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. Alternatively , you can download this form, complete and mail to us at the address below. Download the form here. Nominee Information Nominee Name: Please Indicate    Male    Female     Please Indicate    Living    Deceased Stage Name: Name of Spouse: Address: Telephone Number: Address 2: 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 One category and one sub-category must be selected. Category:  Select Category Professional Semi-Professional Builder Sub-Category: Postal Code: Birthplace: Birthdate: Submitter Information Your Name: Title: Affiliation:   Address: Telephone Number: Address 2: 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 Country: Postal Code:   Nominee Details   CONCERTS and/or SHOWS Please list only SIGNIFICANT Concerts or Shows the Nominee was/is involved in.     ORIGINAL COMPOSITIONS List titles and publishers of musical pieces your Nominee has sung/written/played.     MUSICAL HONOR(S) AND/OR AWARD(S) Please indicate SIGNIFICANT musical awards or honors.     RADIO AIR PLAY / TELEVISION APPEARANCE(S) Briefly describe any TV shows or radio air play that your Nominee has had.     RECORDINGS (LPs / Singles / Tapes / Cassettes / CDs / Videos) Please provide a brief project description of any recordings including distribution outlet availability. (PLEASE NOTE: Semi-Professional nominations MUST ALSO include the location where recordings were produced - i.e. registered studio, or location other than a registered studio. If a registered studio, please provide name and contact number).     ADDITIONAL INFORMATION PERTAINING TO NOMINEE in 250 words or less. Please note: No back-up material necessary or accepted (unless requested by the Inductee Nominating Committee).     I HEREBY CONFIRM that I have read the Rules for Nomination here. I FURTHER CONFIRM that the information provided in this Nomination form is true to the best of my knowledge, information and belief. I am prepared to provide back-up proof of same if requested to do so by the NSCMHF Inductee Nominating Committee. I understand that if such proof (if requested), 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