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Schools are increasingly challenged to respond to changes introduced by laws such as the Individuals with Disabilities Education Act (IDEA) of 2004, such as Response to Intervention (RTI). As teachers’ roles evolve in response to RTI, teacher preparation programs must adjust their curriculum accordingly. A mixed-methods design was used to explore general education pre-service teachers’ concerns regarding the implementation of RTI based on the Concerns Based Adoption Model. Results suggest pre-service teachers focused their concerns on feeling unprepared and not understanding how to effectively implement RTI. Contributions to the literature presented may guide teacher preparation programs as they assess the readiness of their pre-service teachers to effectively implement RTI.