In 1968, three government public information officers (PIO)—Jim Burns of the  North Carolina Department of Social Services, Patty Nash of the Council on Mental Retardation (now known as the North Carolina Council on Developmental Disabilities and Carl Blackwood of the  North Carolina Commission for the Blind—attended a government relations meeting at the U.S. Department of Health, Education and Welfare (now the U.S. Department of Health and Human Services) in Washington, D.C. They returned to the Tar Heel State with an idea that government public information officers needed a forum to meet each other, exchange ideas, and engage in professional devolopment.

Later that year, a dozen PIOs met and laid the groundwork for forming an association. With the help of Dr. Elmer Oettinger at the Institute of Government (now known as the North Carolina School of Government) in Chapel Hill, the group held its first seminar in January 1970. NCAGIO has grown and developed since that time.