Checklist for Applications for 

Scholar Incentive Award (SIA) 

Note: 

•Applications are accepted only once per academic year in fall (Deadline * Dec. 3)
•Untenured faculty awarded and accepting a SIA leave will have their tenure clockextended 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 ContinuousEmployment. {See Code of Practice}
•Code of Practice Regarding Instructional Staff Academic Leaves – Please read forcomplete details on eligibility, types, review and approval, reporting, calendar leavedates, terminating leave and compensation.
•Submit form to: provost.eforms@lehman.cuny.edu with a copy toEdna.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 _____________ 





4.At least 75% of salary supported by an outside grant?Yes or No 





a)If NO, two (2) letters of evaluation and endorsement

solicited by College, from “two outside experts attached? Yesor 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 


Checklist for Applications for 

Scholar Incentive Award (SIA) - continued 

 

 

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): _______________________________________________________