Membership Application Form

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Email *

First & Last Name *

Address *

Phone Number *

Birthday

YYYY

Date Accepted Christ

Date of Water Baptism

Date of Holy Spirit Baptism (If Applicable)

Marriage Status: If Married Please List Date

I have attended Jackson First Assembly of God for at least 3 months. *

Yes

Required

I agree to the 16 Fundamental Beliefs of the Local Church *

Yes

Required

I agree to utilize my callings and gifts for the Kingdom of God *

Yes

Required

I agree to treat my brothers and sisters in Christ in love and respect *

Yes

Required

I agree to help build up the church and to avoid gossip or harmful speech *

Yes

Required

I agree to pray for this church and its leadership *

Yes

Required

I agree to financially support this church as God enables me *

Yes

Required

A copy of your responses will be emailed to the address you provided.

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