Hall of Fame Nomination Association Hall of Fame Nomination Form Thank you for taking the time to nominate a person, family, and/or place that has contributed to the education of others and/or promotion of Route 66 in Illinois! Submissions are accepted between October 31 and December 31. Applications are judged by comparing to others presenting similar documents and material. If a nominee is not selected, the nomination is held for two more years and reconsidered each of those years.Submitted ByName *Street Address *Apartment, suite, etcCity *State/Province *ZIP / Postal Code *CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweEmail AddressPhoneA. Nominee (self-nomination not permitted; current HoF committee members ineligible)Nominee *Nominee Type *IndividualPlaceIndividual & placeIndividual & familyIndividual, family, & placeNote that for the following sections, completing fields is not required to submit the nomination. However, complete and detailed information is needed to fully consider nominees.B. Nominee, Individual/FamilyThis section is for Individual; Individual & place; Individual & family; or Individual, family, & place nominees onlyWho is/are the nominee(s)Nominee LocationDoes/did the nominee have a business on Route 66?YesNoHow is it connected to Route 66?Is the nominee living?YesNoIf no, are family members still around?YesNoBorn on Route 66?YesNoLived/living on Route 66?YesNoAre nominee and/or family members aware and supportive of nomination?YesNoC. Nominee, PlaceThis section is for Place; Individual & place; or Individual, family, & place nominees onlyWhat is the nominee?Nominee location?If structure, is it still standing?YesNoWhat is it being used for?D. Nominee, GeneralNominee’s connection to Route 66How did the nominee contribute to the historical status of Route 66?What contribution did the nominee make to educate/promote Route 66 in Illinois?What has nominee done to be worthy of consideration for the Route 66 Hall of Fame?Is there anything unique or unusually special about this nominee?Is the nominee’s contribution considered exceptional?YesNoIn what way?SubmissionIt is critical to provide a timeline of the person/family’s life and/or business’s existence and connection(s) to Route 66 in Illinois. Also provide any photos and/or other memorabilia for this nominee that clearly establish the connection between the nominee and Route 66 in Illinois. This could include newspaper and/or magazine articles (copies are acceptable). Note that establishing a connection to Route 66 in Illinois is ESSENTIAL in the selection process. Additionally, provide any letters of support for this nomination. Supporting hard-copy documentation can be mailed to: Hall of Fame Committee c/o The Route 66 Association of Illinois 110 W. Howard Pontiac, IL 61764Be certain to include the nominee's name in the mailing. All material submitted shall become the property of the Association unless otherwise arranged. Submit Nomination