| Date: | September 20, 1969 |
| Venue: | Baltimore Civic Center, Baltimore, Maryland |
| Presenters: | Bob Hope |
| Entrants: | 38 |
| Placements: | 15 |
| Winner: | Gail Renshaw Virginia Connie Lee Haggard Texas |
| Before: | 1968 |
| Next: | 1970 |
Miss World USA 1969 was the 8th edition of the Miss World USA pageant and it was held in the Baltimore Civic Center in Baltimore, Maryland and was won by Gail Renshaw of Virginia. She was crowned by outgoing titleholder, Johnine Leigh Avery of Washington. Renshaw went on to represent the United States at the Miss World 1969 Pageant in London later that year. She finished as 1st Runner-Up at Miss World. After competing at Miss World, Renshaw resigned her title to get married. Renshaw was replaced by Connie Lee Haggard of Texas who was the 1st Runner-Up of Miss World USA.[1]
This edition was also the first edition where cities were no longer represented. From this point forward, delegates representing cities have to compete in and win state pageants first before competing at Miss World USA.
| Final results | Contestant |
|---|---|
| Miss World USA 1969 |
|
| 1st Runner-Up |
|
| 2nd Runner-Up | |
| 3rd Runner-Up |
|
| 4th Runner-Up |
|
| Top 7 |
|
| Top 15 | |
∞ Renshaw resigned the Miss World USA title after competing at Miss World to get married. Due to protocol, Connie Lee Haggard became Miss World USA
The Miss World USA 1969 delegates were:
Contestants who competed in other beauty pageants:
: Paulette Reck (1st Runner-Up)