FFURFLEN ENWEBU LLIWIAU’R UNDEB ATHLETAU

ATHLETIC UNION COLOURS NOMINATION FORM

Y ffurflen hon i’w chwblhau gan y cynigydd, nid yr enwebai.
This form is to be completed by the proposer, not by the nominee.
Cwblhewch y ffurflen hon a’i dychwelyd at yr Undeb Athletau.
Please complete this form and return it to the Athletic Union. Blues

Enw’r Enwebai
Name of Nominee

Clwb Prifysgol
University Club

Rhif UA Nifer o flynyddoedd yn rhan o’r Clwb

AU Number Number of years involved with Club

Swyddi gyda chyfrifoldeb ar bwyllgor y Clwb (os o gwbl)

Positions of responsibility within club committee (if any)
Safle/Position Blwyddyn/Year

Pa ymroddiad a chyfraniad sydd wedi eu dangos gan yr ymgeisydd i waith trefnu a gweinyddu’r clwb?
What commitment and contribution has the applicant shown to the organisation and running of the club?

Pa ymroddiad ac ymdrech sydd wedi eu dangos gan yr ymgeisydd tuag at hyfforddi ac annog aelodau’r clwb?
What commitment and effort has the applicant shown towards training and encouraging members of the club?
Pa mor ddibynadwy yw’r ymgeisydd am fynychu gemau / ymarfer / digwyddiadau?
How reliable is the applicant at attending matches / training / events?

Cyraeddiadau chwaraeon (gyda dyddiadau) e.e. cynrychioli Cymru, lleoliadau BUSA, Cymwysterau, Graddoliad,
Perfformiadau:
Sporting Achievements (with dates) e.g. Welsh representation, BUSA placings, Qualifications, Gradings,
Performances:

Unrhyw wybodaeth berthnasol bellach i gefnogi’r cais (defnyddiwch dudalen arall os oes angen):
Any further information relevant to support the application (use separate sheets if necessary):

Enw’r Cynigydd
Proposer’s Name

Safle ar bwyllgor y Clwb (os yn berthnasol)

Club committee position (if any)

Rhif Cyswllt y Cynigydd

Proposer’s Contact Number

Dychwelwch y ffurflen hon neu printiwch gopi a’i ddychwelyd at yr Undeb Athletau.
Submit this form or print off and return to the Athletic Union.