FIRE CADETSMore than just squirting water!

CADETIAID TÂNLlawer mwy na chwistrellu dwr!^

I gael rhagor o wybodaeth, ewch i'n gwefanwww.decymru-tan.gov.uk

e-bost: CadetiaidTan@decymru-tan.gov.ukFfôn: 01443 232000

Visit our website for more informationwww.southwales-fire.gov.uk email: FireCadets@southwales-fire.gov.ukTel: 01443 232000

“Inspiring young people to achieve their potential”“Yn symbylu pobl ifanc i wireddu’u potensial”

Cyfeiriad:Address:

FFURFLEN GAIS / APPLICATION FORM

Please return to: Fire Cadets Manager, Community Fire Safety Dept. South Wales Fire and Rescue Service, Headquarters, Forest View Business Park, Llantrisant, CF72 8LX.

Dychwelwch at: RheolwrCadetiaid Tân, Adran Diogelwch Tân Cymunedol, Pencadlys,Gwasanaeth Tân ac Achub De Cymru, Parc Busnes Forest View, Llantrisant, CF72 8LX.

Data Protection Legislation

Under Data Protection Legislation, South Wales Fire and Rescue Authority reserves the right to collect, store and process personal data about its applicants insofar as it is relevant to your application. This includes processing of sensitive data for the purposes of monitoring the Authority’s equality and diversity policy

Data Protection Legislation

Under Data Protection Legislation, South Wales Fire and Rescue Authority reserves the right to collect, store and process personal data about its applicants insofar as it is relevant to your application. This includes processing of sensitive data for the purposes of monitoring the Authority’s equality and diversity policy

Enw:Name:

Ydych chi’n credu bod anabledd gyda chi?:Do you consider that you have a disability? :

Oes archwiliad diogelwch tân yn y cartref wedi cael ei wneud o fewn eiddo?Has a home safety check been undertaken within your property?Os na, cysylltwch â 0800 169 1234 i gael archwiliad iechyd am ddim. If not, please contact 0800 169 1234 for a free homesafety check.

Ysgol/Coleg a fynychir:School/College attended:

Oes gyda chi brofiad blaenorol o weithio gyda’n cynlluniau ymyraeth eraill?:Have you previously had any involvement with any of our other youth interventions?:

Cangen y ceisiwyd i weithio ynddi:Branch applied for:

Dyddiad Geni: Date of Birth:

Cod Post:Post Code:

Ffôn:Telephone:

Rhyw:Gender:

Dyddiad:Date:

Oedran:Age:

Hoffwn wneud cais i ddod yn aelod o Gymdeithas y Cadetiaid Tân. I would like to apply to become a member of the Fire Cadets.

Llofnod:Signed:

Rhiant: Parent:

Rosiect Phoenix: Phoenix Project:

Toseddau a Chanlyniadau:Crimes and Consequences:

Oes:Yes:

Gofalwr: Carer:

Anabledd dysgu:Learning disability:

Dim Anabledd Dysgu: No Learning disability:

Iechyd Meddwl:Mental Health:

Dewis peidio datgan: Prefer not to say:

Anabledd Corfforol: Physical Impairment:

Nam ar y Synhwyrau: Sensory Impairment:

Arall:Other:

Dim: No:

Gwarcheidwad:Guardian:

Cynllun Ymyrraeth Gosod Tanau:Firesetting Intervention Scheme: