CA/MBMM Invoice

Massachusetts Baptist Multicultural Ministries

99 Church Street, Lowell, MA 01852 (781) 457-8058 | www.mbmm.org | mbmm@mbmm.org
Completed By:

First NameLast Name
Ethnic Clergy Group Name
Date

MonthDayYear
Date
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
MINISTRY WORK COMPLETED WITH ETHNIC CLERGY GROUP (ECG) MEMBERS:

Summarize your work with pastors within the ECG cohort relating to implementing the Thriving in Pastoral Ministry Program. Be specific. Provide details of ministry work, the number of pastors engaged, what pastoral concerns were addressed, any resolutions/referrals such as peer coaching/mentoring, etc. Be sure to submit a meeting agenda, minutes, and the number of attendees. Please LIST ALL THE NAMES of meeting attendees in order for them to receive their stipend and the date of the meeting.
MINISTRY WORK COMPLETED OUTSIDE OF ECG COHORT:

Summarize other work outside the scope of pastors within the ECG cohorts (i.e. Interfaith group, other clergy groups or like-minded persons or organizations.) Be specific: provide details of ministry work, number of pastors engaged, what were the pastoral concerns addressed, any resolutions/referrals such as peer coaching/mentoring, etc.
Please answer the following questions
Have you met with 10 or less members of your Ethnic Clergy Group (ECG?)
Number of participants:
Have you completed any in-person work with your ECG?
Have you kept and maintained an up to date contact list/roster of ECG members?
Have you devised a plan for workshops, retreats, etc? If YES, please specify them and dates they are scheduled for.
Are you submitting photos, videos, or audio files gathered from meetings? If YES, please attach the files below.
Photograph/Video/Audio Data Files Uploads (Invoices will not be processed without accompanying data)

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Are you submitting your meeting agenda and minutes? If YES, please submit below
Meeting/Agenda Uploads (Invoices will not be processed without accompanying data)

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Have you made any telephone calls with colleagues/leaders to promote TPMP? If YES, specify the names and organizations below.
Have you had any online/virtual/zoom meetings?
If YES to the above question, please specify the number of participants
Do you have any expenses related to TPMP? If YES, please complete an EXPENSE REIMBURSEMENT FORM and attach it below when you submit this form. (Form can be found here: https://www.mbmm.org/s/Expense-Reimburse-Fillable-2-17-22.pdf)
Expenses related to TPMP Uploads (Invoices will not be processed without accompanying data)

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Have you faced any challenges with intercultural/multicultural relationship building? If YES, please feel free to specify below.
Other comments or special instructions:
- All data (photos, videos, audio, meeting meetings, expenses, etc) must be submitted with this invoice form on or before the 15th of every month.
- Total payment will be processed 5-7 days upon receipt of invoice and other pertinent information
Please specify who the check should be made payable to:
Please Type your name for an electronic signature

First NameLast Name
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Massachusetts Baptist Multicultural Ministries

MINISTRY WORK COMPLETED WITH ETHNIC CLERGY GROUP (ECG) MEMBERS:

MINISTRY WORK COMPLETED OUTSIDE OF ECG COHORT:

Please answer the following questions