To submit a Give Away The Plate nominee, please complete and submit the form below.  For questions, please send an email to the team.

 

*Indicates required field.

Your Name:*
Your Phone:*
Your Email:*

Your relationship to UUCA* (ex: member, pledging friend, etc.)

Suggested non-profit recipient*

Organization's website*

Is the proposed recipient a 501(c)(3) organization? yesno

How would you categorize this organization? (Check all that apply.)
AgingAnimalsArts & EntertainmentDigital DivideEducationEnvironmentFood & ShelterHealthLegalOther
If other, please describe:

If we have questions or want to work with the organization in providing information to UUCA, who should we contact?
Contact Name:
Contact Phone:
Contact Email:

In what ways does this organization reflect and promote UU principles and values? (250 words or less)

Does the agency have a need for monetary and in-kind donations?

Are there ongoing ways in which individual UUCA members and friends might be involved with this group? (Ex: Volunteering, citizen advocacy, donations of supplies or equipment, etc.) (250 words or less)

Is the agency headquartered locally or have a local office?

Additional comments: