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:


Ithaca Free Clinic September 2020 Update:

Walk in services suspended, see below.

  • We are beginning our 4th month of FREE Telehealth services. Seeing existing and new patients by appointment. Please call to schedule. (607-330-1254)
  • We are beginning our 2nd month of FREE on-site Employment Physicals and PPD testing. Seeing existing and new patients by appointment. Please call to schedule. (Phone: 607-330-1254)
  • We are beginning our 2nd month of on-site FREE Optometry and Optician Clinics. Seeing existing and new patients by appointment. Please call to schedule. (Phone: 607-330-1254)
  • We are beginning our 2nd month of Telehealth and our 1st month of Telehealth FREE Herbal Clinics. Seeing existing and new patients by appointment. Please call to schedule. (Phone: 607-330-1254)
  • The Lourdes mobile 3-D Mammography van will visit the Free Clinic on Wednesday, September 23rd and Wednesday, November 25th. Seeing existing and new patients by appointment. Please call to register and schedule. (Phone: 607-798-5723)
  • Arnot IVY/HIV Care Clinic is beginning their 3rd month of on-site visits at the Free Clinic. Seeing existing and new patients by appointment. Please call to schedule. (Phone: 607-795-8161)
  • In partnership with Mutual Aid Tompkins, a Food Sharing Cabinet was installed in front of the Ithaca Free Clinic this past May. Please take or leave food and other essential items. If you have a specific need, or you would like to know more about services provided by MAT, please call or email. (Phone: 607-288-3252; or email: foodsharing@mutualaidtompkins.com)