Training and exercises are commonly used among first responders to prepare them for disasters and other emergency situations. Emergency management students from Utah Valley University in the United States shared what they have learned about disaster preparedness and response with university students in the Balkans. The six students divided into teams of two and taught three groups of 15 students each. The Utah Valley University students trained 45 Macedonian students about disaster response principles, search and rescue, triage, and emergency medical care. The training was followed by three simulated exercises. The American students were interviewed about their experience. They reported a heightened cultural awareness and better understanding of the disaster response capabilities in the Balkans. They indicated that they gained greater respect for the differences that exist in handling disaster response and a greater appreciation of the culture of the people they met. In addition, they developed friendships with students and emergency personnel.