"*" indicates required fields 1. GeneralApplicant*Please write your name. Title Dr.MissMr.Mrs.Mx.Ms.Prof.Rev. First Name Middle Last Name 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 Climate Crisis Problem Areas*Please indicate which of the six climate crisis problem areas the PoC addresses. Select all that apply. Climate risk and resilience Food security Biodiversity and conservation Climate-related health Circular economy ESG analytics Please describe Other Industry Category* Please indicate to which industry the company belongs.AccountantsAdvertising/Public RelationsAerospace, Defense ContractorsAgribusinessAgricultural Services & ProductsAgricultureAir TransportAirlinesAlternative Energy Production & ServicesArchitectural ServicesAttorneys/Law FirmsAuto ManufacturersAutomotiveBanking, MortgageBanks, CommercialBanks, Savings & LoansBars & RestaurantsBooks, Magazines & NewspapersBroadcasters, Radio/TVBuilders/General ContractorsBuilders/ResidentialBuilding Materials & EquipmentBusiness ServicesCar ManufacturersChemical & Related ManufacturingCivil Servants/Public OfficialsClothing ManufacturingCoal MiningColleges, Universities & SchoolsCommunications/ElectronicsComputer SoftwareConstruction ServicesCrop Production & Basic ProcessingDairyDefenseDefense AerospaceDefense ElectronicsDemocratic Candidate CommitteesDoctors & Other Health ProfessionalsDrug ManufacturersEducationElectric UtilitiesElectronics Manufacturing & EquipmentEnergy & Natural ResourcesEnvironmentFarmingFinance / Credit CompaniesFinance, Insurance & Real EstateFood & BeverageFood Processing & SalesFood Products ManufacturingFood StoresFor-profit EducationForestry & Forest ProductsFoundations, Philanthropists & Non-ProfitsGarbage Collection/Waste ManagementGas & OilGay & Lesbian Rights & IssuesGovernment EmployeesHealthHealth ProfessionalsHealth Services/HMOsHedge FundsHMOs & Health Care ServicesHospitals & Nursing HomesHuman RightsInsuranceInternetLaborLawyers / Law FirmsLivestockLodging / TourismLogging, Timber & Paper MillsManufacturing, MiscMarine TransportMeat processing & productsMedical SuppliesMiningMisc BusinessMisc FinanceMisc Manufacturing & DistributingMiscellaneous ServicesMusic ProductionNatural Gas PipelinesNewspaper, Magazine & Book PublishingNon-profits, Foundations & PhilanthropistsNursesNursing Homes/HospitalsNutritional & Dietary SupplementsOil & GasPharmaceutical ManufacturingPharmaceuticals / Health ProductsPhysicians & Other Health ProfessionalsPower UtilitiesPrinting & PublishingPrivate Equity & Investment FirmsProfessional Sports, Sports Arenas & Related Equipment & ServicesPublic EmployeesPublishing & PrintingRailroadsReal EstateRecord Companies/SingersRecreation / Live EntertainmentReligious Organizations/ClergySavings & LoansSchools/EducationSea TransportSecurities & InvestmentSports, ProfessionalSteel ProductionStock Brokers/Investment IndustryStudent Loan CompaniesTeachers/EducationTelecom Services & EquipmentTelephone UtilitiesTextilesTimber, Logging & Paper MillsTobaccoTransportationTrash Collection/Waste ManagementTruckingTV / Movies / MusicTV ProductionVegetables & FruitsVenture CapitalWaste ManagementOtherOtherPlease describe 2. Project DetailsPlease enter the AI solution details and details of the most appropriate person to contact in case of further conversations.Project/PoC*What is the name of the PoC you are nominating for this fellowship? General description of the PoC and the AI components*Please describe in as much detail as possible your Proof of Concept.Website* Github Open data repository Prototype or working demo Prototype password and username Main Contact Name* Title Dr.MissMr.Mrs.Ms.Prof.Rev. First Name Last Name Suffix Job Role* Startup Name*Which company or institution is implementing and delivering the PoC solution? Venture Capital fundingIf your company has raised Venture Capital funding, please include how much you have raised in total.Company Address* Street Address Address Line 2 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 Business Email Address* Secondary Email Address* Phone Number*LinkedIn handle Twitter handle 3. AspectsIMPORTANT – Maximum of 300 words per answer. 1. Innovation and Novelty: Please describe the scientific excellence of the PoC*Describe 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 2. 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.*3. 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 reality*4. Human Rights and Ethics aspect: Please explain how the PoC will address human rights and ethics including trustworthiness, bias, gender issues, etc.*5. Business aspects: Please state the product market fit and the PoC revenue potential*Please share evidence that your startup has reached product market fit. Please also describe the projected revenue potential of the PoC once it is commercialized and brought to market. This could include plans for the PoC’s success, information about your leadership, team, go-to-market plans, and diversity and inclusion. What advanced compute services will you most use in this PoC?* Artificial Intelligence / Machine Learning Generative AI High Performance Computing Modeling / Simulation Digital Twin Quantum Computing 5. Current NeedsWhat is your main overall need at the moment: Funding Personnel Customers Public Exposure Reseach Expertise HPC resources and/or Cloud Computing Services What is your current cloud provider?* Amazon Web Services Digital Ocean Google Cloud Platform Heroku IBM Cloud Linode Microsoft Azure Softlayer On-premises computing Other ComplianceDate*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Compliance Type* Business Personal 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. Yes EmailThis field is for validation purposes and should be left unchanged.