Nomination Form: AI Ecosystem Discoverability Platform

The National Artificial Intelligence Centre (NAIC) is working to support adoption of artificial intelligence technologies across Australian businesses by helping them connect to AI talent, products and services.

Complete this form if you would like to nominate your organisation to be included in NAIC's Australian AI ecosystem discoverability platform - including a public online directory to search and find Australian AI capabilities.

* denotes required fields

1. I agree to the collection, use and disclosure of my personal information, in the ways described in the Participant Information Statement. *

Yes

No

Read the Participant Information Statement.

The following questions are for internal purposes to verify the credentials of your organisation for inclusion on the discoverability platform.

Please refer to the Australian AI Ecosystem Organisation Form Guidance for more information about how to complete the form.

2. Do you have authorisation to nominate your organisation to be featured on the Australian AI ecosystem capabilities directory, including the upload of your organisation’s logo for display on the CSIRO website? *

Yes

No

Contact name of authorised representative

3. First name *

4. Last name *

5. Contact email of authorised representative *

To be nominated for inclusion in the Australian AI Ecosystem Discoverability Platform organisations only need to have a legal presence in Australia e.g., registered ABN

6. Please select the statement or statements that describe your organisation: *

My organisation's head office is in Australia

My organisation has a sales office in Australia

My organisation has AI development or engineering resources in Australia

My organisation has product or service design teams in Australia

My organisation doesn't have presence in Australia

Other - please specify

Other *

7. ABN *

8. Organisation email address to be used for future annual reminders to update information if profile is featured on the NAIC Discoverability Platform directory *

9. Please upload your company logo *

Image recommendations: Ratio: 4:3, Minimum resolution: 800w x 600h, Logos must have a transparent background.

If your nomination is successful, the following questions will provide information for the discoverability platform website. Answers will define search criteria and populate the profile page for your organisation.

10. Organisation name *

10a. Organisation byline *

(text statement about your organisation, under 20 words)

11. Postcode (if multiple, Head Office or main location) *

12. Website URL *

You may only select one option, and this should be selected in terms of the key capability you offer to businesses. If there are several categories involved in the lifecycle of your product or service, you can add more capabilities at question 13b below.

13a. What best describes the primary product or service offering of your organisation? *

Other

17. Briefly describe how you work with businesses to enable their development or adoption of artificial intelligence technologies (limit 200 words) *

18. Would you be interested in participating in an intern hosting program administered by the National AI Centre to grow Australia's AI talent pool through on the job skills development? *

Yes

No

19. Does your organisation have capabilities in the area of responsible and inclusive AI research or application? *

Yes

No

Other (please specify)

The following questions are optional to indicate if you would like to be informed about the National AI Centre's activities and Australia's Responsible AI Network.

20. Do you consent to receiving material from the National AI Centre about events and opportunities.

Yes

No

21. The National AI Centre is convening a network of leading Australian organisations committed to the development and deployment of responsible AI. Would your organisation be interested to join Australia's Responsible AI Network?

Yes

No

The following questions are for internal purposes to inform the National AI Centre's activities and to confirm the accuracy of the information provided.

If there is a developed AI capability use case that you would like to nominate to be showcased by the National AI Centre, please send text and image material (maximum 2 pages, in PDF format) to tina.gallico@data61.csiro.au for potential inclusion in future Australian AI ecosystem use case showcasing activities.

22. Do you consent to being contacted by NAIC for further information about your organisation? *

Yes

No

23. Do you consent to the storage of data provided in this form in accordance with the Privacy Statement above and CSIRO's Privacy Policy? *

Yes

No

Read the CSIRO Privacy Policy.

24. You acknowledge that information you provided in this form is mainly for the purpose of the NAIC making that information (other than information designated as being for internal purposes in this form) available to the public, including through its AI Ecosystem Discoverability Platform and you agree that:

(i) The NAIC and CSIRO may use this information for the purposes of the NAIC described in this form;
(ii) Any provision of your information by the NAIC is in no way an endorsement of you by the NAIC or CSIRO nor does it create any association between you or your business, products or services and the NAIC or CSIRO. Accordingly, you must not make any representations that the NAIC or CSIRO endorses or is associated with you or your business, products or services merely due to the NAIC’s access and use of your information from this form; and
(iii) You are responsible for ensuring the information you provide is true and accurate and that neither the NAIC nor CSIRO will be liable for any information about you that is based on incorrect or misleading information provided by you.

The NAIC or CSIRO may remove information it has provided about you through its channels (including the AI Ecosystem Discoverability Platform) if it considers, in its absolute discretion, that the information is incorrect or misleading. *

Yes

No

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