Shared Plate Nomination Form
Use this form to nominate shared plate recipient for 2022-23 church year (September through August).  Nominations will be accepted through June 30.  Preference will be given to organizations whose mission aligns with Eliot Chapel's work in racial, immigrant, environmental, economic, government, and LGBT justice.  Preference will be given to small organizations that will benefit most from the shared plate and to organizations with which Eliot can form meaningful volunteer partnerships.  The SJA Steering Committee may also shift priorities, depending on the status of the COVID-19 epidemic.
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Email *
Your Name *
Organization name *
Organization phone number *
Organization website *
Executive contact name *
Executive contact email *
Organization address (to which check should be sent)
In about 100 words, please provide a short description of the organization, including a mission statement, that can be used in Eliot's publications. As best you can, please connect the organization's mission to that of Eliot's priorities above. *
What is the organization's tax classification?  The SJA Committee will verify if the nominated organization's tax exempt status is up to date. *
What is the organization's annual gross income? The SJA Steering Committee will  prioritize organizations with annual income less than $1 million.  An organization's income often is on their website or can be found on GuideStar:  https://www.guidestar.org/ . *
Will you serve as a liaison between Eliot and the organization? *
One purpose of the shared plate program is to support organizations that provide readily available volunteer opportunities appropriate for Eliot members. Will you be willing to organize and recruit Eliot members to work with the organization in partnership with Eliot? *
Please explain the relevant volunteer opportunities at the organization *
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