With over 300,000 living former students,[236] North Carolina has one of the largest and most active alumni groups in America. Many Tar Heels have attained local, national, and international prominence. James K. Polk served as President of the United States for a single term,[237] William R. King was the thirteenth Vice President of the United States.[238] North Carolina has produced many United States Senators including Paul Wellstone[239] and Thomas Lanier Clingman,[240] along with multiple House Representatives such as Virginia Foxx[241] and Ike Franklin Andrews.[242] Algenon L. Marbley[243] and Thomas Settle[244] have received positions of federal judgeship. Former Secretary of War and Secretary of the Army Kenneth Claiborne Royall[245] and the fifth White House Press Secretary Jonathan W. Daniels were graduates of North Carolina.[246] North Carolina has also produced 38 state governors, including Terry Sanford, Jim Hunt, and Roy Cooper, the current Governor of North Carolina. Peaches Golding was appointed by HM Queen Elizabeth II as High Sheriff of the City and County of Bristol 2010–2011, the first Black female High Sheriff and second only black High Sheriff in over 1,000 years. Stormie Forte was appointed as the first Black woman and openly LGBTQ female member of the Raleigh City Council. Carolyn Hunt served as the Second Lady of North Carolina and twice served as the First Lady of North Carolina. Margaret Rose Sanford served as First Lady of North Carolina. James E. Webb, the 2nd Administrator of NASA and an architect of the Apollo program during the Kennedy administration, was a Tar Heel. NASA's James Webb Space Telescope, the next generation successor of Hubble scheduled to launch in 2019, was named in honor of Webb.[247]

The October 22, 2014 release of the Wainstein Report[174] alleged institutionalized academic fraud that involved over 3,100 students and student athletes, over an 18-year period from 1993 to 2011 that began during the final years of the Dean Smith era, challenged "The Carolina Way" image.[175] The report alleged that at least 54 players during the Dean Smith era were enrolled in what came to be known as "paper classes." The report noted that the questionable classes began in the spring of 1993, the year of Smith's final championship, so those grades would not have been entered until after the championship game was played.[176] In response to the allegations of the Wainstein report, the NCAA launched their own investigation and on June 5, 2015[177] the NCAA accused the institution of five major violations including: “two instances of unethical conduct and failure to cooperate“ as well as “unethical conduct and extra benefits related to student-athletes' access to and assistance in the paper courses; unethical conduct by the instructor/counselor for providing impermissible academic assistance to student-athletes; and a failure to monitor and lack of institutional control".[178] In October, 2017, the NCAA issued its findings and concluded "that the only violations in this case are the department chair's and the secretary's failure to cooperate."[178]

The first public institution of higher education in North Carolina, the school opened its doors to students on February 12, 1795. North Carolina became coeducational under the leadership of President Kemp Plummer Battle in 1877 and began the process of desegregation under Chancellor Robert Burton House when African-American graduate students were admitted in 1951.[13][14] In 1952, North Carolina opened its own hospital, UNC Health Care, for research and treatment, and has since specialized in cancer care through UNC's Lineberger Comprehensive Cancer Center which is one of only 51 national NCI designated comprehensive centers.[15]

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