Nominee Form

WELCOME TO THE KATERVA AWARDS 2022!

GETTING STARTED

In an effort to better understand your technology/solution, and assess its potential impact, we ask that you fill out the following set of questions. It should take no more than about 20 – 30 minutes of your time.

Please be assured your responses will be stored on a secure online platform with restricted access.

If you find that you need to pause and return to it later, your progress will be saved so you can return to the point where you left off by clicking on the link again.

We appreciate your time and look forward to learning more about your work. If you have any questions, please email giulia@katerva.net.

Thank you!

Step 1 of 3

PART 1

Company Details

Company Name(Required)

Company website(Required)

(If you are in stealth/coming soon mode, please note)

Email address(Required)

Company founded date

Company location(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Company description (2-4 sentences)

Industry / Sector

Founders' Names and link to LinkedIn profile (If appliccable)

Founders name(s)(Required)

First field is required, others are optional

LinkedIn profile link

Founders' names

LinkedIn profile link

Founders' names

LinkedIn profile link

Founders' names

LinkedIn profile link

Number of employees(Required)

Operating stage of company

PART 3

INVESTMENT DETAILS

Investment stage of company(Required)

Are you actively raising capital currently? If so, how much money are you trying to raise?(Required)

What are the intended uses of proceeds?(Required)

Please provide details of any previous raises you have completed (stage, amount, valuation).

You are not required to provide any proprietary information or intellectual property in order to participate in the Katerva Awards process. Your data will be used solely for the purpose of evaluating your technology/solution in line with the Katerva Awards criteria and requirements. Any public communication regarding your participation in the Katerva Awards process and/or your solution will be made following your approval. In the event that you are selected as an awards finalist, you agree to provide a short description of your solution for public disclosure within the Katerva Awards communications process, which may include online and events-based opportunities to promote your solution. You give permission/consent to the organizers of the Katerva Awards and its affiliates to use any and all material, information, and images you provide in any way consistent with the terms above, including but not limited to sharing such information on the internet and/or with others in order to promote your organization and/or the Katerva Awards program.

TandC-accepted(Required)

Terms and Conditions

I / WE HAVE CAREFULLY READ THESE TERMS AND CONDITIONS AND FULLY UNDERSTAND AND AGREE TO ITS CONTENTS. I / WE REPRESENT THAT I AM / WE ARE AUTHORIZED TO GIVE THIS CONSENT.

Thank you! We will review and be in touch.