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This study examined the impact of a field-based adapted aquatics program on pre-service teachers’ self-efficacy in working with individuals with disabilities. Grounded in Bandura’s Social Cognitive Theory, the program paired university students with swimmers of varying ages and abilities in a 10-week one-on-one aquatic setting. Pre- and post-questionnaires from 234 students over five years indicated significant improvements in confidence and perceived competence. Parent feedback (n = 469) further confirmed positive student interactions. Findings support the importance of experiential learning and interdisciplinary preparation in Physical Education Teacher Education (PETE) programs. Results highlight the need for intentional, hands-on experiences to promote inclusive teaching practices and build professional readiness for working with diverse populations.