East Main St.

Teacher/School Information:

Teacher's name

Grade level:

School name:

School district:

School street address:

School city:

School state:

School zip:

School phone:

County:

Email address:

McDonald's restaurant closest to school:

Have you ever applied for a mac grant before? yes no

Have you ever received a mac grant? yes no

If yes, when?

What was the activity?

Project information:

Grant amount requested (not to exceed $500):

Number of students involved:

Describe how you would utilize a mac grant to create a hands-on activity for your class.

Please include a detailed, itemized budget (required).