The document examines the nature of itinerant teaching with hearing impaired students in rural areas. The itinerant teacher's varied roles in working with teachers, administrators, parents, and students are explored. Needs skills, including mediation skills and experience in counseling, are reviewed. Suggestions are offered for interacting with classroom teachers, supervisors, and parents. A list of suggested activities to develop specific skills often deficient in the hearing impaired child addresses such skill areas as listening, vocabulary, nonverbal communication, and auditory memory. Guidelines for helping the hearing impaired child in the classroom conclude the report. (CL)