Sports injury prevention is a growing field of sports medicine. The amount of evidence based literature that supports the use of sports injury prevention programs in high school and college athletics has grown substantially. Unfortunately, further review of the literature fails to indicate whether these injury prevention programs are being implemented at high school or college athletic programs. PURPOSE: Our primary objective was to determine if sports injury prevention programs are under utilized in high school and college athletic programs in the state of New Jersey. Our secondary objectives included identifying the types of programs being implemented and the potential barriers to implementing these programs. METHODS: We distributed an email-based survey to athletic trainers in the state of New Jersey, with the help of the Athletic Trainers Society of New Jersey (ATSNJ). We then analyzed the data gathered via descriptive statistics. SUMMARY OF RESULTS: Our response rate was 16.8% (164/975 potential respondents). 50.3% of the respondents indicated that they utilized injury prevention programs. The most commonly utilized programs were rotator cuff injury, ankle injury and ACL injury prevention programs (57.3, 53.7 and 53.7% respectively). 49.7% of the respondents indicated that they didn't utilize injury prevention programs, although the majority of this group (86.4%) believed these programs would be helpful to their athletes. The primary barrier identified to implementing these programs was lack of time (44.7%) and the secondary barrier was limited staff (17.1%). CONCLUSION: Injury prevention programs are being under utilized by athletic trainers in high school and college athletic departments in the state of New Jersey. Addressing some of the barriers to implementing these programs may improve the utilization of these programs.