| 1) Contact details of the person filling out this application: |
| *First Name
|
*Last Name
|
*Title
|
| *Email
|
*Phone
|
*Company
|
| 2) Contact details of the nominee. |
| *Company/organization name:
|
Year founded:
|
| *Address 1
|
*Address 2
|
*City
|
| *State
|
*Country
|
| *Postal Code
|
*Phone #
|
| Website
|
Linkedin Profile
|
| Facebook Profile
|
| Twitter Profile
|
| 3) Category (choose only one): Choose the one category most closely related to your innovation. If your innovation does not fit one of the categories, please specify another category in the space following Other. |
|
Mobile Internet/Gaming |
Wearable tech |
3D printing |
|
Robotics |
Software |
Network and Internet
Technologies |
Computing Systems and
Storage |
Consumer Electronics
E-Commerce |
Energy and Power |
|
Environment |
Health-Care IT |
Manufacturing Technology |
Materials and Other Base
Technologies |
Medical Devices |
Medicine and Biotech |
Technology Product Design/Industrial Design (Note: This refers to the aesthetics of an
innovation, such as cool design.) |
|
Transportation |
Wireless Communications |
Network Security/ Personal
Security |
|
Other (Please specify):
|
| 4）How did you hear about us?
|
| |
| PART II: EXECUTIVE SUMMARY |
| 1) What, briefly, is your innovation? (limit to 100 words.) (Example: Displays based on light-emitting inks.) |
|
|
| 2) What is the current situation in the field in which your innovation appears? (limit to 100 words.). (Example: Color screens are becoming widely embedded in a range of consumer devices such as cell phones and PDAs.) |
|
| 3) What is the problem with this situation that your innovation is seeking to address? (limit to 100 words.) (Example: However, these screens are expensive and they drain batteries fast.) |
|
| 4) How does your innovation address this situation? (limit to 100 words.). (Example: By using a new technology based on light-emitting inks, displays can be made more cheaply and use less power.) |
|
| |
| PART III: A CLOSER LOOK (Please explain in greater detail. ) |
| 1) What is particularly novel or noteworthy about your innovation? How is your innovation different from your competitors? (limit to 200 words.) (Example: We are the only company to develop displays based on light-emitting inks and are the first to bring devices to the market.) |
|
| 2) What impact do you expect the innovation to have on its field or on other fields? (limit to 200 words.) |
|
| 3) Is the innovation a completely new technology or is it a new combination or packaging of well-established technologies? (limit to 200 words.) |
|
| 4) If your innovation is a product, when did it first appear on the market? (limit to 200 words.) |
|
| 5) An innovation should have achieved some significant milestone , such as granting of a patent, introduction on the market, significant upgrade of an existing product, etc. What milestones have been achieved since that date? (limit to 200 words.) |
|
| 6) We are interested in knowing more about the primary innovator/innovation team. Please summarize the background(s) of the primary innovator/inventor or innovation team. (limit to 200 words.) |
|
| 7) For private companies: Have you received venture-capital funding? If so, please provide details, such as names of the VC investors. (limit to 200 words.) |
|
| Part IV: Supporting Documents. |
| Supporting documents are optional but suggested. Qualified documents would be research papers, examples of media coverage and testimonials from third-party sources or customers, short video presentations, etc. Upload your supporting documents here. (Maximum file size: 8M)
|
|
|