Community Engagement Initiative Invoicing | SNAP-Ed at Michigan Fitness

Organization Name

Invoice #

Date

Address

City

State/Province

Zip/Postal

Additional Email

Will cc invoices to this address (notify Shona with any contact changes)

Additional Email

Will cc invoices to this address (notify Shona with any contact changes)

Are you Cohort 1 or 2?

Cohort 1

Cohort 2

Community 1 Deliverables Completed this Invoice Period

Deliverables Completed

Fee

Phase 1: Planning and preparation

Implementation approach A – coalitions/multi-sector partnerships

Implementation approach B – facilitate 5 structured engagement activities

Implementation approach C – host 2 community engagement events

Implementation approach D – complete community discovery guide

Implementation approach E – conduct 10 ongoing community conversations

Phase 3: Wrap up phase

Total

Community 1 Deliverables Completed this Invoice Period

Deliverables Completed

Fee

Phase 1: Planning and preparation

Implementation Activity A – coalition/multi-sector community assessment

Implementation Activity B - take action towards a community change

Implementation Activity C - complete community conversation and prioritization guide

Phase 3: Wrap up phase

Total

Do you have a second community?

Yes

Community 2 Deliverables Completed This Invoice Period

Deliverables Completed

Fee

Phase 1: Planning and preparation

Implementation approach A – coalitions/multi-sector partnerships

Implementation approach B – facilitate 5 structured engagement activities

Implementation approach C – host 2 community engagement events

Implementation approach D – complete community discovery guide

Implementation approach E – conduct 10 ongoing community conversations

Phase 3: Wrap up phase

Total

Community 2 Deliverables Completed This Invoice Period

Deliverables Completed

Fee

Phase 1: Planning and preparation

Implementation Activity A – coalition/multi-sector community assessment

Implementation Activity B - take action towards a community change

Implementation Activity C - complete community conversation and prioritization guide

Phase 3: Wrap up phase

Total

Grand Total

For all deliverables completed on this invoice, please attach the supporting documentation required. Reference the start up template or box hub page for what is required.

Maximum file size: 75.5MB

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Date