4A Girls
| Year | Cross Country | Indoor Track | Outdoor Track |
| 2018-2019 | Cardinal Gibbons | Southeast Raleigh | TBD |
| 2017-2018 | Cardinal Gibbons | Southeast Raleigh | Panther Creek |
| 2016-2017 | Cardinal Gibbons | High Point Central | Hillside |
| 2015-2016 | Cardinal Gibbons | Southeast Raleigh | Southeast Raleigh |
| 2014-2015 | Green Hope | Parkland | Parkland |
| 2013-2014 | Green Hope | Parkland | Parkland |
| 2012-2013 | Green Hope | Wakefield | Southeast Raleigh |
| 2011-2012 | Green Hope | Wakefield | Wakefield |
| 2010-2011 | Green Hope | Wakefield | Wakefield |
| 2009-2010 | Green Hope | Southeast Raleigh | Wakefield |
| 2008-2009 | East Chapel Hill | Mount Tabor | Southeast Raleigh |
| 2007-2008 | Chapel Hill | Southeast Raleigh | Butler |
| 2006-2007 | Chapel Hill | Southeast Raleigh | Harding University |
| 2005-2006 | Chapel Hill | Southeast Raleigh | Southeast Raleigh |
| 2004-2005 | Providence | Harding University | Harding University |
| 2003-2004 | Providence | Mount Tabor | Harding University |
| 2002-2003 | Mount Tabor | Mount Tabor | Mount Tabor |
| 2001-2002 | Mount Tabor | Mount Tabor | Independence |
| 2000-2001 | Eastern Wayne | Mount Tabor | R.J. Reynolds |
| 1999-2000 | Southeast Raleigh | Olympic | Olympic |
| 1998-1999 | Leesville Rod | North Rowan | Independence |
| 1997-1998 | Cary | West Mecklenburg | West Mecklenburg |
| 1996-1997 | West Forsyth | Watauga | Watauga |
| 1995-1996 | Watauga | Cummings | Watauga |
| 1994-1995 | West Forsyth | North Forsyth | Watauga |
| 1993-1994 | Providence | North Forsyth | North Forsyth |
| 1992-1993 | Watauga | Providence | Jacksonville and Dudley Tie |
| 1991-1992 | Providence | Ben L. Smith | Ben L. Smith |
| 1990-1991 | Watauga | East Mecklenburg | Jacksonville |
| 1989-1990 | Grimsley | Dudley | Dudley |
| 1988-1989 | Grimsley | Dudley | Dudley |
| 1987-1988 | Chapel Hill | Grimsley | Grimsley |
| 1986-1987 | Grimsley | Grimsley | Grimsley |
| 1985-1986 | Watauga | DNC | Dudley |
| 1984-1985 | Chapel Hill | DNC | Dudley |
| 1983-1984 | Chapel Hill | DNC | Dudley |
| 1982-1983 | East Mecklenburg | DNC | Northern Durham |
| 1981-1982 | Chapel Hill | DNC | Northern Durham |
| 1980-1981 | Chapel Hill | DNC | E.E. Smith |
| 1979-1980 | DNC | DNC | Hillside |
| 1978-1979 | DNC | DNC | Pinecrest |
| 1977-1978 | DNC | DNC | Hillside, Jordan Tie |
| 1976-1977 | DNC | DNC | Western Guilford |
| 1975-1976 | DNC | DNC | Hoke County |
| 1974-1975 | DNC | DNC | Hoke County |
| 1973-1974 | DNC | DNC | Hoke County |
| 1972-1973 | DNC | DNC | Hoke County |
| 1971-1972 | DNC | DNC | Hoke County |