MARYLAND DEPARTMENT OF TRANSPORTATION

BWI Marshall Community Partners Program Application

All applicants must complete this application and submit it by the deadline, along with the following documents:

*REQUIRED

1) Your organization's IRS 501(c)3 determination letter*:

2) Current certificate of registration from the State of Maryland Department of Assessments & Taxation*:

3) SoS Charity Registration Approval PDF that your organization received from the Maryland Secretary of State*

Organization Name*

Organization Address*

Primary Contact*

Primary Contact Phone*

Email*

Website Address*

Mission Statement*

Describe Revenue Sources*

Maryland State Department of Assessment and Taxation ID*

Federal Employer Identification Number*