2019 Nomination Form
Information on Nominator (person making the nomination)
Nominator's First Name *
Your answer
Nominator's Last Name *
Your answer
Mailing Address *
Your answer
Phone (work, cell and/or home) *
Your answer
E-mail Contact *
Your answer
Please review details on eligibility:
Athletes: Any individual athlete or team in amateur or professional sport who has achieved outstanding & extraordinary success in Canada, or as a Canadian competing abroad; demonstrates exemplary values and/or personal characteristics, and makes a defining contribution to his/her sport and/or Canadian society. Athlete nominees shall not ordinarily be considered until four (4) years after retirement from major championship competition.

Builders: Any individual who has made an outstanding and extraordinary contribution to amateur or professional sport in Canada other than as a competitor; demonstrates exemplary values and/or personal characteristics, and makes a defining contribution to his/her sport and/or Canadian society. Builder nominees may be either active or inactive at the time of their consideration.

Only completed forms will be submitted to Canada’s Sports Hall of Fame’s Honoured Member Selection Committee.

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