We examined factors that have contributed to career longevity in the profession of athletic training in the NCAA Division I setting. Longevity is an important topic for athletic trainers, as many depart the setting for various reasons, and viability of a lifelong career is often questioned. Fourteen (11 males and 3 females) athletic trainers who have worked in NCAA Division I athletics for 15 years or more volunteered to participate in this study and completed one-on-one phone interviews. An inductive analysis was completed. Data saturation was reached with our sample, and we completed member checks and multiple analyst triangulation. Our results showed having a passion for the role and job, having an acceptance of the athletics lifestyle, having a support network, and having family and work integration were the major reasons our participants have been able to persist as an athletic trainer within the NCAA Division I setting.