Tools Developed by Kids Impact Initiative
Downloadable Child/Youth Impact Assessment Form:
This sample form can be downloaded and filled in. For greatest ease-of-use, the design is simple with minimal formatting. It can be adapted to meet individual goals and needs.
Sample Child Impact Assessment Form
Examples of Completed Child/Youth Impact Assessments:
City/County Level:
Clark County (Nevada) Anti-Discrimination in Housing Policy
State Level:
Other Sample Assessment Forms
New Brunswick Government, Child Rights Impact Assessment Tool
New Zealand Government, Child Impact Assessment Tool
Seattle Public Schools, Racial Equity Analysis Tool
Other Examples of Completed Child/Youth Impact Assessments
New Brunswick Office of Child and Youth Advocate, A Child Rights Impact Assessment of Bill 39, An Act Respecting Proof of Immunization
Santa Clara County, Sample Child Impact Statement Linked to Children’s Agenda Indicators
Scottish Government, Heat Networks Bill, Child Rights and Wellbeing Impact Assessment
Scottish Government, Impact of COVID-19 restrictions on children and young people, Child Rights and Wellbeing Impact Assessment
Scottish Government, links to all Child Rights and Wellbeing Impact Assessments completed between November 2020 and January 2021
Shelby County Office of Early Childhood and Youth, Child Impact Statement for Defending Childhood Initiative
Sample Bill of Rights for Children & Youth
Convention on the Rights of the Child/UNICEF
City of Portland/Multnomah County (Oregon), Our Bill of Rights: Children + Youth
San Joaquin County (California), Children and Youth Bill of Rights
San Mateo County (California), Bill of Rights for Children and Youth
Santa Clara County (California), Bill of Rights for Children and Youth
Sample Guidance
New Zealand Ministry of Social Development, Improving the wellbeing of children and young people in New Zealand: Child Impact Assessment Guide