Become a Volunteer

Fill Out The Form Below

Application Form

Please fill out this application form to be considered.
First Name

Last Name

Personal Pronouns
Other


Email

Preferred method of contact  Phone Email
Position

Please note that the "Student Admin" position is full. If you would like to be added to our wait-list, please submit an application. Thank you.


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:


 

Due to the ongoing COVID-19 pandemic, the Ithaca Free Clinic will be temporarily suspending services.

This action is necessary to ensure the safety of patients, volunteers, volunteer health care providers, and staff. Once we have a better understanding of COVID-19, have the necessary protocols and protective equipment in place, and can assure our patients, volunteers, volunteer health care providers, and staff are interacting in as safe an environment as possible, the Ithaca Free Clinic will resume normal operations.

Please call “211” (1-877-211-8667) for more information on the COVID-19 Pandemic in Tompkins County, NY.

If you’re exhibiting symptoms of fever, cough, or trouble breathing, please call your primary care provider or Tompkins County Department of Health at (607) 274-6604.