LACI Interest Form
Hello! We’re excited to learn more about you and your company.
First Name
Last Name
Email Address
Company Name
Location – City, State, and Country
Company Website
Select Sector
Clean Energy
Zero Emission Mobility
Clean & Sustainable Cities
Share Your Story
If available, please upload your Pitch Deck or Executive Summary.
Pitch Deck or Executive Summary
Don't have a deck? No problem!
Please provide a detailed description of your business in the space below.
Business Priorities – What are the key goals, milestones, or focus areas for your business over the next 6–12 months?
What is the stage of your tech? Check all that apply.
Proof of Concept
Prototype Complete
Prototype in Progress
Patent Complete
Patent Pending
MVP
In Revenue
Profitable
Other:
Other stage:
Which LACI Program are you interested in? Select one.
Incubation
- Pre-seed to Seed-stage startups focused on commercialization through small-scale pilot projects and preparation for follow-on funding.
Market Access
- The Market Access Program connects growth-stage cleantech companies with strategic customers, partners, capital, and deployment opportunities to accelerate market adoption across Greater LA.
Pilots at BAT
- Pilots at BAT provides climate tech companies with access to real-world infrastructure at the Brooklyn Army Terminal to validate and scale technologies in New York City's urban environment.
What is your Annual Revenue?
Under $500k
$500k-$5M
Over $5M
Are you Stage Series A,
or
have previously raised priced round,
or
plan to raise a priced round in the last 18 months?
Yes
No
Program Expectations – How do you hope to benefit from participating in a LACI Program? How can we best support your growth?
Referral Source – How did you hear about LACI?
Friend or Colleague
LACI Staff Member
LACI Partner Organization
LACI Portfolio Company Founder
Investor or VC
University or Accelerator Network
Government / Public Sector Partner
LACI Website
Social Media (LinkedIn, Instagram, etc.)
Newsletter
Google Search / Online Search
Media / Press
Event or Info Session
Women in Cleantech
Pilots at BAT
Incubation
Campus Tour
Other (please specify)
Please specify the referral person/entity/source
We're sorry, you do not meet the eligibility requirements for the Market Access program. Please select another program.
Contact Information