Vision Zero Youth Ambassador Application

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 attend all required sessions listed on the website until the program is completed?

Yes

Do you have access to a reliable computer, internet access, and a computer camera for online zoom sessions?

Yes

Do you have access to reliable transportation to attend the in person sessions?

Yes

Other Language

Spanish

Chinese

Korean