Career and Technical Student Organizations (CTSOs) assert they are assisting students in developing leadership, teamwork, citizenship, problem solving, communication, and academic skills for workplace success, but with limited research on their outcomes, are these empty claims? With integration of academics being a major Career and Technical Education (CTE) priority, and CTSOs named integral partners in meeting requirements of the 2006 Perkins legislation, this study has been conducted for the purpose of (a) determining what students need to know and do to prepare for the SkillsUSA Occupational Health and Safety national competition, and (b) to determine if contest competencies naturally align with Pennsylvania 11th Grade Academic Standards to identify if academic rigor is associated with contest preparation. Findings may be useful to SkillsUSA advisors preparing students for the occupational health and safety competition or those interested in learning about the integration of challenging and rigorous academics in context via CTSO involvement. (Contains 2 tables and 2 figures.)