NFMUSICHOF 2019 INDUCTION NOMINATION APPLICATION FILLABLE FORM .pdf

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Niagara Falls Music Hall Of Fame  
6676 Rohr Street * Niagara Falls, NY 14304 * (716) 731-5584

To be considered for induction in the Class of ​2019 Niagara Falls Music Hall of Fame,
complete this form in its entirety and return it along with supporting materials to the
address above NO LATER THAN JUNE 30, 2019. ​All documentation will remain on file with the NFMUSICHOF. Supporting
materials (i.e., pictures, press releases, interviews, newspaper/magazine articles, album/CD liner notes, recording
credits, etc.) are required to be included with the nomination form. All materials submitted become the permanent
property of the NFMUSICHOF and will not be returned. This nomination form and all documentation received will be
living files. Nominees not chosen for induction this year will be considered for a future class induction using information
on file as well as any other future submissions.

CONTACT INFORMATION OF PERSON SUBMITTING NOMINATION:
NAME:____________________________________________________________________________________________
ADDRESS:__________________________________________________________________________________________
__________________________________________________________________________________________________
CITY:______________________________________________________________________________________________
STATE:____________ ZIP:______________________
E-MAIL:____________________________________________________________________________________________
CELLULAR PHONE: (__________) ______________________________________________________________________
HOME PHONE: (__________) _________________________________________________________________________
WEB SITE:_________________________________________________________________________________________
TYPE OF NOMINATION​ (check one based on the area of highest achievement)

□​ INDIVIDUAL

PERFORMER ​□​ BAND (ADD ANOTHER SHEET FOR ALL MEMBERS NAMES AND CONTACT

INFORMATION) ​□​ NON-PERFORMER/BUSINESS ACHIEVEMENT ​□​ LEGACY NOMINEE (DECEASED) Please include
dates if known.
[If different than above]
[Also, if deceased, include family or next of kin’s name and address, so they can be notified if nominee is inducted]
NAME:____________________________________________________________________________________________
ADDRESS:__________________________________________________________________________________________
__________________________________________________________________________________________________
CITY:______________________________________________________________________________________________
STATE:____________ ZIP:______________________
E-MAIL:____________________________________________________________________________________________
CELLULAR PHONE: (__________) ______________________________________________________________________
HOME PHONE: (__________) _________________________________________________________________________
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WEB SITE:_________________________________________________________________________________________

Was the nominee born in Niagara Falls, New York?

□​ YES

□​ NO

Did the nominee relocated to Niagara Falls, New York?

□​ YES

□​ NO

Does/Did the nominee have notable achievements within the local music industry?

□​ YES

□​ NO

□​ YES

□​ NO

Does/Did the nominee support and contribute to music performance and/or
music education in the Greater Niagara Falls, New York Geographical Area?

CATEGORIES FOR CONSIDERATION*
Please list as many relevant examples as possible (attach a separate sheet if necessary)
Years performing in Greater Niagara Falls, New York geographical area: _____________
performing

​□​ Check if still

1. Prominent Performance History and Longevity ​within​ the Greater Niagara Falls, New York Geographical Area:
(Include all Years and pertinent Names and Places)
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
2. Significant Contribution to the Local/National/International Music Industry (*include any supportive documents)
TEACHING experience? _________ NO __________ YES (Please describe)
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
MUSICAL THEATER experience? (Orchestra/Director/Performer or Other)? _____NO _____YES (Please describe)
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
MEDIA/BROADCASTING experience? (Television/Radio/Internet/Print) _____NO ______YES (Please describe)
____________________________________________________________________________________________
____________________________________________________________________________________________
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____________________________________________________________________________________________
____________________________________________________________________________________________
RECORDING CREDITS: _______NO _______ YES
1. ALBUM/SONG TITLE:_______________________________________________________
ARTIST:______________________________________ RELEASE DATE: _______________
2. ALBUM/SONG TITLE:_______________________________________________________
ARTIST:______________________________________ RELEASE DATE: ______________
3. ALBUM/SONG TITLE:_______________________________________________________
ARTIST:______________________________________ RELEASE DATE: ______________
4. ALBUM/SONG TITLE:_______________________________________________________
ARTIST:______________________________________ RELEASE DATE:_ ______________
5. ALBUM /SONG TITLE:_______________________________________________________
ARTIST:______________________________________ RELEASE DATE:_ ______________

□​ Check here if continued on a separate attached sheet
□​ Check here if recording(s) enclosed
□​ Check here if additional documentation regarding recording credits is enclosed
TOURING EXPERIENCE outside the Greater Niagara Falls Area: ___________NO _____________YES
(Please explain - and provide any supporting documents with places and dates)
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
MUSIC VERSATILITY:
Nominee is best known for:

______Vocalist _______Instrumentalist /Main Instrument: _______________
_______Composing ________Lyricist _________Arranger
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
3 of 5

____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________

3. Significant Support and/or Promotion of Music in the Greater Niagara Falls, New York Geographical Area*
Impact nominee had in the Greater Niagara Falls, New York geographical area:
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
______________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
______________________________________________________________________________________
Career Highlights/Accomplishments: (*Provide any supporting documents):
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
______________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
_______________________________________________________________________________________
Additional Information you would like us to consider: (*Provide any supporting documents):
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
______________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
________________________________________________________________________________________

4 of 5

*Please attach to this completed form: résumés, biographies, magazine articles, news clippings, reviews, awards
received, certificates of accomplishment, performance history, professional photographs, and other pertinent items of
interest and information regarding the nominee.

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