There has been a growing commitment to the inclusion of students with Intellectual Disability (ID) on college campuses which has resulted in approximately 271 college programs in the United States. Although there is great variability on program structure and supports of these programs, their overall purpose is to assist students to prepare for productive and satisfying adult lives. The purpose of this study was to examine the inclusion of fitness and exercise components in the context of inclusive postsecondary education (IPSE) programs within the United States. Obesity is a major health concern, and people with ID are more than twice as likely to be obese than people without. Non-random purposeful sampling was used to interview nine staff members from different IPSE programs. Data indicated that both IPSE program factors and individual student characteristics may impact the role of exercise and fitness in IPSE. These findings can help guide the development of effective exercise and fitness programs for young adults with ID within the context of postsecondary education.