This report details the findings from a 2013 statewide study of career pathways (CP) and programs of study (PoS) in secondary districts in Alaska. Twenty-seven of Alaska’s 54 districts provided data around the maturity of their CP/PoS, the availability of different CP/PoS, how career planning is addressed, and the availability of courses and PoS in the Health Sciences cluster. The differences between urban and rural communities are often noted in conversations around education, programming and policy in Alaska, and the data in this report reflect this established phenomenon. The contribution of this report is in helping to demystify and contextualize some of these known differences, and to make differentiated recommendations for moving forward.