2023 TAG Top 40 Application

Company Name *

CEO Name *

CEO Email *

CEO Phone Number *

CEO Phone Number (alternative)

Website *

Headquartered in Georgia *

Enter required value Yes No

Alternate Contact Name

Alternate Contact Phone Number

Alternate Contact Email

Short Company Description *

200 character limit

Please enter a very brief description of your company. This is your tagline or Google ad. 

Long Company Description *

1500 character limit

Now you have more space to describe your company, its background, and the opportunity you are addressing. You can cut-and-paste text into these fields. 

Key Competitors *

Please highlight some of your key competitors and other players in your market.

Key Officers and Employees *

Please enter names and titles of key officers and employees.

Board Members/Key Advisors

Please enter the names of your Board Members and Key Advisors, including their primary employer and title.

Key Investors *

Please enter identities of key investors. If you are bootstrapped or have received significant Federal grants, please explain briefly.

Please select your annual revenue range: *

$0-$100,000

$100,000 - $500,000

$500,000 - $1M

Over $1M

Over $25M

Please describe your revenue growth.

If your revenue is over $5M, you may omit this question.

When was your first paying customer?

If your revenue is over $5M, you may omit this question.

Innovation *

1500 character limit

Explain how your company's technology, business, products and/or services are innovative. Is your technology a breakthrough or disruptive technology? 

*Note: If your company previously was selected by TAG as a Top 40 Innovative Company, it is a requirement that you describe your further innovations since that selection.

Impact *

1500 character limit

Why do you believe that your company's innovations give you a sustainable competitive advantage? Do you believe that your company will have a positive effect on economic development in the state of Georgia (including job creation and the state's reputation for technology) and if so, how? 

*Note: If your company was previously selected by TAG as a Top 40 Innovative Company, it is a requirement that you describe what's new and different compared to the previous submission.

Video

Applicants may optionally link to a three-minute video description of their company, with special attention paid to innovation and impact. This video is strongly encouraged but is not required to qualify for either the Top 40 or Top 10 awards.

20MB max

Video Web Address

If applicable, please provide the link to your video.

Acknowledgement *

By typing his/her name, the undersigned certifies that the foregoing is true and correct in all material respects. If prepared by anyone other than the CEO, this further certifies that the CEO has approved this application and — if selected — the company's participation in the Georgia Technology Summit.

Mailing Address *

Finalist Fee *

If we are selected as a 2023 Top 40 Most Innovative Company, we agree to pay the $1,500 finalist fee that includes exhibit space and participation at Georgia Technology Summit on May 3, 2023.* 

*Unless applicant qualifies for a scholarship and is selected by the Top 40 committee for a scholarship