This case report details a year-long phonological awareness (PA) intervention for pre-kindergarten children with hearing loss (CHL) who use listening and spoken language. All children wore cochlear implants and/or hearing aids. Intervention occurred for 15 min/day, 4 days per week across the pre-kindergarten school year and was delivered by classroom teachers of the deaf. At the beginning of the year, children's performance on measures of PA generally was low. After participating in the intervention, the majority of students performed within or above the developmental range. These findings indicate that PA training that is intense, modified for CHL, and transferable to mainstream setting is effective in increasing PA skills in CHL.