Background: This program evaluation seeks to evaluate the effectiveness and sustainability of the Coalition of Occupational Therapy Advocates for Diversity (COTAD) Chapters program,both processes and outcomes of programming. Health disparities, racism, oppression, and injustice in the healthcare field, contextualized with a lack of diversity and diversity awareness of the occupational therapy (OT) profession, prompt the necessity for the COTAD Chapters program. The COTAD Chapters program is a volunteer-run program that empowers and supports OT students into advocacy for increasing diversity in the OT profession and eliminating discrimination and health disparities. Methodology: Through a mixed-methods program evaluation for formative and summative purposes, program evaluators interpreted surveys, interviews, preexisting Chapter data,document review, direct observation, and social media analysis. Results: The results indicate that stakeholders believe the COTAD Chapters program is fulfilling its intended purposes and that Chapters are enacting changes within OT on multiple scales. However, the COTAD Chapters program processes are not yet optimized to accommodate and support students in their efforts as effectively as the administrators would like. Implications: The COTAD Chapters program would benefit from a new structure that accommodates more volunteers, offers more to COTAD Chapters, and continues to promote the impacts and outcomes toward which the COTAD Chapters are already working. Conclusion: The COTAD Chapters program transforms OT education, practice, and research by energizing student advocacy for increased diversity within the OT profession and creating a national network of future generations of action-oriented and empowered OT practitioners.