SCHOOL DATA

PLEASE COMPLETE ALL SECTIONS
School Name
School Address
City
State
Please provide your zipcode

The McDonald's® stores nearest to you will be found based on your selection
School District
Contact Name
Contact Telephone (xxx-xxx-xxxx)
Contact Email
Please double check your email address to ensure its accuracy. Also, please add macgrants@mcdonaldswny.com to your approved email address list so that, if we need to, we can contact you.
Nearest McDonald's Restaurant to school

PROJECT INFORMATION
Project Title
# of students involved Grade
Itemized Budget Utilizing Grant Money
(at least one required)
Item Cost (0.00 format)
Grant amount requested
Describe how you would utilize a MAC Grant to create a hands-on activity for your class?
Have you applied for a MAC Grant previously? Yes No
Have you received a MAC Grant previously? Yes No
If yes, when?
If yes, what was the activity?

Award checks will be made payable to the school and the applicant.
If there is more than one applicant, the check will be made payable to the first name listed.

By submission of application to this grant, the applicant gives Stern Advertising,
on behalf of the McDonald’s® Owner/Operator Association of Central New York
and Northern Pennsylvania, permission to use their name, photograph, voice or
likeness as well as all submitted project information, in connection with
any promotional materials including electronic media and advertising,
without financial compensation.

You may submit this application electronically or print and mail to:

For your application to be accepted, it must be postmarked by July 30, 2010