"*" indicates required fields 1. Company InformationApplicant*Please write your name. Title Dr.MissMr.Mrs.Mx.Ms.Prof.Rev. First Name Middle Last Name Business Email Address* Job Role*Startup Name*What is the name of the company that is applying for this fellowship?Website* Industry Category*Please indicate to which industry the company belongs.Company Address* City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands List your investors and/or funders*Total funding raised*If your company has raised Venture Capital funding, please include how much you have raised in total.Entity formation*Please indicate which type of legal entity the company belongs.C-CorpLLCnot-formed yetOtherWhat is your current cloud provider?* Amazon Web Services Digital Ocean Google Cloud Platform Heroku IBM Cloud Linode Microsoft Azure Softlayer On-premises computing Other Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Compliance Type* Business Personal Other*Please describe 2. Proof of Concept InformationPlease provide information about your proof of concept proposal.This field is hidden when viewing the form3. Proof of Concept DescriptionIMPORTANT – Maximum of 300 words per answer. 1. What does your company do?*2. General description of the PoC*PoC Overview: 1) PoC's core functionality, 2) the problem it solves, 3) its target customers, 4) why it is innovative and groundbreaking.3. Name of Proof of Concept (PoC)*What is the name of the PoC you are nominating for this fellowship? Note: the name can not be the same as the startup name4. Business plan for the PoC*How will you leverage the PoC to grow your business?5. Impact of the PoC on your Business*How much will the PoC grow your revenue in USD over the next 3 years? Please include analysis and justification details. 6. Innovation and Novelty: Please describe the scientific excellence of the PoC*Describe how the PoC advances science and technology via 1) applying advanced computing and AI, 2) stretching the current bounds of cloud computing, 3) democratizing advanced computing into unreached areas.This field is hidden when viewing the form6. Describe your team’s level of experience and competency building on AWS.*This is to inform how we assign technical support teams to each PoC.7. Describe your team’s level of experience and competency building on AWS.This is to inform how we assign technical support teams to each PoC. No experience Some experience Proficient Expert 8. Team and resources*Please provide a succinct description of how ready your team is to build the PoC. 1-2 sentences on each of these questions: 1. How does the PoC fit into your existing technical stack? 2. How does the PoC fit into your existing business model? 3. What evidence do you have from customers that they need/demand your PoC? 4. Do you need additional technical capacity or resources to build the PoC? 5. Do you have budget to continue to run the workload when the PoC build is complete? 9. AWS Resources and Computational Needs for your PoC*AWS resources and computational needs for your PoC. Please detail (in bullet points) exactly what AWS resources and services you need to build the proposed PoC. If you need GPUs please specify which kind. If possible, please estimate the cost of the 2-3 month PoC build. We need approximate numbers. Keep in mind the PoC should be buildable in 2-3 months.10. What advanced compute services will you use the most in this PoC?* Artificial Intelligence / Machine Learning Generative AI High Performance Computing Modeling / Simulation Digital Twin Quantum Computing 11. Sustainable Development Goal*Please indicate which United Nations Sustainable Development Goal (SDG) the PoC addresses. Select all that apply. SDG 1: No Poverty SDG 2: Zero Hunger SDG 3: Good Health and Well-being SDG 4: Quality Education SDG 5: Gender Equality SDG 6: Clean Water and Sanitation SDG 7: Affordable and Clean Energy SDG 8: Decent Work and Economic Growth SDG 9: Industry, Innovation and Infrastructure SDG 10: Reduced Inequality SDG 11: Sustainable Cities and Communities SDG 12: Responsible Consumption and Production SDG 13: Climate Action SDG 14: Life Below Water SDG 15: Life on Land SDG 16: Peace and Justice Strong Institutions SDG 17: Partnerships to achieve the Goal Other 12. Climate Crisis Problem Areas*Please indicate which of the six climate crisis problem areas the PoC addresses. Select all that apply. Clean Energy Low-Carbon Transportation Sustainable Agriculture and Food Circular Economy / Manufacturing / Industry Sustainable Buildings Greenhouse Gas accounting and sustainability management Carbon removal Environment (water, pollution, biodiversity) and climate risk This field is hidden when viewing the form4. Proof of Concept Deep Dive - Supercharge Your SuccessIMPORTANT – Maximum of 300 words per answer. Optional questions: We want to hear from you even if you don’t fill out every question. If answering questions in this section would prevent you from applying, please skip them – we’d much rather hear from you! More answers, more chances: If you do however submit all answers to the questions, your chances at being recognised by our reviewers as a serious research group or serious business will exponentially increase and our analysis will be much richer. Rough answers for the optional questions are fine: There’s a limit of 300 words for your answers, but we recommend keeping them short but detailed enough and highly informative.This field is hidden when viewing the form14. Innovation and Novelty: Please describe the scientific excellence of the PoCDescribe how the PoC advances science and/or technological aspects, via a) applying advanced computing in innovative ways, b) Stretching the current bounds of cloud computing, c) Democratizing advanced computing into unreached areas This field is hidden when viewing the form2. Scaling of impact to SDGs: Please describe how this PoC will scale the impact of the SDGs and have a positive impact on your startup’s customer segments.Description (100 words maximum, 400 max characters)This field is hidden when viewing the form3. Scaling of AI solution: Please detail what PoC or implementations can you show now in terms of its efficacy and how the solution can be scaled to provide impact and what you need to make that a realityThis field is hidden when viewing the form4. Human Rights and Ethics aspect: Please explain how the PoC will address human rights and ethics including trustworthiness, bias, gender issues, etc.ComplianceThis field is hidden when viewing the formPhone Number*Statement* Yes, I’d like IRCAI to provide my contact information to Amazon Web Services (AWS) so AWS can share the latest AWS news and offers with me by email, post or telephone. AWS handles your information as described in the AWS Privacy Notice (https://aws.amazon.com/privacy/). Yes CommentsThis field is for validation purposes and should be left unchanged.
