Application Form - Cartref Ni Ltd

For the post of: | Ar Gyfer swydd:

Personal Details | Manylion Personol

Title | Teit

Forename | Enwau Cyntaf(Required)

Surname | Cyfenw(Required)

House Name/Number | Enw'r Tŷ/Rhif

Street | Stryd(Required)

Town | Tref(Required)

County | Sir(Required)

Postcode | Côd Post(Required)

Email | Ebost(Required)

Telephone | Ffon

Mobile | Symudol

Driving Experience | Profiad Gyrru

Do you hold a current full driving licence? | A oes gennych drwydded yrru lawn gyfredol?

Yes

No

Since When? | Ers pryd?

Type of Licence | Math o Drwydded

Do you have your own transport? | Oes gennych chi'ch cludiant eich hun?

Details of driving experience | Manylion profiad gyrru

Education and Training | Addysg a Hyfforddiant

Schools/College/University attended (from age 11) | Ysgolion/Coleg/Prifysgol a fynychwyd (o 11 oed)

Name & Location \| Lleoliad Enw	Date From \| Dyddiad O	Date To \| Dyddiad i	Actions

There are no Entries.

Examination Results | Canlyniadau Arholiadau

Results | Ganlyniadau

Examination and Results \| Arholiadau a Chanlyniadau	Date Achieved \| Dyddiad Cyflawnwyd	Actions

There are no Entries.

Current Studies | Astudiaethau Cyfredol

Are you currently studying for any qualifications? | Ydych chi'n astudio ar hyn o bryd ar gyfer unrhyw gymwysterau?

Yes

No

Current Studies | Astudiaethau cyfredol

Please provide details \| Rhowch fanylion	Actions

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Rehabilitation of Offenders Act 1974 | Deddf Adferiad Troseddwyr 1974

Have you ever been convicted of any criminal offence? (including driving offences) | A ydych wedi eich barnu'n euog o unrhyw drosedd? (gan gynnwys frsedd gyru)(Required)

Yes

No

If, so please give details below. | Os ydych rhowch manylion

Under the provisions of this act and regulations, you need not normally disclose details of any spent convictions. However, if the post you are applying for involves working with a person or persons from any of the following groups, then you must disclose all convictions:
(a) children under 18 years
(b) Adults over 65 yeras
(c) Persons suffering from serious illness or mental disorder
(d) Persons suffering from addiction to alcohol or drugs
(e) Persons who are blind, deaf or dumb
(f) Persons who are physically or mentally handicapped Yn ol y ddeddf hon nig oes yn rhaid datgelu manylion o unrhyw ddedfryd sydd wedi i gwblhau. Fodd bynnag os yw'r swydd rydych yn ymgeisio amdani'n golygu gweithio gyda person neu phersonau o unrhyw un or grwpiau canlynol:
(a) Plant o dan 18 oed
(b) Oedolion dros 65 oed
(c) Personau n dioddef o salwch difrifol neu feddyliol
(d) Personau n dioddef o gorddibyniaeth i alcohol neu gyffuraiu
(e) Personau sy n ddall, byddar neu'n fud
(f) Personau dan anfantais corfforol neu feddylio

Previous Employment (Most recent first) | Swyddi Blaenorol (Y diweddaraf gyntaf

All employment since leaving school | Pob cyflogaeth ers gadael yr ysgol

From Date \| Dyddiad o	To Date \| Dyddiad i	Employer Name & Address \| Enw'r Cyflogwr a'r Cyfeiriad	Position Held \| Swydd a Gedwir	Grade & Salary	Reason for Leaving	Actions

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Skills | Sgiliau

Please outline the skills and experience you have gained through paid and/or voluntary employment and other work activities and interests which are relevant for this vacancy (additional sheets may be added if necessary | Amlinellwch y sgiliau a'r profiad rydych wedi'u profi drwy waith cyflogadig ac/neu wirfoddol a gweithgareddau eraill a diddordebau sy'n berthnason i'ch cais ar gyer y swydd (gellir ychwanegu tudalennau ychwanegol os oes angen

Leisure Interests | Diddordebau oriau hamdden

(Clubs, Societies, Sports, Games, Hobbies, etc.) | (Clybiau, Cymdeithasau, Chwaraeon, Gemau, Hobiau, a.y.y.b.)

2 References Required | 2 Eirda Gofynnol

If you have any objections to references being taken up prior to interview, please tick box | Os oes gennych unrhyw wrthwynebiad i gais am disteb cyn cyfweliad, ticiwch y bocs

Reference1 | Gofynnol 1

This should be your present or last employer | Dylai un fod yn eich cyflogwr presennol neu ddiwethaf

First Name | Enw Cyntaf

Surname | Cyfenw

Position | Swydd

House Name/Number | Enw'r Tŷ/Rhif

Street | Stryd

Town | Tref

County | Sir

Postcode | Cod Post

Email | E-bost

Reference 2 | Gofynnol 2

Previous employer in last 5 years in social care OR a character reference from a person in a position of authority who is not a relative | Cyflogwr blaenorol yn ystold y 5 mlynedd diwethaf ym maes gofal cymdeithasol NEU gerida cymeriad gan rywun mewn safl o awdurdod nad yw'n berthnyas

First Name | Enw Cyntaf

Surname | Cyfenw

Position of Authority | Swydd o Awdurdod

House Name/Number | Enw'r Tŷ/Rhif

Street | Stryd

Town | Tref

County | Sir

Postcode | Cod Post

Email | E-bost

Additional Information | Gwybodaeth Ychwanegol

(a) Please give any dates in the near future when you WILL NOT be available for interview. | Nodwch pa ddyddiadau yn y dyfodol agos pan NA FYDDYWCH are gael am gyfweliad.

(b) Where did you see the advertisement? | Lle welsoch yr hysbyseb?

I declare that the information given on this form is correct. | (c) Rwyf yn datgan fod y wybodaeth yn y ffurflen hon yn gywir.

(c) Date | Dyddiad