Vision Zero Youth Ambassador Application

We are seeking youth ambassadors who are passionate about traffic safety. You must be able to attend all in-person sessions and complete assignments virtually in between the sessions.

See session dates and program details:

https://www.montgomerycountymd.gov/DOT-Pedsafety/VZYA/

Name

Email (No MCPS Email)

What is your MCPS Student ID Number? (If you do not attend MCPS, please enter 000000)

Phone Number

What School do you attend

What is your Grade Level

Why should you be selected to be a Vision Zero Youth Ambassador (75 word minimum)?

Describe your experience working with a team to accomplish a project or task (75 word Minimum)?

Describe 3 reasons why pedestrian and bike safety are important in your community (75 word minimum)?

Do you agree to commit to attending all required sessions listed on the website (link above) in person and attend weekly virtual meetings with your team until the program is completed?

Yes

Do you have access to reliable transportation to attend the in person sessions at: 101 Monroe Street Rockville, MD 20850?

Yes

Please list below any additional languages you speak besides English: (Optional)