Investor Intake Form

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* 1. Please provide your name and job title.

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* 2. Please provide your email address.

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* 3. Name of your Organization.

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* 4. Please provide a company website URL.

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* 5. Which focus area(s) interest you?
Please populate the boxes below with the corresponding number that rank your three focus areas as primary, secondary, tertiary, as applicable.

This will enable CRIN members to search based on their interests and needs.

1. Environmental Monitoring
2. Operational Excellence and Efficiency
3. Capital Project Execution
4. Health and Safety
5. Water Technology Development
6. Methane Emissions Monitoring, Quantification or Abatement
7. Land and Wellsite Reclamation
8. Novel Hydrocarbon Extraction
9. Innovative Products from Hydrocarbons
10. Hydrogen
11. Geothermal
12. Carbon Capture and Utilization
13. Low-Carbon Intensity Alternatives and New Fuels

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* 6. Please indicate which Technology Readiness Level (TRL) you typically invest in and/or partner with?

TRL 2 - Technology, product and/or process concept formulated
Invention begins. Once basic principles are observed, practical applications can be invented. Activities are limited to analytic studies.

TRL 3 - Analytical and experimental critical function and/or proof of concept
Active research and development is initiated. This includes analytical studies and/or laboratory studies. Activities might include components that are not yet integrated or representative.

TRL 4 - Component and/or validation in laboratory environment
Basic technological, product and/or process components are integrated to establish that they will work together. Activities include integration of "ad hoc" hardware in the laboratory.

TRL 5 - Component and/or validation in simulated environment
The basic technological, product and/or process components are integrated for testing in a simulated environment. Activities include laboratory integration of components.

TRL 6 - Technology, product and/or process prototype demonstration in simulated environment
Prototypes are tested in a relevant operational environment or laboratory. Represents a major step up in a technology's demonstrated readiness. Examples include testing a prototype in a simulated operational environment.

TRL 7 - Technology, product and/or process prototype in an operational environment
Prototype near or at planned operational system level and requires demonstration of an actual prototype in an operational environment. Activities include prototype field testing.

TRL 8 - Actual technology, product and/or process completed and qualified through test and demonstration
Innovation has been proven to work in its final form and under expected conditions. In almost all cases, this TRL represents the end of true system development.

TRL 9 - Actual technology, product and/or process proven through successful deployment in an operational setting
Actual application of the product and/or process innovation in its final form or function.

Commercial
Technology, product and/or process development is complete and openly available in the marketplace.

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* 7. Company Type

Bank

Private Equity Firm

Venture Capital company

Investment Fund company

Angel investor/Private Investor

Government funder

Government agency funder

Grant Organization

Other (please specify)

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* 8. At what stage do you typically invest in and/or partner with?

Pre-Seed

Seed

Series A

Series B

Growth Equity

Other (please specify)

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* 9. What is the level of investment ($) that your organization/company provides? (Select all that apply)

Up to $500K

$501K - $1M

>$1M - $3M

>$3M - $10M

>$10M - $20M

$20M+

Other (please specify)

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* 10. Do you consent to receive direct communication and engage with CRIN and/or innovators that are seeking external investment and meet your selected criteria?

Yes