THRIVING IN PASTORAL MINISTRY PROGRAM REQUISITION FORM

Massachusetts Baptist Multicultural Ministries
99 Church Street, Lowell MA 01852 (978) 455-3340 | www.mbmm.org | mbmm@mbmm.org
THRIVING IN PASTORAL MINISTRY PROGRAM REQUISITION FORM
The Clergy Fund is an allocated amount of money that is offered to each Ethnic Clergy Group member, as part of the Thriving in Ministry Pastoral Program, funded by the Lilly Foundation. The maximum amount that can be requested is $1,000.00 and it can be used for
In order to receive funds from the Clergy Fund, a Requisition Form must be submitted to MBMM at least two weeks in advance of the time that monies are needed. Please complete the entire form. You will be notified when MBMM has received your request.
Name of Requestor
Date Requested

MonthDayYear
Date
Cohort Representation
Mailing Address
City
State
Zip Code
Email Address
example@example.com
Phone
Reason for Request
Amount Requested
Amount Approved
Date Approved

MonthDayYear
Date
Weaving God’s Love Across Cultures
Should be Empty:

Massachusetts Baptist Multicultural Ministries