This qualitative action research study examined the SAGES academic coaching program, a pilot program for first-year students who identify as having a disability. The study focused on the student-coach relationship and goal setting during coaching. Five students and three coaches participated in the study. I observed one coaching session for each student and interviewed students and coaches. I also reviewed survey data and academic performance for each student. Through observations and interviews, I identified four primary strategies coaches used when establishing a relationship with their students: (a) coach took a genuine interest in the student; (b) coach created a positive coaching experience; (c) coach created an inclusive coaching experience; and (d) coach ensured student voice and agency were present during the coaching session. I identified four steps coaches and students experienced when setting goals: (a) coach helped student clarify goals; (b) coach and student worked together on skills and strategies for goal attainment; (c) student used trial and error to test out skills and strategies; and (d) student learned how to implement skills and strategies independently. Through the study, I identified aspects of the program that should be expanded and components that should be added. The program will expand access and build on the individualized and proactive approach. It will emphasize the student-coach relationship, goal setting, and transition to the university. New components include (a) creating a success team, (b) using the learning management system to share resources, (c) incorporating sense of belonging and self-determination, (d) adding training aligned with ICF competencies, and (e) implementing assessment. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://bibliotheek.ehb.be:2222/en-US/products/dissertations/individuals.shtml.]