Nomination Form

Please fill in this form to nominate a candidate for the Nova Scotia Country Music Hall of Fame.  Submissions must be received by February 15th in each year.  Nominees must have been born in Nova Scotia. Please fill in this form to nominate a candidate for the Nova Scotia Country Music Hall of Fame. Alternatively , you can download this form, complete and mail to us at the address below. Download the form here. Vocalist   Instrumentalist * Builder * *   A (lead) B (back-up)   Note:  *   (A) - A lead instrumentalist or (B) a back-up to a vocalist or instrumentalist * * A builder - anyone who has contributed significantly to country music in N.S. - not necessarily an instrumentalist or a vocalist Nominee Name:     Stage Name:   Name of Spouse:   Address: Telephone Number:   Fax Number: City: Email: Province: Alberta British Columbia Manitoba Newfoundland New Brunswick Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territories     Please Indicate   Male   Female   Living   Deceased Postal Code: Birthplace: Birthdate: Your Name: Title:   Affiliation:   Address: Telephone Number:   Fax Number: City: Email Address: Province: Alberta British Columbia Manitoba Newfoundland New Brunswick Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territories     Postal Code:   Country:       Nominee Details       Recordings: (LPs / Singles / Tapes / CDs / Videos) Please provide a brief project description of any recordings.     Significant Concert(s) and/or Show(s): Please list any concerts or shows the nomineed was/is involved in.     Radio Air Play / Television Appearance(s): Briefly describe any TV shows or Radio Air Play that your nominee has had.     Composition(s): (original Song(s) and/or Instrumental(s)): Briefly list any songs or musical pieces your nominee has sung/written/played.     Musical Honor(s) and/or Award(s): Please indicate any other musical awards or honours.     Additional information pertaining to proposed Inductee’s career (in 250 words or less). Please note:- No back-up material necessary or accepted. If proposed Inductee is being nominated as a “builder” of Country Music in Nova Scotia, (builder - anyone who has contributed significantly to country music in N.S. - not necessarily an instrumentalist or vocalist) additional information may be 500 words or less. (Some of the foregoing information may not be pertinent in the case of a “builder”). (Please use an additional page, if space provided not sufficient)     I HEREBY CONFIRM the information provided herein is true to the best of my knowledge, information and belief. If required I am prepared to provide back-up proof of same. I understand that if such proof is not forthcoming, this nomination will be null and void.  Check this box to agree:  Email, fax, or mail any supporting documentation to: Email: info@nscmhf.ca Fax: (902) 527-0003 Mail: Nova Scotia Country Music Hall of Fame Nomination Committee 450 LaHave Street, Unit 17, Suite 230 Bridgewater, Nova Scotia B4V 4A3