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.

* This form is confidential and for Operation Christmas Child internal use only.

Name(Required)

First Last

Date of Birth:(Required)

Email(Required)

U.S. Mailing Address(Required)

Street Address Address Line 2 City State Zip Code

U.S. Cell Phone(Required)

Legal Status (U.S. citizen, U.S. permanent resident, U.S. visa type):(Required)

How did you come to live in the United States?(Required)

Background Information on Your Operation Christmas Child Shoebox Story

In what country did you receive your shoebox gift?(Required)

What year did you receive your shoebox gift?(Required)

Please describe the day you received your shoebox gift and the emotions you felt.(Required)

What stood out to you the most in your shoebox? Why was that so special?(Required)

Please describe your life circumstances at the time you received the shoebox gift. What was your greatest challenge?(Required)

What kind of impact did the shoebox have on you (spiritual, emotional, and/or physical)?(Required)

Background Information on Your Spiritual Journey

Samaritan’s Purse is a nondenominational evangelical Christian organization providing spiritual and physical aid to hurting people around the world. Operation Christmas Child is one of the projects of Samaritan’s Purse.

The mission of Operation Christmas Child is to demonstrate God’s love in a tangible way to children in need around the world. The following questions are essential to help us understand your spiritual journey.

Are you a follower of Jesus Christ?(Required)

Yes

Please describe how you came to know the Lord Jesus Christ.(Required)

Describe your relationship with God on a day-to-day basis.(Required)

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.(Required)

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?(Required)

Yes

If yes, please note that additional steps will be taken to determine if this is the best fit for you and the ministry.

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Additional Information

Is there anything else you would like to add?