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Despite the social and academic benefits of inclusive education and increased rates of inclusion for students with high-incidence disabilities, most students with extensive support needs (ESN) continue to be educated in segregated settings. Using a Cultural-Historical Activity Theory (CHAT) framework, four cross-disciplinary researchers explored an inclusive charter school that takes an intentional stance around full inclusion for all, including students with ESN and students with intersecting, multiply-marginalized identities. We sought to understand how staff and families conceptualized inclusion for this diverse population and how inclusive school culture was developed and maintained. Using CHAT, we analyzed interactions between tools, division of labor, and school and community norms that contribute to the outcome of full inclusion for all learners.