This article focuses on the historical development of Kahuawaiola Indigenous Teacher Education Program, the first teacher education program specifically addressing the needs of Hawaiian medium education. The authors distinguish a P-12 language revitalization education approach from those of transitional bilingual and foreign language immersion education. Conceptualizing Hawaiian medium education as a set of structures using Hawaiian rather than methodologies to teach Hawaiian, the authors describe teacher preparation structures nested within prerequisite fluency developing structures of the College of Hawaiian Language. Features of the program are described in detail and information on the program's philosophy, future direction, and national and international connections is provided.