EEO Survey ACR is required to attempt to collect and maintain demographic information on our applicants. This data will not be used in our hiring decisions. Name First Last Position Applying for:PROF (Direct Care, RS, RC)OFFC (HR/Finance position)CRFT (maintenance)Applying for FT or PT: FT PT Have you previously applied to ACR Homes? Yes No Have you previously been employed by ACR Homes? Yes No Race/Ethnicity: Asian/Pacific Islander Black or African American White Hispanic or Latino Native American or Native Alaskan Other (Please specify) Wish not to disclose Race/Ethnicity (Other)GenderMaleFemaleNon-BinaryChoose the option(s) for the pronouns you want people to use to refer to you:HeSheTheyIndividual with a disability Yes No