This manual describes guidelines for hearing screening in schools. The guidelines state that students or grade levels should be screened based on the capacity of the screening program, but should prioritize the youngest population, and recommends that the following groups of students receive hearing screening: Students in Pre-K, K, 1st, 2nd, and 3rd grades; and all new students; Any student referred by the teacher, parent, or self; Special education evaluation requests; and Students in 7th grade–for educational purposes regarding noise exposure if time permits.