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An investigation of the impact of a clinically rich preservice program that prepares elementary teachers to be effective teachers of English Learners. Findings are reported for the first cohort of graduates in a longitudinal study following four cohorts of elementary educators through their preservice programs and first two years of teaching. Candidates in this report were prepared in a residency program focusing on improving the ability of elementary teachers to be effective teachers of mathematics and of children in high needs urban schools with large numbers of ELs. Findings focus on changes in participant attitudes and the relationship between their application of effective practices for teaching ELs in preservice practice and during the first two years of teaching.