Apply for "Hear The Cheers"

To apply for "Hear the Cheers" please fill out the form below. After the form is submitted a representative from Chicago Hearing Society will contact you to complete the next steps in the application process.

Parent/Guardian Information

Child's Information

Please use xx/xx/xxxx format
Please Tell Us Your Story

If the child is able, please have him/her explain why obtaining a hearing device(s) from the Hear the Cheers program will help them in their activity. If the child is unable to do so, please have a parent/guardian provide this in the child’s own words. Please include the activity that student is involved in.