NC Mission Eligibility Screening

Miracle Mission - North Carolina

Eligibility Screening
Thank you for your interest in the upcoming Miracle Mission in Hickory, North Carolina on October 24, 2026.

Congratulations on taking a step to address your hearing health! The following pre-screening questions will help you determine if you may be an eligible candidate to receive hearing aids through the Miracle-Ear Foundation. If this pre-screening identifies you as a potential candidate, you will be directed to fill out a formal application.

If you have any questions about the application or Miracle Mission email us at miracleearfoundation@amplifon.com.

Miracle Mission - North Carolina

Eligibility Questions
Applicant Type
Applicant's First and Last Name
First and Last Name
DOB

MonthDayYear
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Account Number
Account Name
Site Email
Additional Email
How did you hear about the Miracle-Ear Foundation?
Do you have a hearing loss that requires amplification?
Have you previously received hearing aids from the Miracle-Ear Foundation?
When did you receive your Miracle-Ear Foundation hearing aids?
Can you provide documentation showing your income is at or below the following levels?
Should be Empty:

Miracle Mission - North Carolina