Form

First name*

Last name*

Email*

Company name*

What city is your company located in (headquarters)?*

What province/state is your company located in (headquarters)?*

What country is your company located in (headquarters)?*

Company Website*

Company Description

What is your role at your company?*

Will you be the main participant in this program if your application is successful?*

If you are not the main participant, who will be? Please provide their name and email address.*

Are you currently using AI and/or Machine Learning(ML) as the core technology for your service or product? If yes, please provide a detailed description on what AI and/or ML techniques are you currently using? Please include what you have built internally and what you are using from a third party. *

How would you describe your and your team's experience in AI and ML, such as the relevant educational background and work experience? (education, practical experience, number of people, types of roles you have on your team, etc.)*

What is your main goal in participating in the LEVEL UP program?*

Is there a specific project or learning you want to achieve by participating in this program?*

What areas of ML are you interested the most in learning more about? (could be areas you are currently utilizing or areas you are interested in moving into)*

What funding stage is your company at?*

What amount of funding have you acquired to date?*

What was your revenue for the past fiscal year?*

What is your projected revenue for the current fiscal year?*

Where did you hear about this program?*

If you have selected "Referred by an Amii Employee" please provide their name. Additionally, if you have selected "Other" please provide detail about where you heard about the Level Up program.

Please provide any additional information that you consider relevant and important. Or please let us know if you have any questions.