"*" indicates required fields 1. Company InformationApplicant*Please write your name. Title Dr.MissMr.Mrs.Mx.Ms.Prof.Rev. First Name Middle Last Name 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 Startup Name*What is the name of the company that is applying for this fellowship? Website* Business Email Address* LinkedIn handle Twitter handle Phone Number*Venture Capital funding*If your company has raised Venture Capital funding, please include how much you have raised in total.List your investors and/or funders* Entity formation*Please indicate which type of legal entity the company belongs.C-CorpLLCnot-formed yetOtherOther*Please describe 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 What 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 2. Proof of Concept InformationPlease enter the AI solution details and details of the most appropriate person to contact in case of further conversations.Main Contact Name for the PoC* Title Dr.MissMr.Mrs.Ms.Prof.Rev. First Name Last Name Suffix Job Role* Contact email for the PoC* WebsiteIf different from company website. Github Open data repository PoC prototype or working demoIf this is an already existing or work in progress PoC or the product/stack into which the PoC will go PoC Prototype password and usernamePlease share access details if you're already working on a PoC 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. 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 Climate Crisis Problem Areas*Where is the main focus of your PoC components Software Hardware Hybrid Other 3. Proof of Concept DescriptionIMPORTANT – Maximum of 300 words per answer. 1. 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 name 2. General description of the PoC*PoC Overview: Please provide a succinct description of your proposed PoC. Please detail the following, ideally 1-2 sentences for each: 1) What your company does? 2) Describe the proposed PoC and its core functionality. 3) What problem does the PoC solve? 4) Who are the target customers of the PoC? 5) How will the PoC impact growth of your startup's core business? 6) What makes it innovative/groundbreaking? 7) What will the POC unlock for your business. 8) How do you deal with Ethics in AI? 3. 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.4. 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? 5. 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. Please specify the nature and magnitude of the compute resources you will need. We need approximate numbers. Keep in mind the PoC should be buildable in 2-3 months. 6. AWS resources needed after the PoC is built.*During the fellowship, selected companies will build PoCs over 2-3 months. The build during that time will be funded by AWS. After the PoC is done, the startup will be responsible for the costs of the project. Please estimate the resources you will need after the PoC is completed. Please approximate the nature and magnitude of the compute resources you will need after the PoC is built. 7. Independent Work Capability*How much of the PoC's implementation can your team handle independently once you have compute resources? If there are areas where you'll require AWS or IRCAI expertise, please elaborate on those and your startup's corresponding implementation capability.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 4. 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.1. 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 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.Description (100 words maximum, 400 max characters)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 reality4. Human Rights and Ethics aspect: Please explain how the PoC will address human rights and ethics including trustworthiness, bias, gender issues, etc.ComplianceDate*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Compliance 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 (https://aws.amazon.com/privacy/). Yes CommentsThis field is for validation purposes and should be left unchanged.