Helgenberger was born in Fremont, Nebraska, to Mary Kay (née Bolte), a nurse, and Hugh Helgenberger, a meat inspector. She was raised in North Bend, Nebraska, where she graduated from North Bend Central High School. Helgenberger is of Irish and German descent and had a Roman Catholic upbringing. She has one older sister named Ann and a younger brother named Curt. Helgenberger played the French horn in her high school marching band. Until she went to college, Helgenberger aspired to be a nurse like her mother, but attended Kearney State College (now the University of Nebraska at Kearney) in Kearney, Nebraska, then attended Northwestern University's School of Speech in Evanston, Illinois, (now the School of Communication) and earned a B. S. degree in speech and drama.
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