Become a Volunteer

Please fill out and submit our google form to be considered.
First Name

Last Name

Personal Pronouns


Preferred method of contact  Phone Email

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: