College Preparatory Programs with Exams (CPPEs) include academically-rigorous high school classes that culminate in standardized exam-based assessments. Students take the classes as part of their high school schedule and apply them toward their graduation requirements, typically whether or not they take the exams at the end. Without the exam, students still apply the class grade to their high school GPA. However, taking the standardized exam may enable a student to apply the exam score for college credit for an identified comparable college course or a college-level elective (depending on the course and the score). CPPE programs include Advanced Placement (AP), International Baccalaureate (IB) and Cambridge International 'A' Levels (CLE). Because of the potential to apply these high school courses for college credit, they are an attractive option for many students and parents. The appeal of CPPE has many components -- they can equate to college credit and thereby save tuition costs or accelerate through prerequisites, they often carry additional weighting for high school GPAs, and are attractive to selective schools' admissions offices. It would appear that CPPEs would offer students from underserved populations an opportunity to get a 'head start' on college while at high school. However, CPPEs have not typically been consistently available to students from disadvantaged groups. The reasons for that are not clearly understood. Research suggests that access to CPPE in high schools may be affected by: (1) Variation in perception of demand for CPPE opportunities across schools serving different demographic groups; (2) Cost of programs and/or exams to students, although many states offer aid to economically disadvantaged students; (3) Implicit bias of districts, schools, and teachers in evaluating aptitude for CPPE, such as determining AP readiness by prior GPA; and (4) Lack of familiarity with or confidence to undertake CPPE courses by students, often reflect in parents' prior education. This report examines equity in CPPE throughout Washington state.