|Miss Teen USA|
North Carolina has been moderately successful at Miss Teen USA, but has never won the title. Their best placement was in 1987, 2006 and 2016 when Peggy Blackwell, Melissa Lingafelt and Emily Wakeman placed first runner-up respectively. North Carolina's greatest success came from the mid-1980s to early 1990s. Their most recent placement came in 2016, when Emily Wakeman placed first runner-up.
Five Miss North Carolina Teen USA's has crossed over to win the Miss North Carolina USA title. The first was Chelsea Cooley, who went on to win the Miss USA title and place in the top 10 at Miss Universe. The second was Erin O' Kelley, Miss North Carolina Teen USA 2001 who made the top 15 at Miss USA 2007. The third was Julia Dalton who was a second runner up in Miss Teen USA 2008. However, she didn't place at Miss USA 2015. And the fourth was Katie Coble, a second runner up in Miss Teen USA 2007 and a non finalist in Miss USA 2017. The fifth was Jane Axhoj, a second runner up in Miss Teen USA 2015 and will be pending to place in Miss USA 2020.
Kristen Dalton, who came in first-runner up at the 2005 Miss North Carolina Teen USA pageant to Nikkie Groat, went on to win Miss North Carolina USA in 2009, and won the title of Miss USA 2009. She represented the United States at the Miss Universe pageant in August 2009. Her younger sister Kenzie Dalton, who was first-runner up at the 2006 Miss North Carolina Teen USA pageant, became engaged to actor Chad Michael Murray the same year she placed first-runner up to Melissa Lingafelt (who placed first-runner to Katie Blair of Montana at Miss Teen USA 2006.) Their mother, Jeannie Dalton (Boger) was Miss North Carolina USA 1982, and their sister Julia Dalton was Miss North Carolina Teen USA 2008, and placed second-runner up to Stevi Perry of Arkansas at Miss Teen USA 2008. Julia was Miss North Carolina USA in 2015 and didn't place at the Miss USA 2015 pageant.
- First runners-up: Peggy Blackwell (1987), Melissa Lingafelt (2006), Emily Wakeman (2016)
- Second runners-up: Katie Coble (2007), Julia Dalton (2008), Jane Axhoj (2015)
- Fourth runners-up: Kaaviya Sambasivam (2018)
- Top 6: Holly Furman (1991), Rachel Adcock (1992), Ali Burr (1997)
- Top 10: Tracey Kaggell (1984), Kimberly Jordan (1985)
- Top 16: Kat Puryear (2012)
- Miss Congeniality: Holly Furman (1991)
- Miss Photogenic: Rachel Adcock (1992), Melissa Lingafelt (2006)
- Color key
- Declared as Winner
- Ended as runner-up
- Ended as one of the finalists or semifinalists
|Year||Name||Hometown||Age1||Placement at MTUSA||Special awards at MTUSA||Notes|
|2020||Peyton Brown||Dunn||18||TBA||1st runner-up at Miss North Carolina's Outstanding Teen 2018|
|2018||Kaaviya Sambasivam||Winston-Salem||18||4th runner-up|
|2017||McKenzie Hansley||Hampstead||17||Previously Miss North Carolina's Outstanding Teen 2015|
|2016||Emily Wakeman||Cornelius||18||1st runner-up|
|2015||Jane Axhoj||Charlotte||17||2nd runner-up||Later Miss North Carolina USA 2020|
|2013||Kelsey Barberio||Chapel Hill||18|
|2012||Kat Puryear||Thomasville||17||Top 16||Previously Miss North Carolina's Outstanding Teen 2009|
3rd runner-up at the Miss America's Outstanding Teen 2010 pageant
|2010||Lauren Ashley Martz||Salisbury||17|
|2008||Julia Dalton||Wilmington||16||2nd runner-up||Later Miss North Carolina USA 2015. Daughter of Jeannie Dalton (Boger), Miss North Carolina USA 1982, Sister of Kristen Dalton, Miss USA 2009 (Miss North Carolina USA 2009)|
|2007||Katie Coble||Matthews||17||2nd runner-up||Later Miss North Carolina USA 2017|
|2006||Melissa Lingafelt||Concord||16||1st runner-up||Miss Photogenic|
|2004||Elizabeth Carty||High Point||17||Miss United States Teen 2005|
|2003||Erin Hendricks||High Point||18|
|2002||Brittany Crews||Wake Forest||1st runner-up at Miss North Carolina USA 2008 pageant|
|2001||Erin O'Kelley||Asheville||15||Later Miss North Carolina USA 2007|
Top 15 at Miss USA 2007 pageant
|2000||Chelsea Cooley||Charlotte||16||Later Miss North Carolina USA and Miss USA 2005, 9th at Miss Universe 2005, Miss United States Teen 2001, 1st runner-up at Miss Teen International 2001 as Miss USA|
|1995||Meridith Jackson||High Point||18|
|1993||Wendy Williams||Wade||15||Sister of Heidi Sue Williams, Miss North Carolina 1992|
|1992||Rachel Adcock||Conover||17||Top 6||Miss Photogenic|
|1991||Holly Furman||Boone||17||Top 6||Miss Congeniality|
|1987||Peggy Blackwell||Fayetteville||17||1st runner-up|
|1985||Kimberly Jordan||Wilmington||17||Top 10|
|1984||Tracey Kaggell||Waynesville||17||Top 10|
1 Age at the time of the Miss Teen USA pageant
- "Meet the new Miss North Carolina". Star-News. June 25, 2018. Retrieved November 13, 2019.
- Mannion, Cory (July 19, 2017). "For Miss North Carolina Teen USA, pageantry is about more than a crown". Port City Daily.
- Ingram, Hunter (June 22, 2015). "Topsail senior named Miss N.C. Outstanding Teen". StarNews Online.
- Wilkins, Jordan (December 7, 2011). "UNCW senior wins Miss North Carolina USA 2012". The Seahawk.
- "15-year-old named Miss North Carolina's Outstanding Teen". WRAL.com. June 28, 2009.
- "Miss Wisconsin's Outstanding Teen, Jeanette Morelan, Wins Miss America's Outstanding Teen Competition". Miss America's Outstanding Teen. August 15, 2009. Archived from the original on January 29, 2010.
- "About Miss North Carolina Teen USA 2011". RPM Productions, Inc. 2010. Archived from the original on July 14, 2011. Retrieved May 13, 2011.
- Price, Mark (2007-08-24). "Area teen places in Miss Teen USA top 5". Charlotte Observer. Retrieved 2007-08-24.[permanent dead link]
- Womble, Jeffery (1993-03-06). "Fayetteville Teen Brings Home State Pageant Crown". The Fayetteville Observer.