Wellness Coaching Student Referral

Please use this form to refer a student to Wellness Coaching. A RecWell Wellness Coach will follow up with the student.

Referring Person's Name *

Referring Person's Email *

Referring Person's Email (Confirmation)

Referring GVSU Department (if applicable)

Student's Name *

Student's Preferred Pronouns (if known)

Student's Email Address *

Student's Email Address (Confirmation)

Reason for Referral *

Any other pertinent information?

Human Verification *

Page last modified July 2, 2026

Fitness & Wellness