Application form
Complete the form to apply for the Program and share your goals and background.
Section 1 — Basic Information
Full Name
*
Full name as per IC
Email Address
*
example@example.com
Mobile Number
*
-
Area Code
Phone Number
LinkedIn or Instagram Profile
We’d love to understand your current social media presence and positioning.
Section 2 — Your Background
Which best describes your current role?
*
Founder
Consultant
Operator / Executive
Creator
Coach
Other
What industry or field do you primarily work in?
*
What is the current size of your audience across platforms?
*
Less than 1,000
1,000 – 5,000
5,000 – 20,000
20,000 – 100,000
100,000+
What is your approximate annual income or business revenue?
*
Less than $100k
$100K – $250K
$250K – $500K
$500K - $1 Million
1 Million++
Section 3 — Your Goals
What is your biggest challenge when it comes to building influence or growing your audience?
*
Why do you feel now is the right time for you to build your influence engine?
*
Section 4 — Fit With Timothy
Why do you think Timothy Tiah and his team is the right person to help you with this journey?
*
Section 5 - The program is a highly focused implementation program priced at USD $2,000. Participants who are accepted are expected to fully commit to the experience and implementation.
Is this investment within your budget if you are accepted?
*
Yes — I am prepared to invest if accepted
I would need to consider further
Section 6 - The program takes place in person in Kuala Lumpur on 24–25 June 2026.
Will you be able to attend on this date?
*
Yes
No
Section 7 - Final Question
If accepted, what would success from this program look like for you?
*
We appreciate your interest and look forward to reviewing your application.
Submit
Should be Empty: