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SMART Registration
Personal Information
First Name
Last Name
Email
Phone
Title
- Select -
CSR
Lead CSR
Assistant Site Manager
Site Manager
Area Manager
Support Staff
Franchisee
Other
Briefly describe the responsibilities of your current job
Briefly describe your work history & experience (include titles and # of years in each position)
Franchisee & Store Information
Franchisee Name
Store Brand
- None -
Circle K
On the Run
Kangaroo Express
Corner Store
Please enter the brand of your store.
Site Open Date
Site #
Site Mailing Street
Site Mailing City
Site Mailing State
- Select -
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Ontario
Site Mailing Zip
Class Information
Class Date
- Select -
04/08/25 - 04/11/25 SMART (On-Line via Teams Meeting)
05/06/25 - 05/09/25 SMART (On-Line via Teams Meeting)
05/20/25 - 05/23/25 SMART (On-Line via Teams Meeting)
(class dates and calendar may be subject to change)
Home Office Availability
- Select -
Yes
No
Do you have an office outside of the store where you can be uninterrupted for 4 days of 8-9 hours a day? Training can NOT be completed in store.
Audio/Video Capability
- Select -
Yes
No
Does your PC desktop or Laptop have a working webcam, microphone and speakers (or do you have access to a headset)?
SSCS Requirement
- Select -
I acknowledge that I am required to schedule SSCS Training on my own two weeks prior to opening.
In-Store Requirement
- Select -
I acknowledge that I am required to schedule and attend In-Store Training in Tempe, AZ to become SMART Certified.
Emergency Contact Name
Emergency Contact Phone
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