Leadership Hot Springs Application
Our mission is to shape the community leaders of tomorrow. LHS participants will engage in sessions designed to deepen their understanding of leadership, economic development, education, tourism, government, social services and more. The program begins with a mandatory two-day retreat. For 2026, the retreat will be September 11 & 12. In addition, the monthly sessions are held on the second Tuesday of each month from October through May.
Personal Information
Name
*
Mr.
Mrs.
Ms.
Miss
Dr.
Rev.
Prefix
First Name
Middle Name
Last Name
Suffix
How would you like your name to appear on your name tag? (First and last name. Some will choose to include Dr., Rev., etc.)
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Primary Phone Number
*
Format: (000) 000-0000.
Work Phone Number
Format: (000) 000-0000.
Birth Date
*
-
Month
-
Day
Year
Date Picker Icon
Gender
*
Please Select
Female
Male
Ethnic Origin
*
Please Select
Asian
Black or African American
Hispanic or Latino
Middle Eastern
Native American
Pacific Islander
White/Caucasian
Prefer not to disclose
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Format: (000) 000-0000.
Education
High School Name
*
High School Graduation Year
*
College/University #1
Degree Earned
Graduation Year
College/University #2
Degree Earned
Graduation Year
College/University #3
Degree Earned
Graduation Year
Special Awards or Honors for Academic Performance
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Employment & Service
Current Employer
*
Current Title
*
Start Date of Current Employment
*
-
Month
-
Day
Year
Date
Most recent past employer & title
Date of Employment
Special Awards, Recognition, or Honors for work performance
What organizations are you currently involved in and in what ways do you serve?
Organization #1
Organization #2
Organization #3
Organization #4
What have you accomplished in serving these organizations that are important to you and/or made a difference in the community or organization at large?
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Leadership Questions
What do you hope to gain from participation in Leadership Hot Springs and what do you think you could give to this community as a participant in this program?
*
What do you feel are the 2 most pressing problems facing the Hot Springs/Garland County area today? Explain why and give any recommendations that you may have for approaching and resolving these problems.
*
Required Documents
Please attach your bio.
*
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Please attach your color photograph (headshot).
*
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Letters of Recommendations: The letters can be from leadership within your organization, volunteer service organizations that you are involved with, or other non-related persons who can attest to your character.
Letter of Recommendation #1
*
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Letter of Recommendation #2
*
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Attestation Statements
I understand that attendance at all nine (9) monthly sessions for the full day is required. I also understand that attendance at the entire two-day (Friday and Saturday) weekend retreat in September is mandatory. Even through emergencies do arise, any participant missing more than two (2) class days will be dropped from the program and no portion of the tuition is refundable. (Missing more than 1/2 of a program day will be considered an absence for the entire day.)
*
Please Select
Accept
Decline
I understand that there may be other activities (program planning meetings, graduation banquet, etc.) in which all participants will be expected to participate.
*
Please Select
Accept
Decline
I understand that the full amount of tuition is due to Leadership Hot Springs no later than August 1.
*
Please Select
Accept
Decline
If selected, I will not use contents from the sessions or statements made therein for the purpose of news coverage or self-promotion.
*
Please Select
Accept
Decline
If selected, I will not use the name of Leadership Hot Springs in a political campaign to imply endorsement of Leadership Hot Springs.
*
Please Select
Accept
Decline
I release Leadership Hot Springs of any damages incurred to myself by participating in the program.
*
Please Select
Accept
Decline
I understand that during each Leadership Hot Springs monthly session, or other functions, I will be required to act in a dignified and respectful manner, particularly towards persons involved in the program. I also understand being in the program may mean that I am exposed to people, ideas, or environments that are unfamiliar to me. I, therefore, agree to conduct myself in a professional and appropriate manner consistent with someone in a leadership role. I understand that my failure to do so may result in my removal from the Leadership Hot Springs program with no portion of the tuition refunded.
*
Please Select
Accept
Decline
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