Ohio Guard Form
Company Name: HUFFMASTER CRISIS RESPONSE INC
Office where this person will be employed: 1055 W Maple Rd, Clawson, MI 48017
Personal Information
Middle Initial Last Name Suffix
First name
Sandor N/A Sinka N/A
SSN Race Place of Birth (State)
Birthdate (MM/DD/YYYY)
595952242 White 09 / 20 / 1973 Gyongyos,Hung
ary
Primary Phone # Secondary Phone # Email Address
(919)538 5231 N/A
[email protected] Height Citizenship
Feet Inches Hair Color Eye Color
Weight
5 11 210 Brown Blue US
Identifying scars, marks, or tattoos: None
Current Home Address
Home Address (No PO Boxes) Suite/Apt #
5 Circus Pl. N/A
City (No abbreviations) State Zip
Brunswick Maine 04011
Veteran information
Are you or your spouse a veteran or active member of the United States Armed Forces?
If yes, please upload you or your spouse's DD214, current military ID, or current orders.
Self
Spouse
Public Record Availability
Are you currently a commissioned peace officer, parole officer, prosecuting or assistant Yes
Yes
prosecuting attorney, correctional employee, youth services employee, firefighter,
EMT, probation officer, baliff, or an investigator of the bureau of criminal No
No
investigation?
Huffmaster Crisis Response Inc Revised: 2.24.2022
