[17] In 1920, ECTTS became a four–year institution and renamed East Carolina Teachers College; its first bachelor's degrees were awarded the following year in education.

[8] Many of the Main Campus buildings feature the Spanish–Mission style architecture; inspiration drawn from Thomas Jarvis' time as an ambassador to Brazil.

Many graduates of ECU health sciences remain in the underserved East Carolina region to provide care in the area.

[29] The area is about 2 miles (3.2 km) west of Main Campus on 206 acres (0.8 km2) with nearly 1,300,000 square feet (121,000 m2) of academic and research space in 62 buildings.

Approximately 367 acres (1.49 km2) are designated wetlands[34] and large areas of biology, botany and other sciences field study sites.

It is also the home of the North Carolina Institute for Health and Safety in Agriculture, Forestry, and Fisheries with an administrative and several support buildings.

[35] The School of Dental Medicine built 8 community service learning centers located in rural and underserved areas throughout the state of North Carolina.

It will augment the Blount Intramural Sports Fields located behind the Carol Belk Building on Charles Boulevard.

[50] In late September 2019, Gerlach was placed on administrative leave after photos and video emerged, showing his interaction with students at a popular bar in the downtown area.

[2] The University of North Carolina Board of Governors is the policy-making body legally charged with "the general determination, control, supervision, management, and governance of all affairs of the constituent institutions".

The college scored higher than other North Carolina universities when the state board evaluated teacher education programs in 2006.

In addition, the Institution of Higher Education Performance Report showed ECU was first in the number of graduates who were employed in public schools across the state.

[60] The College of Fine Arts and Communication comprises four schools that range from dance to design and broadcast journalism.

The college officially opened on July 1, 2003, but can trace its roots to ECU founding; the school hired art and music professionals in 1907 to train teachers.

[61] The College of Health and Human Performance is made up of eight academic units and handles all of the recreational and exercise degrees at East Carolina University.

The college has over 100 faculty teaching the students everything about the nursing field while practicing in the under-served Eastern North Carolina.

[71][72][73] The school offers 17 master's degree in Accounting, Arts, Business Administration, Construction Management, Education, Environmental Health, Fine Arts, Library Science, Music, Nursing, Occupational Therapy, Public Administration, Public Health, School AdministrationScience, Social Work and Teaching.

Dental students will complete their final year at ECU Community Service Learning Centers to be located throughout the state.

The Patriot Award recognizes employers who go above and beyond what the law requires in supporting their employees who serve in the National Guard or reserves.

[90] Randolph Chitwood, a cardiothoracic surgeon with East Carolina, performed the first minimally invasive robotic-assisted mitral-valve heart surgery in the United States.

Walter Pories, a faculty member at The Brody School of Medicine developed the standard procedure for gastric bypass surgery.

[91] The Biofeedback Lab is currently developing techniques to help service members recover from posttraumatic stress disorders and traumatic brain injuries they received in Afghanistan and Iraq.

Jason Bond, a former scientist in the Department of Biology, discovered many new species of spiders, including Myrmekiaphila neilyoungi and Aptostichus stephencolberti.

During an archaeological dig on Hatteras Island in 1998, archaeologists discovered a 10-carat gold English signet ring from the 16th century, among other artifacts.

It also holds materials related to North Carolina, the tobacco industry, worldwide missionary activities, and American military history.

This project intends to supply resources and funds towards diversity proposals offered by students, campus organizations, faculty, and staff.

The Ward Sports Medicine building comprises 82,095-square-foot (7,600 m2) and houses the athletic department, Pirate Club offices and the Human Performance Laboratory.

Actress Emily Procter, Beth Grant, and screenwriter Kevin Williamson, creator of Scream and Dawson's Creek, graduated from East Carolina.

Marcus Crandell (born June 1, 1974, in Charlotte, North Carolina) is a former quarterback and current coach in professional Canadian football; he played 11 seasons for the Edmonton Eskimos, Calgary Stampeders and Saskatchewan Roughriders from 1997 to 2008 while also spending time in NFL Europe and the XFL.

[117] Henry "Gizmo" Williams, Canadian Football League inductee, graduated from East Carolina University.