If you prefer to download a PDF form, you can download the Application for Certified Instructor PDF here and mail it to us.

Application for Certified Instructor

After meeting all requirements for certification, complete the following information, sign and date the form.
  • Applicant Information

  • Please enter this exactly as you wish it to appear on your certificate.
  • Training Information

  • Name and address to mail certificate

  • Your signature authorizes Overcomers, Inc., to verify the above information.

  • We love to hear testimonies of what the Lord has done in people’s lives through Overcomers. If you desire, please give us your brief Overcomers testimony. Unless you indicate otherwise, we may use portions of your testimony as encouragement on Overcomers Recovery Support’s Facebook page, newsletter, or other promotional materials.