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Qiana Elam began her college career at Freed-Hardeman University in 1996. She made an immediate impact on the team, scoring 509 points and pulling down 270 rebounds her freshman year. During her four years as a Lady Lion, she became the all-time leading scorer and rebounder.

She currently holds the FHU women's school record for most points in a game (46), in a season (781), and career (2,762). She also holds the school record for most rebounds in a game (24), in a season (781), and career (1,529).

Elam was named a Kodak All-American as a senior, a two-time NAIA All-American as a junior and senior, a two time TranSouth Player-of-the-Year, and received TranSouth All-Conference honors all but one year.

During Qiana's career at FHU, the Lady Lions made four consecutive trips to the NAIA National Tournament, including a Final Four appearance during the 1998-1999 season.