In the Teen competition, first runner-up went to Miss Hawaii's Outstanding Teen 2015 Kealani Tanizaki Hudson who was vying to join her MAOTeen sister Kenzie Hansley (Miss NC Teen USA) at Miss Teen USA. Second runner-up was Bailey Lum, last year's first runner-up. Third and fourth runner-up spots went to first-time contestants Kawena Kan-Hai and Maya Chan.
Full results
1RU: Ellise Kakazu
2RU: Paige Knight (NF CA TUSA 15)
3RU: Tesia Worley (3RU 15, 2RU HI TUSA 11, SF 10)
4RU: Julianne Chu (1RU 16, 2RU 14, 2RU 12, HI TUSA 10, 4RU 09)
Semi-finalists:
Chelsea Clement
Kennedi Akana
Sofia Godinez-Miller
Kathleen Fierro
Adrienne Wilson
1RU: Kealani Tanizaki Hudson (HI's OT 15, NF 14)
2RU: Bailey Lum (1RU 16)
3RU: Kawena Kan-Hai
4RU: Maya Chan
Semi-finalists:
Bryazha Caires
Maluhia Duro
Shariah Olomua
Ciana Pelekai
Kaelia Saniatan