HIKE Fund: How to Apply

For a Child to be Considered

1. A letter from the parent(s) or guardian(s) explaining the financial need.
2. A monthly statement of income and expenses (parents and/or guardians only).
3. A copy of a recent pay stub and W-2 Form for the most recent tax year (parents and/or guardians only).
4. A recent (withing the immediate past three months) audiogram AND prescription from a licensed and/or certified audiologist and/or physician.
5. An itemized cost quotation from the supplier which should include cost of hearing aid(s) or device(s), cost of ear mold(s), professional fees (evaluation, fitting, dispensing fee, follow-up visits, repairs/warranty per year, batteries, and insurance - loss or damage).
6. Please emphasize to your child's supplier that it is important to provide an address and telephone number in the space provided on the application form.

Submission of a single, all-inclusive information package allows the process to be completed in an efficient, timely manner. When all parts of the application have been received, consideration for approval begins. If any of the information described above is not included, this will delay consideration. You will be notified of the receipt of your application and of any additional information, if any, that will be required. Each application is reviewed initially for general content and subsequently is submitted to the HIKE Board's Audiologist for final review.

Please note that we are unable to accept applications for services or devices which have already been fitted, nor are we able to fund cochlear implants.

If you know of a needy child that would benefit from this program you may refer them to one of our Bethels so they may apply for assistance.

All donations made to the HIKE Fund, Inc. are TAX deductible.
U.S. Tax I.D. No. 36-3406438