PDF version – view, print, or download for hard copy submissions.

Online Nomination Form

Nominee Information
please include province/state and locality
Contact Information for Nominee or Next of Kin
Motorsports Career Information
please refer to Selection Process for complete descriptions of category inclusions
select all that apply
if other, please indicate area of contribution
please submit a high-resolution photograph of the nominee - must be a .jpg file and included with the nomination
Include (a) letters of support, (b) newspaper articles, (c) websites with information, (d) copies of award certificates, citations, any other pertinent information. (Must be file types PDF, JPG, or DOC)
Nominator Information
if you see a * in the equation it means to multiply
Your nomination will be processed when you click submit. Please be patient while processing and do not resubmit or terminate. A successful order will result in a thank-you message and receipt of an email showing your nomination. If there are errors in your submission they will be indicated on the form - correct and resubmit.