|Name of Non-Profit Organization *||
Lake County Free Clinic
|Today’s Date: *||Monday, January 30, 2023|
|EIN / 501(C)(3)Number *||
|What year did your organization receive it’s non-profit status? *||
462 Chardon St.
Painesville, Ohio 44077
|Your Name *||Dana Locher|
|Your Title *||
Director of Community Engagement
|Your email address *||firstname.lastname@example.org|
|Your Phone Number||(440) 754-0175|
|Executive Director’s Name *||
|Executive Director’s email address *||email@example.com|
|What is the mission of your organization?||
Lake County Free Clinic exists to address the unmet health care needs of the residents of our community by providing no cost quality medical and dental care.
|Which social causes (up to 3 choices) does your agency address through its programming? *||
|Any comments about your selections you would like to share with the student philanthropists?||
Besides providing healthcare, we have a case management department that meets with patients to help address any issues with housing, food, transportation, and any other expenses that could be related to their healthcare.
|Does your organization have volunteer opportunities available for students? *||
Yes, Grades 9 – 12
|List possible volunteer opportunities -or- a link to where they can be found on the web.||
Cleaning, organizing office space, day of event assistance, and outreach assistance.
|Volunteer coordinator||Dana Locher|
|Volunteer coordinator’s email firstname.lastname@example.org|
|Volunteer coordinator’s phone number||(440) 754-0175|