Sponsoring Calvin department, center, or institute
--select one--
CCCS
CCIB
CICW
CSR
Henry Institute
Kuyers
Meeter Center
Nagel
Seminars
Van Lunen
Administration
Art & Art History
Biology
Business
Campus Ministries
Centers & Institutes
Chemistry & Biochemistry
Classical Languages
Communication Arts & Sciences
Computer Science
Congregational & Ministry Studies
Economics
Education
Engineering
English
French
Geology, Geography, & Environmental Studies
Germanic & Asian Languages & Literatures
History
Kinesiology
Mathematics & Statistics
Music
Nursing
Philosophy
Physics & Astronomy
Political Science
Psychology
Religion
Social Work
Sociology
Spanish
International Development Studies
Pre-College Programs
Contact name
Contact title
Contact complete email address
Waiver and Acknowledgment : All invited guests of Calvin University in the Visiting Scholars Program are required to complete and sign waiver of worker's compensation insurance. The completed form can be emailed separate from this application to scholars@calvin.edu but must be returned before the guest's arrival on campus.
Visiting Scholar personal information
Title
First Name
Last Name
Gender (select one)
Male
Female
Home Address
Street
City
State/Country Postal Code
Institution Address
Name of Institution
Street address
City
State/Country Postal Code
Preferred mailing address (check one only) Home
Work
Daytime Phone
(xxx-xxx-xxxx)
Complete email address
Attach complete Curriculum Vitae (.pdf formatted preferred)
Currently held position
Field of specialization
Educational degree
Most recent degree
From what institution?
Reason for visit
Attach a letter of interest with a brief description of the work the applicant will pursue at Calvin.
Attach a letter of reference from someone in the applicant's field of study.
Applicant's nationality
If non-U.S. citizen, beginning date of last visit to U.S.
(mm/dd/yyyy)
Has the applicant previously been assigned a Calvin ID or IT account? Yes
No
Does the applicant have all necessary legal documents (current passport, Social Security number, visa, driver's license)? Yes
No
Date of Birth - month:
--select one--
January
February
March
April
May
June
July
August
September
October
November
December
day:
--select one--
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
year:
--select one--
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
Will the applicant have personal income or other financial resources sufficient to cover all expected living expenses and travel?
Yes
No
Does the applicant expect to be accompanied by family members during the visit? Yes
No
If additional family members, Spouse name
# of children
(Spouse name is required if they would like Spoelhof Fieldhouse access.)
If non-U.S. applicant with school-aged children who will be attending local schools, has applicant checked with the schools to determine the school's student visa preferences? Yes
No
Health coverage is required. What kind of health insurance policy will cover the applicant (and family) during their visit?
Further information required regarding the proposed visit
Letter of support from the sponsoring department, center, or institute.
Proposed time frame for the visit (mm/dd/yyyy) Arrival date
Depart date
If applicant is a non-US citizen, what visa arrangements are planned?
Does the Calvin sponsor expect the applicant to be paid through Calvin University (wages, stipends, honoraria, or salary)? If paying a non-U.S. applicant, J-visa or visa waiver must be in place. If "yes," a Social Security number will be required.
Yes
No
Does the Calvin sponsor expect to reimburse the applicant for any expenses? Yes
No
Does the Calvin sponsor expect to provide the applicant with an office on campus? Yes
No
Does the Calvin contact expect to assist the applicant with finding housing , transportation , schools for children, etc? (NOTE: school tuition credits are not available for non-employees.) Yes
No
What level of Calvin IT permissions will be requested for this visitor? (read code descriptions )
--select one--
VTF
NTG
GST
None
Check if you, the Calvin contact, have previewed the entire visiting scholar process and agree to these responsibilities.
Check if your scholar would like to be included on the Visiting Scholar profile page (optional ).
The profile page will include a picture of the scholar, their name, title, place of residence, local contact information, brief bio, link to CV, length of visit, and any scheduled lectures. Please provide the following additional information for this Web page:
Attach a photo of the scholar:
Brief bio (including purpose of visit):
Any scheduled lectures (this information may be sent separately, at any time, to the dean's office ):