Please remember that your request will receive the same consideration whether or not you have
had contact with McDonald’s.
2. B
:
UDGET
Specific amount requested from Ronald McDonald House Charities: $
Include: itemized budget for this project and total program, your current sources of income and
expenses, a balance sheet for the past year and contributions from other institutions or
organization, if any.
3. T
P
:
ARGET
OPULATION
Please summarize your target population in measurable terms (i.e.; who the primary audience is,
how many will be served, how old are the recipients, and where the program is offered, and the
geographic range of your organization.) For example: 125 physically impaired children, ages 6-
12, throughout Michigan, or 100 Hispanic high school seniors in Saginaw. Important: Please
include the demographics (i.e., percentage of African-American, Hispanic, Caucasian, etc.)
Our national organization requires this for their records only.
4. H
:
ISTORY
Please provide us with a brief history of your organization.
5. S
:
UMMARY
Please provide a concise description of the need or problem to be addressed. Include the overall
goals and purposes of your organization (or specific department concerned), the specific purpose
of the funds and how the objectives will be accomplished. Also, what is unique about your
program?
6. E
:
VALUATION
How will you determine the impact of this project? For example, a survey of parents and
children, appraisal of physical improvements or attendance figures. Please be specific.