Ffurflen gais gwirfoddolwyr

Wales Cymerwch ran Gwirfoddolwch gyda ni Ffurflen gais gwirfoddolwyr

Ffurflen gais gwirfoddolwyr

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Personal info / Gwybodaeth bersonol

Consent / Cydsyniad

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Consent for storing submitted data / Caniatâd i storio data a gyflwynwyd *

Yes, I give permission to store and process my data / Ydw, rwy'n rhoi caniatâd i storio a phrosesu fy nata

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Personal details / Manylion personol

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First name / Enw cyntaf *

Last name / Enw olaf *

Date of Birth / Dyddiad Geni *

Email address / Cyfeiriad e-bost *

Confirm your email address / Cadarnhewch eich cyfeiriad e-bost *

Address line one / Cyfeiriad 1 *

Address line two / Cyfeiriad 2 *

Address line three / Cyfeiriad 3

Postcode / Côd post *

Contact phone number / rhif ffôn cyswllt *

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County intro / Cyflwyniad sirol

There are sometimes regional variances in our volunteering opportunities. To ensure we can support you in the most appropriate way please could you supply your location details: / Weithiau mae amrywiaethau rhanbarthol yn ein cyfleoedd gwirfoddoli. Er mwyn sicrhau y gallwn eich cefnogi yn y ffordd fwyaf priodol a fyddech cystal â rhoi manylion eich lleoliad:

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Select your county / Dewiswch eich sir *

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About you / Amdanat ti

Do you have experience of caring? / Oes gennych chi brofiad o ofalu? *

I'm currently caring / Rwy'n gofalu ar hyn o bryd

I'm not currently caring, but have been in the last three years / Dydw i ddim yn gofalu ar hyn o bryd, ond rydw i wedi bod yn y tair blynedd diwethaf

I'm not caring now, but I was / Dydw i ddim yn gofalu nawr, ond roeddwn i fwy na thair blynedd yn ôl more than three years ago

I'm not a carer but I support your cause / Dydw i ddim yn ofalwr ond rwy'n cefnogi eich achos

Are you a Welsh speaker? / Ydych chi'n siaradwr Cymraeg? *

Yes / Ie

No / Naddo

Are you currently employed? / Ydych chi'n gweithio ar hyn o bryd?

Yes / Ie

No / Naddo

What methods of contact can we contact you (tick all that apply)? / Pa ddulliau o gysylltu y gallwn gysylltu â chi (ticiwch bob un sy'n berthnasol)?

Post / Bost

Telephone / Ffon

Email / E-bost

Text / Testun

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Role / Rhan

Which roles would you like to apply for? / Pa rolau hoffech chi wneud cais amdanynt? * Choose the roles you are currently interested in. For more information about our volunteer roles, email volunteer@carerswales.org

Community Champion / Hyrwyddwr Cymunedol

Carer Voice Champion / Hyrwyddwr Llais Gofalwyr

Workplace Champion / Hyrwyddwr Gweithle

Admin Volunteer / Gwirfoddoli Gweinyddol

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Why does championing carers interest you? / Pam mae hyrwyddo gofalwyr o ddiddordeb i chi?

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How did you hear about volunteering with Carers Wales? / Sut clywsoch chi am wirfoddoli gyda Gofalwyr Cymru?

Carers Wales/UK website

Carers Wales/UK email

Caring magazine

Charityjob website / Gwefan Charityjob

Facebook/Twitter

Local organisation / Sefydliad lleol

My employer / Fy nghyflogwr

Nutricia partnership

Centrica partnership

Virgin Media partnership

Spoke to a current Carers Wales volunteer or staff member / Wedi siarad â gwirfoddolwr neu aelod o staff presennol Gofalwyr Cymru

Word of mouth / Ar lafar gwlad

Can't remember / Methu cofio

Other / Arall

If you have any questions about volunteering with Carers Wales, write them in the box below. / Os oes gennych unrhyw gwestiynau am wirfoddoli gyda Gofalwyr Cymru, ysgrifennwch nhw yn y blwch isod.

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Unspent convictions as defined in the Rehabiliation of Offenders Act 1974

Unspent convictions as defined in the Rehabiliation of Offenders Act 1974/Euogfarnau heb eu disbyddu fel y'u diffinnir yn Neddf Adsefydlu Troseddwyr 1974

You will not be asked to disclose convictions that are spent but relevant unspent convictions may result in an unsuccessful application. Please provide details of any unspent convictions (including date and place of conviction, nature of offence and sentence) in a separate email to volunteer@carerswales.org. This information will not be disclosed to the person reviewing your application.

Ni ofynnir i chi ddatgelu euogfarnau sydd wedi eu disbyddu ond gall euogfarnau perthnasol sydd heb eu disbyddu arwain at gais aflwyddiannus. Rhowch fanylion unrhyw euogfarnau heb eu disbyddu (gan gynnwys dyddiad a lleoliad yr euogfarn, natur y drosedd a'r ddedfryd) mewn e-bost ar wahân i volunteer@carerswales.org. Ni fydd y wybodaeth hon yn cael ei datgelu i'r person sy'n adolygu eich cais.

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Carer Voice Champion Questions / Cwestiynau i Hyrwyddwyr Llais Gofalwyr

What do you want to be involved in? / Beth ydych chi eisiau bod yn rhan ohono?

Review and development of new publications / Adolygu a datblygu cyhoeddiadau newydd

Feed into policy or service consultation responses / Bwydo i mewn i ymatebion ymgynghoriad polisi neu wasanaeth

Give evidence (your experience) to meetings or inquiries / Rhowch dystiolaeth (eich profiad) i gyfarfodydd neu ymchwiliadau

Get involved locally to influence local services / Cymryd rhan yn lleol i ddylanwadu ar wasanaethau lleol

Get involved in Campaigns / Cymryd rhan mewn Ymgyrchoedd

Share my caring story (in the media, blogs etc) / Rhannwch fy stori ofalu (yn y cyfryngau, blogiau ac ati)

Listening Support in Wales / Cefnogaeth Gwrando yng Nghymru

Conditions on Listening Support Volunteering / Amodau Gwrando Cefnogi Gwirfoddoli * A listening Support volunteer will need to be interviewed and pass a DBS check to do this volunteer role.

I understand there is an interview and a DBS check to sign up to this role / Rwy'n deall bod cyfweliad a gwiriad DBS i gofrestru ar gyfer y rôl hon

Community Champions questions / Cwestiynau Hyrwyddwyr Cymunedol

What activities do you want to be involved in? / Pa weithgareddau ydych chi eisiau cymryd rhan ynddynt?

Attend local events / information stands / Mynychu digwyddiadau lleol / stondinau gwybodaeth

Take leaflets and posters to doctor’s surgeries, libraries, pharmacies etc. / Ewch â thaflenni a phosteri i feddygfeydd, llyfrgelloedd, fferyllfeydd ac ati.

Speak at local groups and meetings / Siarad mewn grwpiau a chyfarfodydd lleol

Policies

Please read our the Volunteer Agreement and Privacy Policy *

I have read and understood the Volunteer Agreement

I have read and understood the Privacy Policy

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Please confirm that you are human / Cadarnhewch eich bod yn ddynol *

Reference

Reference Please supply the names of two references for this role.

Reference email Please supply the names of two references for this role.

Reference phone number Please supply the names of two references for this role.

Reference address

Reference postcode

Reference two - name

Reference two - email address

Reference two - phone number

Reference two - address

Reference two - postcode

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