Checklist for Applications for Scholar Incentive Award 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 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. 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):_____________________________________________________ _________________________________________________________________________________________________