Electoral Commission Youth Voice Panel Wales....will you join us? Panel Llais Ieuenctid Y Comisiwn Etholiadol Cymru... a fyddwch chi'n ymuno â ni?

Beth yw dy enw cyntaf? What is your first name?

Beth yw dy enw olaf? What is your last name?

Dyddiad geni? Date of birth?

Rhowch rif ffôn i ni y gallwn gysylltu â chi arno, gallai hwn fod eich un chi neu un i rieni neu gofalwyr.

Please give us a phone number that we can contact you on, this could be yours or a parents or carers.

Ydy'r rhif ffôn uchod: Is the phone number above:

Eich un chi/ Yours

Rhiant neu ofalwr/ A parent or carers

Rhowch gyfeiriad e-bost y gallwn gysylltu â chi arno, gallai hwn fod gennych chi neu eich rhieni neu ofalwyr os nad oes gennych un.

Please supply an email address that we can contact you on this could be yours or your parents or carers if you don't have one.

Beth yw eich rhywedd? What is your Gender?

Yn well gen i beidio dweud/ Prefer not to say

Wyt ti'n siarad Cymraeg? Do you speak Welsh?

Ydw, yn rhugl/ Yes, fluently

Ydw, alla i gynnal sgwrs yn Gymraeg/ Yes I can hold a conversation in Welsh

Rwy'n gwybod ychydig o eiriau/ I know a few words

Beth yw eich cefndir ethnig? What is your ethnic background?

(Please tick the one that best describes you / Ticiwch yr un sy'n eich disgrifio orau)

Gwyn Cymreig -Gwyn Prydeinig / White Welsh -White British

Gwyn Arall / White Other

Cefndiroedd ethnig cymysg neu lluosog / Mixed or multiple ethnic backgrounds

Asiaidd neu Asiaidd Prydeinig / Asian or Asian British

Du, Du Prydeinig neu Du Cymreig / Black, Black British or Black Welsh

Grŵp ethnig arall / Another ethnic group

Gwell gen i beidio â dweud / Prefer not to say

A ydych chi'n ystyried bod gennych anabledd neu gyflwr hirdymor? / Do you consider yourself to have a disability or long-term condition?

/ Gwell gen i beidio â dweud / Prefer not to say

Ym mha ardal awdurdod lleol wyt ti'n byw? / Which local authority area do you live in?

Ar raddfa o 1-10, gyda 1 yn golygu nad wyf yn gwybod dim a 10 yn golygu fy mod yn gymdeithasol iawn yn wleidyddol, sut fyddech chi'n graddio eich diddordeb neu wybodaeth wleidyddol (rydyn ni'n edrych i weithio gyda phobl ifanc o bob rhan o'r sbectrwm)

On a scale 1 to 10, how would you rate yourself when 1 is "I know nothing" and 10 is "I am very politically engaged" (we are looking to work with young people at different levels of engagement)

Dywedwch wrthym ychydig wrthych chi'ch hun a pham rydych chi eisiau ymuno â'r panel ieuenctid/ Tell us a little bit about yourself and why you want to join the youth panel