Itinerant teachers of the deaf and Hard of Hearing (ToD) travel between schools to provide services for children with hearing loss. It is the role of the ToD to educate, consult with and support the educational team in providing an accessible learning environment for the student with hearing loss. This is accomplished through accommodations which promote optimal access to the curriculum and all materials. Teachers of the deaf and hard of hearing support students using a range of communication modalities including listening and spoken language as well as American Sign Language. Along with pre teaching vocabulary and concepts; the ToD may practice conversational and social skills with a student. She can model appropriate language, turn-taking, eye contact and other communication skills the student needs to develop to be an effective communicator. The ToD also teaches self-advocacy skills including knowing about hearing loss, the use of assistive technology to provide improved access and independent living as well as introduce students to positive deaf role models and provide social-emotional support as the student learns to navigate all aspects of being a person with a hearing loss. The ToD's services may be consultative in nature or direct service to a student. Some students may benefit from support in language development. ToDs consult with the speech therapist to promote acquisition of these skills. Additionally, we can provide direct instruction of skills that relate to language acquisition and use.