Leadership Hot Springs Youth Application
Our mission is to shape the community leaders of tomorrow. LHS Youth participants will engage in sessions designed to deepen their understanding of leadership, economic development, government, social services and more. The program begins with a mandatory two-day retreat. For 2026, the youth retreat will be September 12 & 13. In addition, the monthly sessions are held on the 1st Tuesday of each month from October through April.
Personal Information
Name
*
First Name
Middle Name
Last Name
Suffix
Preferred Name
*
E-mail
*
example@example.com
Primary Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Length of time you have lived in Garland Co
*
Birth Date
*
-
Month
-
Day
Year
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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 to not disclose
Parent(s)/Guardian Name
*
First Name
Last Name
Parent/Guardian's Phone Number
*
-
Area Code
Phone Number
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Education, Organizations & Activities
High School Name
*
Please Select
All Children's Academy
ASMSA
Christian Ministries
Cutter
Fountain Lake
Gospel Light Christian School
Homeschooled
Hot Springs
Jessieville
Lakeside
Lake Hamilton
Mountain Pine
Grade (upcoming school year)
*
10th Grade
11th Grade
12th Grade
Main area of interest in school
*
Education/Vocation Goals
*
Honors/Recognitions Received (ie. awards, academic recognition, etc)
*
What activities are you planning on participating in during the upcoming school year?
*
Please list in order of importance to you, up to seven school, volunteer, religious, social, athletic or other activities/organizations in which you have participated.
Activity/Organization #1
Grade when you participated
Leadership/Responsibility/Involvement in Activity/Organization #1
Activity/Organization #2
Grade when you participated
Leadership/Responsibility/Involvement in Activity/Organization #2
Activity/Organization #3
Grade when you participated
Leadership/Responsibility/Involvement in Activity/Organization #3
Activity/Organization #4
Grade when you participated
Leadership/Responsibility/Involvement in Activity/Organization #4
Activity/Organization #5
Grade when you participated
Leadership/Responsibility/Involvement in Activity/Organization #5
Activity/Organization #6
Grade when you participated
Leadership/Responsibility/Involvement in Activity/Organization #6
Activity/Organization #7
Grade when you participated
Leadership/Responsibility/Involvement in Activity/Organization #7
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Leadership Questions
What you hope to gain from participation in the Leadership Hot Springs Youth Program? What skills and interests would you bring to the group and how you would give back to the community after participation.
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0/500
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 could 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
Required Documents
Please attach your bio. (highlight who you are, your interests, and your goals for the future.)
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Please attach your color photograph (headshot).
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