Corporate Team Builder Application

Please complete the form below.

EmployeeNo ^*

First Name ^*

Last Name ^*

Email ^*

Phone ^*

Event Coordinator Name ^*

Event Coordinator Last Name ^*

Event Coordinator Email ^*

Event Coordinator Phone ^*

Event Name ^*

Event Type ^*

Preferred Activity Type ^*

Purpose of Event ^*

Event Description ^*

Event Venue (Facility and Room Number(s)) ^*

Number of Employees ^*

Date of Event ^*

Team Builder Start Time ^*

Team Builder End Time ^*

Date of Setup for Event

Complete this form to request a team builder activity. Form must contain all information required and must be submitted to JMBA (Attn: JMBA STAFF) at least 2 weeks before the scheduled event. Any missing information or delay in submission may result in rejection or cancellation of your request.
JMBA will notify the requestor once the request for a team builder is approved.