Grant Application Page 4

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G
N
: __________________________
RANT
UMBER
RONALD MCDONALD HOUSE CHARITIES OF OUTSTATE MICHIGAN
GRANT APPLICATION
1. O
:
RGANIZATION
Name of Organization:
Project Title:
Address:
City/State/Zip:
Telephone:
Contact:
Title:
Email:
Specific amount requested: $
Have you, in the past, or are you now considering applying for grant monies from another
chapter or the National Ronald McDonald House Charities?
Yes
No
If so, please state which chapter you are applying to and the amount you are requesting.
Have you discussed this grant request with a McDonald’s representative in your area?
Yes
No
If so, McDonald’s contact:
Title/position:
Address:
City/State/Zip:
To what extent have you worked with the McDonald’s representative?

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