Rhaglen Mentora ‘RiFF’ / 'RiFF' Mentoring Programme

Defnyddir y ffurflen hon i'ch cofrestru ar Raglen Fentora 'RiFF' mewn partneriaeth â ni yn Cerdd Gymunedol Cymru a Menteriaith RhCT. Mae’r holl wybodaeth yn cael ei thrin yn gyfrinachol a dim ond ni, sefydliad partner y prosiect a chyllidwr y prosiect fydd yn ei gweld a’i defnyddio ar gyfer dadansoddiad ystadegol prosiect ac ni chaiff ei throsglwyddo i unrhyw drydydd parti, yn unol â Rheoliad Diogelu Data Cyffredinol 2016 (GDPR).

This form will be used to enrol you onto the 'RiFF' Mentoring Programme in partnership with us at Community Music Wales and Menteriaith RCT. All information is treated confidentially and will only be viewed and used for project statistical analysis by us, the project partner organisation and the project funder and will not passed to any third party, in line with the General Data Protection Regulation 2016 (GDPR).

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* 1. Enw/Name:

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* 2. Oed/Age:

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* 3. Rhyw/Gender:

Gwryw / Male

Benyw / Female

Anneuaidd /Non-binary

Mae’n well gennyf beidio â dweud / Prefer not to say

Arall / Other (please specify)

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* 4. Ble rydych chi'n byw? / Where do you live?

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* 5. Beth yw eich grŵp ethnig? / What is your ethnic group?

Gwyn Cymraeg / White Welsh /

Gwyn Prydeinig / White British

Gwyn Gwyddelig / White Irish

Cefndir Gwyn Arall / Other White background

Cymysg – Gwyn a Du Caribïaidd / Mixed - White and Black Caribbean

Cymysg – Gwyn a Du Affricanaidd / Mixed - White and Black African

Cymysg – Gwyn ac Asiaidd /Mixed - White and Asian

Cefndir Cymysg Arall / Other Mixed Background

Asiaidd neu Asiaidd Brydeinig – Indiaidd / Asian or Asian British – Indian

Asiaidd neu Asiaidd Brydeinig – Pacistanaidd / Asian or Asian British – Pakistani

Asiaidd neu Asiaidd Brydeinig – Bangladeshaidd / Asian or Asian British – Bangladeshi

Asiaidd neu Asiaidd Brydeinig – unrhyw gefndir Asiaidd arall / Asian or Asian British – any other Asian background

Du neu Ddu Prydeinig – Caribïaidd / Black or Black British – Caribbean

Du neu ddu Prydeinig – Affricanaidd / Black or Black British – African

Du neu Ddu Prydeinig – unrhyw gefndir Du arall / Black or Black British – any other Black background

Unrhyw ethnigrwydd arall / Any other

Mae’n well gennyf beidio â dweud / Prefer not to say

Arall / Other (please specify)

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* 6. Gwybodaeth gyswllt / Contact Information

Email Address / E-bost

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* 7. Rhif cyswllt brys a pherthynas â chi? / Emergency contact number and relationship to you?

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* 8. Dewiswch o’r opsiynau isod pa ddyddiadau y gallwch chi fynychu/ Please select from the options below which dates you can attend

Dydd Sadwrn Tachwedd 2 / Saturday 2nd November (10am - 1pm)

Dydd Sadwrn Tachwedd 16 / Saturday 16th November (10am - 1pm)

Dydd Sadwrn Tachwedd 23 / Saturday 23rd November (10am - 1pm)

Dydd Sadwrn Tachwedd 30 / Saturday 30th November (10am - 1pm)

Dydd Sadwrn Ragfyr 7 / Saturday 7th December (10am - 1pm)

Dydd Sadwrn Ragfyr 14 / Saturday 14th December (10am - 1pm)

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* 9. A oes gennych unrhyw ofynion arbennig neu anghenion hygyrchedd? / Do you have any special requirements or accessibility needs?

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* 10. Ble clywsoch chi am y digwyddiad hwn? / Where did you hear about this event?

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* 11. Dysgyblaith Cerddorol / Musical Discipline

Cyfansoddwr - Cyfansoddwraig / Songwriter

Canwr - Cantores / Singer

Offeryn (rhowch fanylion isod) / Instrument (please specify details below in next question)

Arall / Other

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* 12. Rhowch fanylion eich disgyblaeth gerddorol / Please give details of your musical discipline

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* 13. Darparwch bio byr (uchafswm o 200 gair) yn cyflwyno'ch hun, eich cefndir cerddorol, a'ch dyheadau gyrfa: / Please provide a short bio (200 words max) introducing yourself, your musical background, and career aspirations:

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* 14. Beth ydych chi'n gobeithio ei gyflawni trwy gydol y prosiect hwn? / What do you hope to achieve through the course of this project?

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* 15. Ydych chi’n rhoi caniatâd i Gerdd Gymunedol Cymru ddefnyddio unrhyw ddelweddau ohonoch chi’ch hun, ar ein cyfryngau cymdeithasol neu wefan sy’n cael eu dal drwy fideo neu lun yn ystod y prosiect? / Do you give Community Music Wales permission to use any images of yourself, on our social media or website that are captured through video or photo during the project?

Ydw dwi'n ei wneud / Yes I do

Na dydw I ddim / No I do not

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* 16. Beth yw lefel eich hyfedredd Cymraeg? / What is your level of Welsh proficiency?

Lefel 1: Lefel mynediad, gallu deall a defnyddio ymadroddion syml, cyflwyno eu hunain, a gofyn ac ateb cwestiynau sylfaenol / Level 1: Entry-level, can understand and use simple phrases, introduce themselves, and ask and answer basic questions

Lefel 2: Lefel sylfaen, gallu deall hanfod sgyrsiau, cyfleu gwybodaeth sylfaenol, a rhoi a derbyn cyfarwyddiadau / Level 2: Foundation level, can understand the gist of conversations, convey basic information, and give and receive instructions

Lefel 3: Lefel canolradd, yn gallu sgwrsio’n rhannol yn Gymraeg, disgrifio pobl a lleoliadau / Level 3: Intermediate level, can converse partly in Welsh, describe people and locations

Lefel 4: Lefel uwch, yn gallu cyfrannu'n effeithiol mewn cyfarfodydd/sgyrsiau / Level 4: Advanced level, can contribute effectively in meetings/conversations