL TRANSCRIPT

Have an overall GPA of at least 2.75 or the equivalent thereof, as verified by submission of unofficial transcripts from the college in which you are currently enrolled, and all colleges previously attended. The transcripts must be verified for accuracy by the Respiratory Care program director or the director of clinical education. If more than one transcript, please scan them together as one PDF document to upload.

Unofficial transcript submission
Max. file size: 100 MB.

PROOF OF PERMANENT RESIDENCT IN THE US

Be a U.S. citizen and submit a copy of a birth certificate or US Passport OR proof of permanent residency in the US.

Proof of permanent residence
Max. file size: 100 MB.

By clicking on the Yes button, you are certifying that the information provided on this application, including attachments, is true to the best of their knowledge.(Required)

Yes

No

In Lieu of a Signature, Type Your Name Here(Required)
First Last

Today's Date(Required)
Month
Day
Year

Applications are due by March 1st, 2027. Submissions after this deadline will not be considered.