Background: Poor dietary behaviors are risk factors for developing chronic diseases that plague public health. Purpose: This study sought to determine the differences in pre and post food label and food choice scores among first-year college students at the beginning and end of the semester. Case analyses were conducted to evaluate individualized changes. Methods: Students completed pre and post electronic surveys. Food label and food choice scores were computed. Reliability analysis was conducted for each computed score. Paired "t" tests were employed to compare the differences in scores at pre and post measure. Case analyses showed differences per individual student. Results: Paired "t" test revealed a statistically significant difference with an increase in food label-reading behavior (P = 0.000) and food choice behavior (P = 0.000). Case analyses showed that 27% of students practiced food label reading more frequently in at least one category above at post measure and 29% indicated choosing healthier food options more frequently. Discussion: College nutrition courses may improve college student food label reading skills and result in healthier food choices. Translation to Health Education Practice: Health Educators can work with higher education institutions to play a role in reducing disease risks by educating students and providing environmental supports for dietary improvement.