Checklist for Applications for Scholar Incentive Award (SIA) Note: • Applications accepted only once per academic year in fall (Deadline * Dec. 2). • Untenured faculty awarded and accepting a SIA leave will have their tenure clock extended by 1-year, as a SIA serves as a bridge if it is immediately preceded by full-time continuous service creditable for tenure or a Certificate of Continuous Employment. See section 2.6 Creditable Service in the Code of Practice Regarding Instructional Staff Academic Leaves. • While on leave, the faculty member is expected to devote his/her time and energy to the purpose for which the leave was granted. As a general rule, employment within or outside of the University during leaves is prohibited, unless such involvement is integral to the purpose for which the leave is granted, or there is a compelling justification and may be engaged in only with prior approval of the president. See section III.7. Attestation of Applicant on page 3 of the application and section 7. Academic Leaves and Multiple Positions on page 13 of the Code of Practice Regarding Instructional Staff Academic Leaves (attached to the RFP email). • Code of Practice Regarding Instructional Staff Academic Leaves – Please read for complete details on eligibility, types, review and approval, reporting, calendar leave dates, terminating leave and compensation. • Submit form to: provost.eforms@lehman.cuny.edu with a copy to Edna.Norman@lehman.cuny.edu and Deborah.RhemJackson@lehman.cuny.edu Faculty Name: ____________________________________________________________________________ School _________________________________Department _____________________________________ 1. Confirmation of Eligibility from HR (Z. Rosa) attached. Yes or No 2. Previous Fellowship or Scholar Incentive Leave? Yes or No a) If Yes, copy of last Leave Report attached? Yes or No 3. Duration and dates of proposed leave completed? Yes or No Scholar Incentive Award Information Duration and dates of the proposed leave: ____ Full year Semester 1 _____ Semester 2 ___________ ____ Half year Semester _______ Checklist for Applications for Scholar Incentive Award (SIA) - continued 4. At least 75% of salary supported by an outside grant? Yes or No a) If NO, to (2) letters of evaluation and endorsement solicited by College, from “two outside experts attached? Yes or No 5. Lehman CV (Updated/Most Recent) attached? Yes or No 6. Detailed description of proposed scholarly activity and/or Research Plan attached? ` Yes or No 7. Is leave at another Institution? Yes or No a) If Yes, Letter of Support attached? Yes or No 8. Application Signatures & Approvals: a) Faculty Member’s Signature Yes or No b) Chair’s Signature Yes or No c) P&B approval documented. Yes or No d) Dean’s Signature Yes or No Office of Academic Personnel Date Received: _____________________________________________________________________________ Reviewed by: _______________________________________________________________________________ Application Complete? Yes or No If no, follow-up and result (describe): _____________________________________________________ _________________________________________________________________________________________________ Confirmation of Completed Application – Emailed to Applicant (Date): ________________________________________________________