Team Building Request Form

This form is intended for both CSB/SJU and outside community groups to request teambuilding experiences. Information provided here about your group is utilized to help design a program that fulfills the group’s goals. Requests must be received at least two weeks prior to your proposed date and does not guarantee you will receive those dates for your event.

Full Name

Organization Name

What community are you a part of?

	CSB/SJU
	Outside group

Contact Phone Number

Email Address

Approximate Number of Participants

Participant Age Range

Number of Adults

What is the adults’ preferred role with this group? How well do the adults know the participants?

e.g., observers, full participants, etc.

Preferred Programming Date

Preferred Secondary Programming Date

Preferred Time

What are your goals for this program?

e.g. Communication, Problem Solving, Trust, get to know each other, etc.

How long has the group been together? How often do they meet? Do they know each other’s names?

What are the dynamics of the group? Are there any cliques or subgroups?

Anything else you would like to share?

e.g. accommodations, medical concerns, etc.

Leave this blank, it's here to thwart SPAM bots.

Forms Manager

Team Building Request Form