Given the dearth of research on elementary education majors' experiences in middle level endorsement programs (Anderson, 2009), and the shortage of teachers aspiring to work with young adolescents, this case study examined the topic to provide insight into the experiences of preservice elementary education teachers. Specifically, this study focused on elementary education preservice teachers' perceptions of and experiences in a mandatory middle level education course and its required field experience, and the resulting effects on their interest and efficacy in relation to their preparedness for interacting with young adolescents. Further justifying the need for specific middle level education coursework, the study found preservice teachers in relatively diverse field placements increased feelings of efficacy, though not necessarily interest in working with young adolescents. (Contains 1 table.)