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Hate violence is a terrible reality for many communities. From being called a "fag" or "dyke", to discrimination, vandalism and even physical violence. Cal Poly Pomona and the Pride Center will not tolerate any acts of hate!

The Pride Center encourages all victims of bias to empower themselves by documenting these incidents.

The Pride Center understands that reporting these incidents to authorities may be difficult at times. You have the option of remaining anonymous. Any information you can provide will help us maintain a safe campus for you! Empower yourself!

*If you wish to remain anonymous, type in "Anonymous" under Your Name.

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To choose multiple answers, simply press & hold the "Ctrl" button, then click your choices.
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Your Name:
Your Phone #:
Your Email Address:
Your Campus Affiliation: *
Are you the: *
Gender Identity of Victim: *
Sexual Orientation of Victim: *
Where did the incident occur? (e.g. outside Bldg 26): *
Race/Ethnicity of Victim: *
What date did the incident occur? (provide best estimate e.g. 01/01/06): *
What time did the incident occur? (e.g. 07:50pm): *
What was done to the victim (crime or incident)?: *
If victim was injured, please describe injuries: *
Did the victim receive medical attention?: *
What do you think is the motive that caused the incident?: *
How many people ("pepetrators") attacked/harassed the victim?: *
Age of Perpetrator(s): *
Gender of Perpetrator(s): *
Race/Ethnicity of Perpetrator(s): *
Physical description of perpetrator.: *
Did you report this incident to the authorities (i.e. judicial affairs, police)?: *
How did they treat you?: *
In your own words, please explain what happened:
May the Pride Center contact you?: *
May the Campus police contact you?: *
Other incidents?:

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Quick Links

University Police

Stop Violence Office

Judicial Affairs

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Office of Diversity

Anti-Violence Project

National Anti-Violence Program

Cal Poly Pomona Home © 2008 California State Polytechnic University, Pomona Updated On: Jul 7, 2008 | Questions & Comments