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Vision Zero for Youth U.S. Leadership Award

APPLICATION FORM

Please note: The online form needs to be completed in one session so you may wish to prepare answers using this Word document before completing the digital application. You can also email the completed form directly to info@visionzeroforyouth.org by December 11, 2026. For email, please include the nominated community’s name in the file name.

Deadline for submission is December 11, 2026.

 

 *An eligible community can be a county, city, Tribal community, town, borough, or village that has a defined geographic jurisdiction, advances strategies that facilitate walking and bicycling, and either has responsibility for roadway infrastructure or serves a formal role in coordinating with the roadway owner.

Name, address, email and phone number of application contact person in the community being nominated:

Name(Required)
Address

If different than key contact person above: Name, address, email and phone number of person nominating the community:

Name
Address

PROGRAM OVERVIEW AND APPROACH

Describe the youth (under 18 years of age) pedestrian/bicyclist safety problem in your community and what sparked the action being highlighted in this application. If relevant, include e-bike and e-scooter concerns. (maximum 2000 characters)
Provide a brief overview of the main strategies and successes relevant to the nominated community’s action and progress in improving child and youth pedestrian and bicyclist safety. If relevant, include e-bike and e-scooter strategies and successes. (maximum 2000 characters)

PROGRAM RESULTS AND SUCCESSES

Changes to the built environment (such as improved crossings, traffic calming, and physical separation of people walking, biking, and rolling from where people are driving) play a critical role in improving safety. Increasingly, communities are working to fix locations where people walking, biking, and rolling are at risk of severe or fatal crashes, not just places that have a history of crashes.
(maximum 2000 characters)

  • Please describe the changes made and the time period in which activities took place. 
  • How were locations selected?
  • How did community input play a role in the projects?
  • Please note if the changes were connected to Federal SS4A (Safe Streets and Roads for all) funding or a Safety Action Plan, Vision Zero, a or another plan.

Policies can bring about changes to the built environment or reduced traffic speeds (for example, establishing a safety camera pilot program, limiting vehicle traffic on school streets, and encouraging active travel). 
(maximum 2000 characters)

  • Please describe any policies or policy changes that played a role in the nominated community and the time period in which activities took place.
  • Please note if the policies were part of a broader plan such as Vision Zero, a Safety Action Plan or another plan.

How are you measuring success? Please describe your specific goals and how you measure them. Include any results, both quantitative and qualitative. Include any crash trend data that could be relevant (such as serious and fatal injury rates for 0-17 year olds for the most recent five-year period). Quantitative data could also show any changes in speeds of vehicles or number of walkers or bicyclists. Qualitative data could include community feedback or something else.
(maximum 2000 characters)

COMMUNITY INVOLVEMENT

Describe any partnerships that were used or created to advance the work highlighted in this application, such as city and school district staff working together, local governments working with youth, or something else.
(maximum 2000 characters)

FUTURE PLANS

How do the accomplishments described in this application influence your community’s future safety plans for youth walking, biking, and rolling?
(maximum 1500 characters)