The purpose of the study reported here was to gather information about the extent and scope of 4-­H health ambassador programs. An online survey was sent to land-­grant institution health contacts. Fifteen of the 36 individuals responding indicated that their states had such programs, and 13 completed the remainder of the survey questions. Commonalities occurred in the areas of application process, teaching role, and grant funding, but there existed considerable variation regarding other aspects of the programs, such as staffing, training, and curriculum. The survey results provide useful information and lessons learned for those interested in adopting 4-­H health ambassador programming.