The author initially identifies what is meant by Appalachia, its geography its resources, and its cultural, educational and economic disadvantagement. The priorities of the Appalachian Regional Commission established in 1965, are listed: (1) interstate highway corridors; (2) the furtherance of career exploration and orientation programs in upper elementary and junior high school years; and (3) job training in vocational high schools. Subsequent educationally and work related goals for the area are included. On several pages is reproduced a recent front-page newspaper article which provides considerable insights into Appalachian students. The paper concludes with twenty of the author's suggestions and recommendations pertinent to the question: what can counselors do to change attitudes on a local level in developing new programs? (TL)