Membership Application Form
Email address *
First & Last Name *
Your answer
Address *
Your answer
Phone Number *
Your answer
Birthday
MM
/
DD
/
YYYY
Date Accepted Christ
Your answer
Date of Water Baptism
Your answer
Date of Holy Spirit Baptism (If Applicable)
Your answer
Marriage Status: If Married Please List Date
Your answer
I have attended Jackson First Assembly of God for at least 3 months. *
Required
I agree to the 16 Fundamental Beliefs of the Local Church *
Required
I agree to utilize my callings and gifts for the Kingdom of God *
Required
I agree to treat my brothers and sisters in Christ in love and respect *
Required
I agree to help build up the church and to avoid gossip or harmful speech *
Required
I agree to pray for this church and its leadership *
Required
I agree to financially support this church as God enables me *
Required
A copy of your responses will be emailed to the address you provided.
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