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:*
MM
DD
YYYY
Email*
U.S. Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
U.S. Cell Phone*
Legal Status (U.S. citizen, U.S. permanent resident, U.S. visa type):*
Are you a follower of Jesus Christ?*
- Yes
- No
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 was the most important thing in your shoebox? Why was that so special?*
Please describe your life at the time you received the shoebox gift. Did you live with family? 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?*
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 in front of 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

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

Click below if you would rather visit the site of one of our Samaritan’s Purse affiliate offices:

You are visiting the international website for Samaritan’s Purse, headquartered in the United States.

You also may be interested in visiting and giving through our affiliate sites:

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

Click below if you would rather visit the site of one of our Samaritan’s Purse affiliate offices: