Provider instructions: This student is in the process
of requesting return to Calvin University after a Health Leave of Absence. To
support success through the process, students who wish to return after a Health
Leave must demonstrate they are able to safely resume their program and will
not be disruptive to the community (with or without reasonable accommodations).
Completion of the student’s Health Leave Plan (created at the commencement of
the Health Leave) will be considered in evaluating readiness to return.
Your assessment and recommendations are an integral part of
this process of evaluating a student’s ability to function safely and
successfully in the rigorous academic and social environment of the university.
Your input here will support the Dean of Students (or other Calvin personnel)
in determining whether a return from Health Leave is advisable for this student
and, if so, what might be most helpful to include in a supportive return plan. You are welcome to attach additional
documentation to expand on your comments.
Due to the time-sensitive nature of the student’s request
for a return from Health Leave, it is requested that this provider form be
submitted within one week of receipt. Information can be submitted to the
Dean of Students at Calvin University using the online form below.
Alternatively, you may choose to print a PDF version and submit it via one of
the following methods:
- email attachment – jwitte@calvin.edu
- fax – 616-469-2979 (c/o Director, Center for
Counseling and Wellness)
- in-person – Dean of Students, Student Life
Office (Spoelhof Center 364), Calvin University, 3201 Burton St SE, Grand
Rapids, MI 49546
Thank you for your time!