The literature on career development for people of Appalachian culture is sparse. This article reviews cultural values of Appalachians and proposes an innovative career intervention model to best serve people of this culture. The model integrates the concepts of the social cognitive career development approach (R. W. Lent, S. D. Brown, & G. Hackett, 1994) and ecological counseling principles (R. K. Conyne & E. P. Cook, 2004). As this model demonstrates, providing contextual and cultural accommodation is critical in order to gain the trust and permission to work with people of Appalachian culture. (Contains 1 table and 1 figure.)