This study examined the level of preparedness of North Carolina speech-language pathologists (SLPs) who serve school-aged children with cochlear implants (CIs). A survey distributed to 190 school-based SLPs in North Carolina revealed that 79% of the participants felt they had little to no confidence in managing CI technology or in providing services to children with CIs. Survey results disclosed that 47% of SLPs had either no formal instruction or only one college lecture on CIs. Findings indicated that a lack of instruction in other hearing-related topics exists at both the undergraduate and graduate levels. These results underscore the urgent need for revising preservice curricula for SLPs and audiologists to include more practical training in the habilitation/rehabilitation of children with CIs. Findings also emphasize the need for current practitioners to engage in continuing education to update their knowledge of emerging innovations in CI technology and habilitation. (Contains 1 table and 3 figures.)