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.
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Re-Activation Date *
MM
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DD
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Name *
Which team are you a member of? *
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