Operation Christmas Child

Former Shoebox Recipient Form

Operation Christmas Child loves to hear stories from former shoebox gift recipients. We are thrilled to hear that God used a shoebox gift to bless your life. Will you please tell us about it by completing the brief form below?

Thank you! We look forward to hearing your story.

Former Shoebox Recipient Form

Operation Christmas Child loves to hear stories from former shoebox gift recipients.

Name*
First Last
Date of Birth:*
Month
Day
Year
Email*
U.S. Mailing Address*
Street Address Address Line 2 City State Zip Code
U.S. Cell Phone*
Legal Status (U.S. citizen, U.S. permanent resident, U.S. visa type):*
Country where you received a shoebox gift:*
Year you received a shoebox gift:*
Please describe the day you received your shoebox gift and the emotions you felt.*
What stood out to you the most in your shoebox? Why was that so special?*
Please describe your life circumstances at the time you received the shoebox gift. What was your greatest challenge?*
What kind of impact did the shoebox have on you (spiritual, emotional, and/or physical)?*
How did you come to live in the United States?*
Are you a follower of Jesus Christ?*
- Yes
- No
Please describe how you came to know the Lord Jesus Christ.*
Describe your relationship with God on a day-to-day basis.*
Church Information
The continued spiritual development of our Operation Christmas Child Spokespersons is of utmost importance to us. Please provide us with the following information.
Please provide the name and location of the U.S. church you attend.*
Church Name City State
Operation Christmas Child provides opportunities for former shoebox recipients to share their story with others. If the opportunity arises, would you be interested in sharing your personal Operation Christmas Child story with various audiences?*
- Yes
- No
If yes, please note that additional steps will be taken to determine if this is the best fit for you and the ministry.
Is there anything else you would like to add?

Operation Christmas Child

Former Shoebox Recipient Form

Former Shoebox Recipient Form

Church Information

You are visiting the Samaritan’s Purse website for Operation Christmas Child United States.

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