Development of cultural competence in future health educators is often mentioned as a goal of health education preparation programs; however research demonstrating evidence-based methods for development of cultural competence is limited, To determine the impact of a service-learning project on development of cultural competence and health education skills among health education students. All students in the community health courses completed the Cultural Competence Assessment (CCA) survey at the beginning of the courses; then, 17 students participated in a three-week service-learning project with members of a low-income community. Students repeated the CCA at the end of the course and CCA scores were compared to measure the impact of the service-learning project; additionally, students completed weekly reflective narratives regarding their experiences. Analysis of data indicated that students participating in the service-learning project scored significantly higher on the cultural competence behavior post-test than those that did not; there was a strong association between service-learning participation and cultural competence behavior; and students had increased perceived self-efficacy and cultural competence. Students completing health education preparation programs having developed cultural competence are better prepared to design and implement culturally appropriate interventions.