Security Hut, Inc.
 18614 Detroit Ave., Lakewood, OH 44107

(866) 573-2488 (Toll Free)
(216) 226-0461 (Office)
(216) 226-6742 (Fax)
(216) 670-8488 (Emergencies)


Personal Information:
Last Name: First Name:  MI: 
Date of Birth: City Born at:
Address 1: Address 2:
City: State:   Zip: 
Home Phone: Cell Phone:
 
Last Place of Employment (or Current):
Date Started: Date Left:
Reason for Leaving:
Employer/Company Name: Phone:
Address1: Address2:
City: State:   Zip: 
Supervisor: Phone:
Starting Hourly Rate: Ending Hourly Rate:
 
2nd Last Place of Employment:
Date Started: Date Left:
Reason for Leaving:
Employer/Company Name: Phone:
Address1: Address2:
City: State:   Zip: 
Supervisor: Phone:
Starting Hourly Rate: Ending Hourly Rate:
 
Have you ever been convicted of a felony? (if checked, see to the right) If yes, Explain:
Reference #1: Ref #1 Phone:
Reference #2: Ref #2 Phone:
 


Contact Us: Security Hut, Inc