MGM National Harbor Community Engagement Funding Request

For tax purposes we require that the application be completed in its entirety prior to authorizing a donation.

Fields marked with an * are required.

Contact Information

Full Legal Organization Name*

Street Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Organization Website*

Organization President / Executive Director*

First Name

Last Name

Title*

Phone Number*

Email Address*

Confirm Email Address *

Contact Person*

First Name

Last Name

Title*

Phone Number*

Email*

Organization Information

501(c)(3)*

Yes No

Year Established*

Tax Identification Number*

Total Organization Budget*

Total # of Board Members*

Total # of Staff*

Total # of Volunteers*

Organization's Mission Statement*

Brief Description of Organization*

Population Served*

Include age groups, race & ethnicity, income levels, etc.

Board Members

Funding Request

Program / Event Name*

Event Date*

Total Program / Event Budget*

Requested Amount*

Percent of Total Budget*

Type of Request*

Program Support Sponsorship In-Kind

Geographic Area Served*

Why is this program/event important?*

Indicate how your program/event provides value to your target population and to the community

Have we donated to your organization in the past?*

Yes No

Past Donation*

If yes, please provide basic information about the previous donation include date and amount donated

All proposals must be submitted online. Hard copies or email attachments are not accepted. Please allow a minimum of 2 months to process your request.

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