The role of the English language, used around the world for international diplomacy, aviation, health, economics, technology, education, and research, cannot be overstated. In places where English is not the first nor an official language, the task for second language teachers in elementary schools through college to perfect students' language arts skills is daunting. This Course Internationalization project for Middle Grades Reading and English Language Arts pre-service teacher candidates sought to study the process, challenges, and strategies of teaching English in Ghana. The project further highlights the teacher candidates' observations of how teachers in Ghana taught their students to read fluently and express themselves clearly in various content area courses. Candidates who traveled abroad to the teaching sites in Ghana as part of the internationalization process researched current literature for specific English language teaching strategies that worked for different populations in non-English speaking countries and how these were likely to influence their thinking on teaching English Language Arts in the United States. They also had the opportunity to interview Ghanaian teachers, and gather data on their teaching strategies and the challenges they faced as English language teachers. The initial course outcomes were intended to support further creative instructional programs for teachers and students to boost the teaching of reading and English.