Community Support Form

The Committee on Cultural Awareness & Social Inclusion is committed to a #DiverseLaVerne. If you experience any incidents of discrimination, harassment, and/or retaliation, the community support form helps us come up with a solution, so that all feel welcomed in La Verne.

    Please Complete the Entire Form
    Must confirm all before submitting:
    • I understand that this grievance goes to a community-based committee with no coercive power over anyone. 
    • The purpose of this grievance is to provide individuals and stakeholders an opportunity to hear my grievance(s) for support, research, and advocacy. 
    • The goal is always for a peaceful outcome and any assistance provided to me by the committee will be provided and executed in peace. 
    • My sole intended purpose in filing this grievance is to make the city better for myself and others who may have an experience like the one leading to this grievance.
    • All of the facts contained in this grievance are true and correct based on my firsthand knowledge of the incident.