The purpose of this study was to compare self-reported weight classifications with objectively measured body mass index (BMI) and weight management motivations among female African American (AA) students in a mid-size southeastern university in a rural setting. Participants were recruited from general health class to complete a brief survey, and their height/weight was measured. Chi-square tests were performed to investigate whether mismatch occurred between self-perceived weight classification and directly measured BMI, and the relationship between body weight loss effort and self-perceived body weight. Among the women who were classified as overweight or obese based on direct measurements, 29.63% and 11.59% felt they were normal weight, respectively. Almost one third of the overweight college females perceived their body weight incorrectly and body weight perception is a significant factor driving the body weight control efforts. Appropriate programs for body weight perception and weight control behavior for AA female college students should be developed and implemented.