April 2023
BILL BLACKWOOD
A Member of the Texas State
University System
LAW ENFORCEMENT MANAGEMENT INSTITUTE
OF TEXAS
Leadership Command College
Application for Admission
Admission to the Leadership Command College is competitive and is based on a number of factors which
include
1. Current employment with a public law enforcement agency in Texas
2. A minimum of five (5) full-time years paid employment in a public law enforcement agency in Texas
3. Currently, candidate must be assigned in a supervisory position with a minimum of two years in that capacity
4. If employed with a Constable's Office, must first attend and graduate from the Texas Constable's Leadership
College (TCLC). http://www.lemitonline.org/programs/?mode=view&item=15
5. A fully-completed application
INSTRUCTIONS FOR COMPLETING THIS APPLICATION
Answer each question as completely as possible. If necessary, you may attach additional sheets of paper.
It is not necessary to attach copies of college transcripts, diplomas, birth certificates, commission
certificates, or other similar documents. Once completed, print out, sign and mail.
If you have any questions, please call the Institute at (936) 294-3193 or email [email protected]
Mail completed applications to
Bill Blackwood Law Enforcement Management Institute of Texas
Attention: Max Toliver Jr.
Sam Houston State University - Box 2417
Huntsville, Texas 77341-2417
April 2023
Please TYPE or PRINT legibly
Part I – Personal Information
Last Name First Name MI
Preferred First Name Date of Birth
Gender Male Female
Ethnicity African American Native American Hispanic Asian White Other
PID# Rank/Title (Chief, Capt., Lt., etc.)
Agency Name
Chief Executive Officer
AGENCY TYPE
Municipal Police Department Sheriff’s Office Constable’s Office
College/University Police Special District (airport, park, metro, etc.)
Independent School District State Law Enforcement Out of State Law Enforcement
Federal Law Enforcement International Law Enforcement
REQUIRED
Department Mailing Address
City State County Zip
Agency Telephone Number (___) Fax Number (____)
Preferred Telephone Number (for daytime contact) (____)
Work email address
Preferred email address
OPTIONAL
Home Mailing Address
City State County Zip
LEMIT USE ONLY
LCC#
essay
April 2023
Part II – Work Experience
Do you currently hold a commission with the Texas Commission on Law Enforcement?
Yes No
If no, are you certified in any other state? Yes _No
List state
Are you a licensed peace officer? Yes No
Summarize your experience as a paid full time member of a law enforcement agency in the following
chart.
Work Category
Description
Years of
Experience
Operations Level
First Line Supervisor
Newly assigned to first supervisory role.
Mid Management
Supervisor of other supervisors in a single
functional area
Commander/Assistant CEO
Supervisor of other supervisors in multiple
functional areas
Chief Executive Officer
Chief executive officer or elected administrator
Other
Describe
TOTAL
Education Level
Less than Associates degree
Associates degree or over 60 hours college with no degree
Bachelor’s degree
Master’s degree
Terminal degree
April 2023
Part III – Education/Training
List the police academy and all schools (high school, college, university, vocational or
academy) attended. Attach additional sheet if necessary.
Name/Location of institutions
attended
Hours
complete
Degree, Diploma, License
Date
complete
Part IV – Additional Information
Please include copies of the following and staple them to this application before mailing
A Departmental organizational chart indicating your current position.
The job description of your current position on department stationary.
April 2023
Last Name___________________________________ First Name________________________
Agency______________________________________________________________________
Part V – Essay
Please respond to the following questions in a brief (200-300 word) essay. Please type your
responses below.
1. What do you hope to gain personally and professionally by attending the Leadership
Command College?
2. How will your attendance at the Leadership Command College benefit your agency?
April 2023
Part VI – Statement of Commitment
The Leadership Command College is an intensive educational program requiring a sincere commitment
of time away from your agency and the completion of a comprehensive written research project. Please
read and sign the following statement.
APPLICANT’S STATEMENT OF COMMITMENT
I understand that, if selected to attend the Leadership Command College, I will be required to attend three
15-day modules.
I will be required to complete the Leadership Portfolio and the comprehensive Leadership White Paper.
I have read the Leadership Command College Rules and Guidelines and agree to abide by them.
I personally agree to complete all work assignments and projects assigned by the Institute within the
required time frames. All written projects will be the result of my own independent research. I agree that,
if I do not make regular progress, I may be suspended or removed from the program.
I intend to continue employment within the public sector for a period of not less than three years to
apply the knowledge and skills acquired through the Leadership Command College.
Applicant’s signature Date signed
Part VII – Agency Nomination (optional)
Admission to the Leadership Command College does not require the nomination of your agency.
However, your likelihood for admission and completion are greatly enhanced if your supervisors are
aware of the commitment you are making to improve your ability to perform in a law enforcement
agency. If your agency supports your commitment to attend the Institute, please ask your immediate
supervisor or agency executive to read the above statement of commitment and sign below in the space
provided.
I have read the statement of commitment and will support this applicant’s attendance at the Leadership
Command College.
Typed/Printed name Title
Signature Date signed
