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 15, 2025. For email, please include the nominated community’s name in the file name.

Deadline for submission is December 15, 2025.

Name of community* for award consideration:(Required)

 *A community can be a county, city, Tribal government, town, township, borough and village.

Number of people who live within the nominated community:

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

Name(Required)

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Phone

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

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

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. (maximum 2000 characters)

Provide a brief overview of the main strategies and successes relevant to the nominated city, county or tribal government’s action and progress in improving child and youth pedestrian and bicyclist safety. (maximum 2000 characters)

PROGRAM RESULTS AND SUCCESSES

Changes to the built environment (such as improved crossings, traffic calming, and physical separation of people walking and biking from where people are driving) play a critical role in improving safety. Increasingly, communities are working to fix locations where pedestrians 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 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, allowing safety cameras, 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 plans for youth pedestrian and bicyclist safety?
(maximum 1500 characters)  