Respiratory Therapy Scholarship - Fall 2025

Thank you for your interest in Mid-State’s Respiratory Therapy Scholarship! This is a scholarship opportunity provided by the National Board for Respiratory Care.

Scholarships are available for NEW Respiratory Therapy students planning to enroll in the Fall 2025 semester. A $1000 scholarship will be awarded to TWO random students.

Please complete the below steps to be considered:

Complete Scholarship Application and Opt-In Form (within this application) by June 1st, 2025.

If you are a new student, complete a college application for the Respiratory Therapy program found here.

First Name:

Last Name:

Previous Last Name (maiden name, etc.):

Date of Birth (Month/Day/Year):

Email Address:

Street Address:

City:

State:

Zip Code:

Phone Number:

May we contact you via text messaging?

Please read each statement and check the corresponding box to acknowledge

your understanding of the promotion requirements for the program.

I understand that this scholarship only applies if I am enrolled in the Respiratory Therapy program for the Fall 2025 semester

I understand that to qualify for this scholarship I must be a new respiratory therapy student enrolled for the Fall 2025 semester.

I understand that this scholarship is only valid for the Fall 2025 semester.

I understand that I must stay enrolled passed the add/drop date in order to receive the scholarship.

I understand that this scholarship covers course tuition and course fees and does not cover textbooks and associated supplies.

I understand that the two scholarship winners will be awarded completely at random as long as they meet the above criteria.

Please Sign your full name:

Please enter today's date:

Contact Information