Request to Re-Activate Form
This form is for ProMatchers who are returning to ProMatch after a Leave of Absence or Return-To-Work. By completing this form, we will reinstate you to ProMatch and the team roster. You can start accessing ProMatch services.

Note: If you have been inactive for over 60 days, please meet with staff to discuss your re-activation request. Also, remember that you must be an active member of the NOVA Job Center in order to return to ProMatch.

Re-Activation Date *
MM
/
DD
/
YYYY
Name *
Your answer
Which team are you a member of? *
Submit
Never submit passwords through Google Forms.
This form was created inside of NOVA. Report Abuse - Terms of Service - Additional Terms