Technology Validation Application

Technology Pilot / Demonstration Project Requirements

*Complete this section if you are interested in pilot/demonstration services
14. Describe the rationale for a pilot test or demonstration project through Current.

Ex. Prove out operational parameters/performance, independent performance validation from Current, scalability, etc.0/200
15. Briefly describe the infrastructure required to conduct a pilot or demonstration project, such as source water, site requirements (e.g. space, water, power,etc.), services (involvement of staff from the testing site and/or materials), etc.

0/200
16. Describe the process and timeline of the pilot/demonstration (specify the expected duration).
17. Provide the cost breakdown and estimated total cost of your desired pilot or demonstration project.
18. How much of the total cost and resources are you able to contribute?

0/50

Company Background & Management Team

Provide contact information for the applicant/entity, including management team information. Current assumes the primary entity completing the application will be the point of contact.
19. Point of contact*

First NameLast Name
20. Describe your management team members (include your Board of Directors, if applicable), their relevant experience, and their execution track record.*

0/600
21. Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
22. Phone Number*

Area CodePhone Number
23. Email*
24. Website*
25. When was the company founded?*
26. What is the company type?*
Ex. Corporation, LLC, etc.
27. Last year's revenue?*
USD
28. Next year's expected revenue?*
USD
29. Is your company financially sustainable and cash flow positive?*

YesNo
30. What is your investment history (i.e. if you have investors, who are they)? How much capital have you raised? Are you seeking to raise additional capital? If so, how much? *

Market & Costs
31. What end-user/market needs does your technology address?*
32. What is the potential market size for your technology solution?*
USD
33. What is your current market presence? How many customers do you have?*
34. If your technology is currently deployed, include how, where (geographic footprint), with whom, for what purpose and duration.*
35. Please describe and quantify the fixed and variable costs to produce and operate this technology at full commercial scale. State your assumptions and estimate the expected range of cost variation.*
Ex. “for a unit of X size…”
Should be Empty:

Technology Profile