Upholding academic integrity is a key part of becoming a successful, ethical health educator and professional. Many universities struggle with students engaging in academically dishonest behaviors, ultimately increasing the chance of compromising their futures as professionals in today's society. The purpose of this study was to assess four factors related to cheating among college students: the effects of cheating on academic preparation, perceptions of cheating behaviors, knowledge of the honor code, and honor code violation behaviors. Following the administration of a 74-item instrument, data were collected and analyzed from a sample of undergraduate students. Results of 912 participants indicated over half of seniors (52.9%) reported cheating during college, plagiarism was reported most frequently, averaged 66% on knowledge questions, and the main motivation for cheating was to earn good grades for graduate school (49.3%). The most frequently reported major among the sampled participants was Health Sciences; students preparing to become a health educator/professional. Social Cognitive Theory constructs were used to explain cheating behaviors and showed that observed behaviors that do not appear to have consequences serve as motivating factors. These results indicate that greater effort is needed, at the university level, to decrease cheating and improve ethical behavior among future professionals.