The purpose of this study was to explore undergraduate community health students' perceptions of their cultural competence. Little is known about students' cultural awareness, knowledge, and skills after their experience working with diverse cultural groups and language barriers. A cross-cultural experiential learning exercise was used as an educational approach. Reflective writing was used to elicit students' attitudes of the other culture and their coping skills. Three themes emerged as cultural awareness and knowledge, observation and learning, and cross-cultural communication. Results underscore the need for student academic preparation using cross-cultural educational approaches to enhance cultural competence.