Major changes have taken place in athletic training education over the past 15 years. With the changes came an increased expectation for reporting quality program outcomes. One important outcome places emphasis on first-time Board of Certification (BOC) exam pass rates. The purpose of this study was to examine the relationship between academic, pre-admission, and programmatic variables to first-time BOC exam pass rates. This retrospective study sampled 210 students from three Commission on Accreditation of Athletic training Education (CAATE) programs whose students attended an Amato-Cole Educational Services (ACES) Preparatory Workshop before taking the BOC examination. The research suggests that students with higher GPA, ACES Test scores, and distribution of the BOC Practice Analysis during the junior or senior year had higher first-time BOC exam pass rates. The logistic regression model was statistically significant, X2 (3) = 57.92, p < .001. The model explained 39.3% (Nagelkerke R2) of the variance for passing the BOC exam and correctly classified 83.3% of cases. This study revealed the final cumulative GPA, coupled with an ACES Test 2 evaluation, might provide valuable data when preparing students for the BOC exam and ensuring student success. Students with lower cumulative GPA and ACES Test 2 scores may need additional intervention and instruction. Ensuring program quality and student excellence are keys to the athletic training profession maintaining a valuable presence in today's healthcare system.