A midwestern urban school district received a Teacher Quality Enhancement (TQE) grant from the U.S. Office of Education to deliver specialized middle-level urban teacher preparation. Five colleges and universities and the school district participated in the 5-year project. This article describes the first course in the TQE "urban strand." The course was developed by a committee representing the district and higher education partners and was cotaught at the local community college by a middle school teacher and a teacher educator from a private, 4-year college. Data indicate that cross-institutional course design is viable and that collaborative efforts help teacher educators to understand the local context, stay involved, and establish a credible presence in urban schools. (Contains 3 tables.)