•  OFFICE: (607) 330-1253
  •  CLINIC: (607) 330-1254

Become a Volunteer

Fill Out The Form Below

Application Form

Please fill out this application form to be considered.

Note:  We are not currently accepting summer administrator positions.

First Name

Last Name

Email

Preferred method of contact  Phone Email
Position

*note* not all positions available at all times

Do you speak another language?     yes no
If Yes, what language(s)?

Do you have a projected end date for volunteering with us?


Briefly state your reasons that you want to volunteer at the Ithaca Free Clinic?

Provide a brief list of your experience: