Funding Application

Upper Room Inclusive Catholic Community of the Capital District
PO Box 394, Wynantskill, NY 12198-0394
Tel: 518-952-4172
Community Outreach Fund
Application for Funding

Our Mission: We celebrate as an inclusive Eucharistic community by inspiring and supporting spiritual growth, providing education, and ministering to local and global needs, “living justly, loving tenderly, and walking humbly with God. (Micah 6:8)

Contribution amounts are determined by the Board and applications accepted on an ongoing basis with bi-annual review dates of January and July.

Name of Organization:________________________________________________________


Geographic Area served:_____________________________________________

Contact Person:_______________________________________________________________

Name of Executive Director and Contact Information  ______________________________________________________________________

Please include a brief mission statement, overview of your organization and needs that you serve. Include any additional pages that are necessary.









Primary Source of your funding:_____________________________________________________________

# of client served:___________________________________________________

Federal Tax ID # or copy of 501©(3):__________________________________


Return Form to address above or email it to Deven Horne at