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Miss USA

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Elizabeth Graham Pistole was Miss Tennessee USA 2021


1st runner-up Miss Tennessee Teen USA 2019, Semi-finalist 2018, 1st runner-up 2017

Top 16 at Miss USA 2021

A native of Nashville, Elizabeth Graham Pistole was crowned Miss Tennessee USA on 13 March 2021 and represented Tennessee at the Miss USA 2021 pageant in Tulsa, Oklahoma. Inspired by her sister, Natalie, who has Down Syndrome, Elizabeth created “Dancing Divas and Dudes”, a dance team for individuals with special needs.

Carlos Velez
Carlos Velez

2021 bio:

Elizabeth Graham Pistole was born and raised in Nashville, Tennessee. She still lives in Nashville where she is a fitness instructor at 2 local barre studios. She is also continuing her education by pursuing a master’s degree in marketing with a concentration of social media strategies online at the University of Alabama.

Elizabeth Graham was driven to pursue a master’s degree so that she could have the knowledge to grow and develop her nonprofit, The Dancing Divas and Dudes. The Dancing Divas and Dudes is a dance team for individuals with special needs and was inspired by her sister, Natalie, who has Down Syndrome. Elizabeth Graham wanted to offer her sister and her peers a team environment and teach them how to express themselves through movement. Elizabeth Graham started the Divas and Dudes at 14 years old and has grown it by over 600% over the past 7 years. The Divas and Dudes organization has had the opportunity to serve 45 families in the Southeast. Elizabeth Graham’s goal is to develop a way for chapters of the Dancing Divas and Dudes to be started all over the country. Elizabeth Graham knows the difficulties and obstacles that accompany enacting the change that one believes is needed. This has driven her to want to utilize her year as Miss Tennessee USA to be a resource and inspiration to young adults who want to make a difference.

Elizabeth Graham is honored to get to represent her home state. Her goal is to make the most of every opportunity, empower those that she meets, and be a source of light across the entire state.

Miss USA pageant photos

Competing in the Miss USA pageant is once-in-a-lifetime event few get to experience. Here are Elizabeth’s official Miss USA photos.

State pageant photos

The on-stage moments, the tension of the final two and the glory of the crowning, here are Elizabeth’s state pageant photos.

Professional photos

Lights, camera, action!  Professional photoshoots are one of the perks that comes from winning a title.

Candid & Appearance photos

From events straight after her crowning to her final appearances before she passed on her crown, here’s a look at all the appearances Elizabeth made during her reign, as well as other candid photos during her year.

Previous pageant photos

There’s nothing better than watching a contestant progress from year to year! Elizabeth Graham competed three times in Teen before winning the Miss pageant on her first try.  She was first runner-up in both 2017 and 2019!

Farewell photos

All beautiful things must come to an end, no matter how bittersweet. See Elizabeth’s farewell walk and other candids from the weekend she crowned her successor Emily Suttle as Miss Tennessee USA 2022.

After the crown

Winning a state title is a sisterhood for life. Here are Elizabeth’s “after the crown” photos.

Get to know more Tennessee titleholders...