Hearing Aid Financial Assistance Click here for more info

Sioux Falls
Noon Sertoma

Financial Assistance

Name Prefix

First Name *

Last Name *

Date of Birth

Address Type *

Address Country *

Home Address *

Address 2

Address City *

Address State *

Address Zip Code *

Phone Type

Phone Country

Phone Number

Phone Extension

Email Type

Marital Status

Single

Married

Widowed

Do you have Health Insurance? *

Yes

If YES, what type?

Medicaid

Medicare

Private Insurance

Other

Have you received services from the Sioux Falls Noon Sertoma Club before? *

Yes

Do you have dependents? *

Yes

If YES, how many?

Have you had an evaluation by a health professional for the services your requesting? *

Yes

If YES, please provide name and address of professional. Payments are made to the service provider.

Please provide details of what service is needed and what is the amount ($) of assistance you are requesting.

Monthly Household Income (hover over the ? icon) *

I Agree (hover over the ? icon): *

Yes

Our Sponsorships

Sertoma has many worthwhile sponsorships. The following list demonstrates the wide variety of worthwhile organizations we have supported through the years.

Sertoma Foundation	Sertoma Park	Children’s Christmas Party	Augustana Speech Scholarship
Augustana Speech Therapy	Augustana Deaf Awareness Sertoma	Boy Scout Troop #48	Cub Scout Troop #50
Hearing Aids (subcommittee)	Humanitarian Aid Fund	Children’s Care Hospital & School (wheelchair)	Auditory Training (Children’s Care Hospital & School)
Children’s Inn	Glory House	South Dakota School for the Deaf	Volunteers of America
Salvation Army	St. Francis House	YMCA	YWCA
Boys State	Sioux Vocational Services	Sertoma Butterfly House	Visiting Nurses Association
Make-A-Wish Foundation	DARE Program	Kids on the Block	Second Street Manor
Jaycee Camp for the Exceptional	Community Disability Service	Sioux Falls Special Olympics	South Dakota Special Olympics
Prairie Freedom Center	Crime Stoppers	Retired Senior Volunteer Program (RSVP)	Handi-Riders
South Dakota Expressions	Senior Companion	Project Car	Turning Point
United Day Care Center	Alzheimers Association	The Banquet	Union Gospel Mission
Interpreter Input	Communication Services for the Deaf	Center for Active Generations

The Sioux Falls Club, affiliated with Sertoma International Clubs in not only the U.S.A., but Mexico and Canada as well, supports freedom under Democracy. Each year, we set aside a full week in February dedicated to “Freedom Way,” the American Way of Life. Individuals gather together in service, comradeship, and sociability to form the nucleus of our club. You too can serve and reap regarding personal fulfillment.

605-789-2082

info@noonsertoma.com