•  CLINIC: (607) 330-1254
  •  OFFICE: (607) 330-1253
  •   Walk-in Clinic Hours: Mon. 2-6pm Th. 4-7pm

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: