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Training and maintaining a quality workforce for North Carolina involved preparing individuals throughout their lives. Examples of programs preparing North Carolinians for the workforce before high school graduation included a partnership between Randolph County schools and local factories, which entailed middle school students receiving on-site tours and engaging in hands-on activities. As for enhancing the preparation of adult students, programs included a partnership between Pitt Community College and Vidant Medical Center, which involved a grant providing nursing program students equipment for a simulation hospital.