Required fields are marked with asterisks (*)

Town of Milton Walk of Fame Nomination Form

Milton's Walk of Fame recognizes the achievements of successful Miltonians. Each Walk of Fame inductee is permanently recognized in the glass corridor that links the historic Town Hall (Town Hall West) to the addition (Town Hall East).

Created in 2007 as Milton's 150th Anniversary Legacy project, the Walk of Fame highlights our local athletes, sports, actors, writers, musicians, entrepreneurs, and government, health and science figures. We present all nominees with a recognition gift at the induction ceremony during Heritage Week.

Personal information contained on this form is collected under the authority of the Municipal Act, 2000 and will be used to respond to your application. Questions about this collection should be directed to Executive Services 905-878-7252 x2102.

Nomination Category

Agriculture, Business and Industry

Arts and Entertainment

Athletics

Government and Public Service

Health and Science

Nominator's Contact Information

Your First Name:

Your Last Name

Street Address:

Town

Postal Code:

Email Address:

Phone number:

Nominee Information

Nominee First Name

Nominee Last Name

When and how long did the nominee live in Milton? (Minimum of 10 years required)

Is the nominee deceased?

Yes

Nominee's Accomplishments

The candidate's accomplishments must meet these criteria in order to be considered for entry into the Milton Walk of Fame:

be national or international in scope
be best-in-class in their field of endeavor
extend for a period of a minimum of two(2) years

Description of Accomplishments

Attach a description of accomplishments (Optional, 5MB max)

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