Champions Network Pastor Information Request

Champions Network Pastor Information Request
Name *

First Name Last Name
E-mail *

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *

- Area Code Phone Number
Home Church *
It is required that Champions have some previous exposure to addiction, whether or not you have been addicted yourself. Please share with us a little of your experience.
Length of addiction/recovery experience: *
Formal recovery training: *
Established Support The Champions Network team believes that support will be absolutely necessary to effectively lead a Champions group. Please indicate whether you have or could obtain this ongoing support, and why/why not.
Please describe your potential Champion/Champions team members: *
Please describe others who would assist you in minstering to men, women, and families: *
Please describe your church's support of your ministry: *
General Experience
Are you currently engaged in addiction recovery/support in any capacity? *

Yes No
What curriculums have you used for your personal recovery/support experience? *

CR 12 Steps for a Christian NA/AA Big Book other
Are you currently affiliated with any other recovery meetings in your community? *

Yes No
Have you ever met with the local MHAS (Mental Health & Addiction Services) team in your community? *

Yes No
Are you part of a local Drug Coalition? *

Yes No
Would you like more information about a Refuge Ambassador speaking at your service, Sunday school, small group, etc., to bring hope, awareness, and a call to action? *

Yes No
Who made you aware of the Champions Network? *
Statement of Faith

Convinced that the Bible is the inspired Word of God, The Refuge is a Christ centered ministry dedicated to rebuilding the lives of men who have struggled with drugs, alcohol, other addictions, relationships or just feel hopeless and lost. Therefore, we affirm the following truths:
1. We believe the Bible to be the inspired, the only infallible and authoritative Word of God. The Word of God is the foundation of ALL truth; therefore all truth is God’s Truth.
2. We believe there is only one God, eternally existent in three persons; Father, Son and Holy Spirit.
3. We believe in the deity of our Lord Jesus Christ, in His virgin birth, in His sinless life, in His miracles, in His vicarious and atoning death through His shed blood, in His bodily resurrection, in His ascension to the right hand of the Father and in His personal return in power and glory.
4. We believe in the resurrection of both the saved and the lost, that they are saved unto the resurrection of life and that they who are lost unto the resurrection of damnation.
5. We believe in the spiritual unity of all believers unto our Lord Jesus Christ.
6. We believe in the present ministry of the Holy Spirit by indwelling the Christian, enabling him to live a godly life.
7. We believe God is the Creator and the Sustainer of all things and the Source of all truth.
8. We believe man was created in God’s image but chose to rebel against God. His rebellion brought all men under the dominion of sin.
9. We believe God provided a means of regenerating man and restoring him unto Himself. He sent His Son, Jesus Christ, the shed His precious blood as the sacrifice for man’s sin. Therefore, each man is encouraged to receive Christ as his personal Savior and to make Christ the Lord of his life. As a network of inter-dependent individuals, which represent a variety of Christian backgrounds, we believe our unity is found in the person of Jesus Christ whom we see as “the Way, the Truth and the Life” according to John 14:6
*

I agree with this statement of faith.
Thank you for your application to become a Champion! Someone will be in touch with you shortly, after we have had a chance to review your referrences. Once approved for the next step you will be invited to Champion-in-training courses and coaching.
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Champions Network Pastor Information Request

Statement of Faith