APTA North Carolina has thirteen seats in the APTA House of Delegates that has a total of four-hundred-thirty-nine seats. Each Academy or Section has two seats for a total of thirty-six.  The other seats are divided between the fifty one Chapters (includes DC) by proportion of membership.

A delegate's term is two years long and delegates can run for that office as often as they like. The Chief Delegate's term is three years long and limited to two consecutive terms, as that position also serves as on the Board of Directors.  The APTA North Carolina Bylaws calls for one seat on the Delegation to be filled by the Chapter president, who also serves a 3-year term, limited to two terms.

Every year, the Chapter holds elections in October to start the following January.  As the general delegate positions are 2-year terms, every year, we have approximately half of the seats up for election each year.  The top vote-getters are elected, with the following two candidates in vote-count earning slots as alternate delegates for one year.

Alternate delegates attend all the same meetings and learn all the same information about ongoing motions and issues.  Fairly often, if a delegate is unable to attend the House of Delegates, an alternate delegate will serve in the House with a vote.