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Walk of Fame Nomination Form
Walk of Fame Nomination Form
Details of Nominator
Full Name
(Required)
Current Address
Phone Number
Email
(Required)
Details of Nominee
Please provide as much detail and evidence on the following criteria as possible.
Full Name
To the best of your knowledge has the nominee resided in the City of Joondalup for over five years and/or attended an educational institution that is located within the City for 5 years or more?
Yes
No
What area/s are you nominating for?
Sport
Business
Community
Nominations can be for more than one category.
What are the achievements you are nominating this person for?
Has the nominee represented clubs within the City of Joondalup?
Please provide details.
Has the nominee been involved with the community or philanthropy within the City of Joondalup?
Please describe their involvement.
Are you aware if the nominee has received awards elsewhere?
Does the Nominee have a media profile?
Additional details and/or supporting documentation
Please attach any additional information to this submission.
Drop files here or
Select files
Max. file size: 150 MB.
Nominator’s Declaration
I declare that the information provided is correct to the best of my knowledge.
Name
This field is for validation purposes and should be left unchanged.
