Application

First Name

Last Name

Phone

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

McD National Store #

McD Restaurant Address

Restaurant Manager Name

Owner/Operator

Select a date

Current Position

Social Security #

School Information

Add answer here

School Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

What Degree Are You Pursuing

Start Date

Anticipated Graduation Date

School Extracurricular Activities

McDonald’s Activities

Be sure to include positions held, hours per week and awards/recognition you have received.

Photograph

Please upload a photograph of yourself. School/Yearbook photos preferred.

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Verification Of Information

I affirm that all information submitted in this application is truthful to the best of my knowledge.

I further authorize McDonald’s or its agents to use my name, photograph and responses in publicity materials related to the McDonald’s Three Rivers Operators Association Employee Scholarship Program.

I agree to the terms & conditions

Electronic Signature

Today's Date

Thanks for submitting!

Application

School Information

McDonald’s Activities

Photograph

Verification Of Information

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