Barcud Board Member Recruitment Pack

This information pack explains the process which will be undertaken to recruit board members to the Barcud Board.The pack includes: 1 Welcome Letter 2 Background Information 3 The Role of a Board Member 4 Assessment Principles 5 Recruitment ProcessAppendix1 BarcudBoardMember-RoleProfileAppendix2 BarcudBoardMember-PersonSpecification Appendix 3 Equalities Monitoring Form

I hope this information pack has all the information you need to decide if you can help us achieve our ambitious aims.It includes:• Background information about us including our Strategic Objectives,

Mission, Vision and Destination Statements – where we want to be in 2025

• The Role of the Board• Details of our Board and Executive Team• Information About the Role of a Board Member• Assessment Principles• Recruitment Process and Timetable• ContactsI wish you every success and look forward to receiving your application.Cofion,Karen Karen Oliver – Designate Chair Barcud Foran informalandconfidentialconversationaboutourBoardMembervacancies or if you would like to know more:Please email: karen.oliver@taiceredigion.cymru Designate Chair of Barcud Board or contact Sioned Hughes our independent advisor from Altair on 07887 791381 or email sioned.hughes@altairltd.co.ukTo submit an application, please visit www.altairltd.co.uk/Jobs/alt287

1 Welcome LetterCroeso Thank you for your interest in joining the Board team at Barcud.This is an exciting time for us as we start our journey as a newly merged organisation, building on the history of Mid-Wales Housing Association, which was established in 1975, and Tai Ceredigion, a stock transfer asso-ciation which has recently celebrated its 10 year anniversary. Weareaco-operativeandcommunitybenefitsocietyregisteredwithchar-itable rules. As a Registered Social Landlord, we are regulated by Welsh Government. Our primary purpose is to provide social and affordablerented homes to those who need them.As an organisation we are rooted in the community, recognising the strengths that exist in the communities in which we work. We are ambi-tious and we are looking for people who share our passion for providing greataffordablehomesandexcellentbilingualservicestothepeopleandcommunities across Mid and West Wales.Joining the Barcud Board is an opportunity to help shape the future of the organisation for our tenants, residents and clients, our colleagues and stakeholders.An organisation like ours requires the right skills around the Board table.These skills, knowledge and experience can be drawn from a wide range of sources including current and previous employment, voluntary board memberships and roles, and other life experiences. In particular, we are looking for people with one or more of the following skills:• Asset Management and Health and Safety• Housing and Social Care• HR & Change Management• PR / Digital CommunicationHowever, we recognise skills will only get us so far. We need people with vision who share our values and will challenge the organisation to thinkdifferently.Youwillneedenthusiasm,ideas,andthedeterminationtomake a difference.Wewelcome applications fromout of sector butdon’t require you to have previous board experience. A comprehensive induction programme and continuous training and support package will beprovided.WewantaBoard that reflects thecommunitiesweserve.Weareparticularly interestedinrecruitingpeoplewithdifferentskills tothe Board who will bring their own unique perspective and life experience. We are committed to supporting and promoting equality, diversity and inclusionandrecognisethebenefitsofadiverseboard.We have a board of eight currently, recruited from the two merging asso-ciations, and still have a number of vacancies. Meetings are currently being held online. However in the future we envisage a varied approach to our working arrangements, balancing online (virtual) meetings with more conventional/traditional approaches.

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LLANYMYNECH

TRALLWNG WELSHPOOL

DRENEWYDDNEWTOWN

EIDDO TAI CEREDIGION PROPERTIES

EIDDO TAI CANOLBARTH CYMRUMID-WALES HOUSING PROPERTIES

LLANIDLOES

RHAYADER

LLANDRINDOD WELLS

KNIGHTON

LLANFYLLIN

PONTROBERT

MACHYNLLETH

ABERYSTWYTH

ABERAERON

LLANARTH

ABERTEIFICARDIGAN

PENRHIWLLAN

LLANDYSUL

LAMPETER

TREGARON

PONTERWYD

BUILTH WELLS

Barcud Strategic Objectives

Barcud MissionWewillbuildfirmfoundationsforourpeoplethrough:Better HomesWewanteveryoneinourcommunitytohaveaquality,affordableplaceto live so we’re committed to building more new homes and continuously improving our existing properties. Brighter FuturesWewantourtenants,residentsandstafftobuildsuccessfullives,sowe’recommitted to providing employment, training, care and support services to enable them to do so. Stronger CommunitiesThestrengthofourcommunitiesaffectsallaspectsofour life fromourhealth and wellbeing to our local economy and environment, so we’re committed to building strong and sustainable communities through our work,offeringmoreopportunitiesforthepeoplewholivethere.

• To provide 5,000 affordable, mixed tenure, high quality sustainablehomes in Mid Wales by 2025;

• Tobeanexcellentcommunitylandlord,whichalsoofferssupportandcare services;

• To be a tenant and resident focused social business, which involves customers at all levels and operates bilingually;

• To support the work of local authorities and the Welsh Government to prevent and tackle homelessness in all its forms;

• Tobeanemployeroffirstchoicethatsupportsthelocaleconomyandcommunities;

• To be a sustainable, low carbon organisation; • Tobeanorganisationwithrobustgovernanceandfinances;

2 Background InformationAs a newly merged organisation, Barcud will have circa 4,000 homes and around 300 employees. Turnover will be approximately £25 million.

Barcud Homes

Barcud has three subsidiary companies each with their own Board of Management: Care & Repair Powys (providing advice and adaptations to older and disabled people), registered as a RSL, The Care Society (providing housing, homelessness and support services across Mid Wales) a registered charity, and EOM (a building maintenance company) registered as a company with Companies House.

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Colleagues• Ourteamsareconfidentandhighlytrainedwiththetoolsandpolicies

required to deliver excellent bilingual services • Wehavehighlevelsofstaffsatisfactionandlowlevelsofabsenceand

turnover • We have achieved Healthy Wales Gold accreditation for everybody

within the association’s group • We have a Staff Consultation Panel which helps create a healthy

working environment and drives improvement • We have a ‘right first time’ approach and are open to learning and

constructive criticism • Our workplace is family friendly and welcoming to all • WecaneffectivelyoperatebilinguallyacrossallofourserviceareasTenants, Customers and Clients• Customer facing services are local, accessible, responsive, bilingual,

transparent and well regarded • Performance is at or moving towards top quartile, whilst still achieving

value for money • Our residents help shape business planning, policies, services and

scrutinise performance • Our residents report a high level of satisfaction with services • Our properties and estates are well maintained • OurhomesarefuelefficientandaffordableExternal Stakeholders• Local authorities across West and Mid Wales view us as a trusted

delivery partner • The health boards recognise the contribution we make to the health

and well-being of the communities we serve • We have strong relationships with Welsh Government • Wearepartytothepolicydebates,weinfluencethinkingandarean

active member of CHCThe Board• We have a strong and skilled board which sets a clear vision and

monitors implementation • We have clear assurance systems that support decision making• We continually review our performance and challenge ourselves effectivelyandconstructively

• We are developing a strong and positive culture which is reflectedthroughout the organisation which strives for excellence and value for money

Barcud ValuesCommitted Wearecommittedtoprovidingfirmfoundationsforlife.Proud We take pride in what we do, and we take pride in doing it well.Respect We respect the people we work with, and work for, and value the contri-bution they make.Care We care about our people, communities, culture, country and planet.Team We work together with our colleagues, our tenants, our communities and partners to help each other succeed.

Destination Statements- where we want to be in 2025As part of the Final Business Case for merger the Shadow Board agreed on the following Destination Statements as the strategic intentions of the combined business. The objective of these positive statements is to provide the framework for the board and leadership team and staffof Barcud to take ownership of the planned changes during the initial post-amalgamation and integration period.

What will we look like in 2025? • Wearefinanciallystrongand in thebestpossibleposition todeliver

our objectives • We are an integrated single business with consistent bilingual customer

focussed vision, values and culture • Costs and performance are among the best in our peer group • We have received Standard/Standard regulatory assessments for the

past 5 years • We have a development programme which delivers additional new low

carbon homes to add to the 5000 homes we have already achieved since merger

• EOMisaneffectivedelivererofmaintenanceservicestoourhomes,and those of other social landlords and vulnerable owner occupiers.

• We have strong strategic and operational relationships with Ceredigion, Powys, Pembrokeshire, and Carmarthenshire County Councils

• We have effective IT facilities which enable agile working and isaccessible to our customers

• We have made considerable progress in reducing our carbon footprint, intermsofdecarbonisingourhomes,ouroffices,andouroverallcarbonfootprint

• We have developed a strong culture of continuous improvement and strive to achieve value for money

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Wyn Jones• A Fellow of the Royal Institution of Chartered Surveyors (FRICS)• Member of the Chartered Institute of Arbitrators (MCIArb) • Member of the Expert Witness Institute (MEWI) • A property and valuation expert in practice at a firm of Chartered

Surveyors • Board member since August 2020

John Rees• Finance Manager at Coastal Housing Group• CharteredCertifiedAccountant• Currently sits on the ACCA South Wales Panel and assists with

Advocacy, attending CPD events representing the ACCA and planning the CPD programme for South West Wales

• Board Member since June 2017• On the Board of The Care Society

Catherine Shaw• Tenant • Former modern languages student at Aberystwyth University• Member of the Tenant Steering Group while Tai Ceredigion was being

formed• Former long standing member and Secretary of the Tai Ceredigion

Monitoring Group• Board member since December 2015• On the Board of The Care Society

Cadwgan Thomas• Chartered Quantity Surveyor and Head of Development at Hafod

Services• Experience in the social housing sector since 1996• Experience in overseeing the development of several refurbishments,

new build housing schemes and care home projects• Board member since September 2014• Fluent Welsh speaker

• RetiredlocalgovernmentChiefOfficer(StrategicDirector)withabout30 years experience

• Experienced in partnership working with other public & private sector organisations

• Former School Governor, and with experience on Voluntary Sector Boards of Management

• Experienced Housing Association Board Member, Chairman and Vice-Chairman

• Former Independent member of Ceredigion County Council’s Ethics and Standards Committee

Steve Cripps

• Chartered accountant with experience of finance in the charity andpublic sector

• Has lived in Ceredigion for 12 years and was an Aberystwyth Town Councillor

• Treasurer of Arad Goch (a theatre company) and Chair of Camau Cyntaf i Ddysgu (a nursery provision charity)

• Head of Business and Finance for the Books Council of Wales• Fluent Welsh and English speaker and a Spanish learner

Mererid Boswell

• Solicitorwithoverfifteenyears’experienceinthesocialhousingsectorand former Director of Governance and Legal Services with GrŵpGwalia

• Previously worked for a local authority and in private practice• A Board member since November 2015 and Chair since 2017• In April 2019 she was appointed Chair of the Barcud Shadow Board • Experienced Charity Trustee and school governor • A keen Welsh learner

Karen Oliver

Our BoardThe members recruited to Barcud Board are detailed below:

The Role of the BoardThe Board leads on the governance and assurance framework of the company. It definesandensures compliancewithour valuesandstra-tegic objectives. It prioritises how we use our resources and monitors the performance of the management team who run the company day to day. Within that overall purpose, the roles and responsibilities of the Board are:• Strategic direction • Asset management • Scheme approvals • Financial management • Staffingmatters• Governance and decision-making • Board arrangements• External relations

• Chartered Accountant with experience of working in the City of London• Self-employed business consultant• School Governor and a Director of a community interest company• Board member since February 2015 • Experienced Chair of the Audit and Performance Committee

John Jenkins

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Charles BrothertonGroup Director of Governance, Risk and Resources

Sian HowellsGroup Director Development and Maintenance• Member of the Royal Institute of Chartered Surveyors.• Degree in Urban Estate management (BSc) from University of

Glamorgan.• 30 years experience in both commercial and residential development,

asset and estate management.• Joined Mid-Wales Housing in 2014.• Previous housing association experience with Circle and Guinness HousingGroupsandMerthyrTydfilHousingAssociationinWales.

• 28 years housing experience.• Graduated in Economics (BSc) from Loughborough University.• Chartered Public Finance Accountant.• Appointed Acting Chief Executive of Mid-Wales Housing in 2020.• Director of Finance/ Deputy Chief Executive of Mid-Wales Housing

since 2010.• Former Director of Finance at Rooftop Housing Group.• Local authority experience with Coventry City Council and Wychavon

District Council.• Actively involved with the CIPFA RSL Panel and CIPFA’s representative

in the NHF SORP Working Party.

Executive TeamWehaveaChiefExecutiveandExecutiveTeamleadingfiveDirectorates,who are accountable to the Board.

Llŷr EdwardsGroup Director of Property Services

Eleri JenkinsGroup Director of Housing and Support

Steve JonesGroup Chief Executive

• Degree in Building Technology and Management.• Over 20 years housing experience.• Joined Tai Ceredigion in 2009.• Planned, managed and successfully oversaw completion of WHQS

works for TC.• Responsible for Medra and EOM.• Fluent Welsh speaker.

• 38 years of experience in all aspects of housing management.• Past experience in local authority and with Cymdeithas Tai Cantref.• Joined Tai Ceredigion 2009.• Respected housing professional in west Wales and Fellow of the CIH.• Leads on tenant involvement and participation.• Fluent Welsh speaker.

• GraduatedatSheffieldHallamUniversitywithaBA(Hons)degreeinHousing Studies.

• 37 year career in local authority and RSL housing.• AppointedTaiCeredigion’sfirstCEOin2009.• Guided TC through stock transfer from Ceredigion County Council.• Appointed Interim Chief Executive for Barcud in 2019.• Former Group Director of Community Services at Pennaf Housing

Group.• VoluntarymemberofDigartrefCharityonYnysMon.• Fluent Welsh speaker.

Kate CurranGroup Director Finance and IT• 20 years experience in Public Sector Finance.• Responsible for the Finance, ICT and business improvement

departments within Barcud.• CIPFAqualifiedaccountant.• Trustee of Age Cymru Ceredigion.• Member of the Dyfed Powys Police and Crime Commissioner Joint

Audit Committee.• Active Welsh learner.

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4 Assessment Principles

5 Recruitment Process

It is important that theBarcudboard isfit forpurposeandnotonlyhasthe right skills and experience to govern and lead the organisation but also the knowledge and understanding of the communities it serves on a social, economic and cultural basis. It is important that the Board is made up of individuals who collectively not only embrace the values of Barcud but also avoid groupthink.

Recruitment Stage Date

Closing date for applications 9.00am 19th October 2020

Interviews ( virtual ) 29th October 2020

First Meeting of Barcud Board 5th November 2020

Further information and how to applyPlease complete and provide the following:• An up to date CV including details of positions held (and dates) , please

include key achievements of relevance to a non-executive position (no more than two pages)

• A supporting statement explaining your motivation in applying for the position and also addressing how you meet the requirements of the key tasks (no more than two pages)

• Full contact details (name, job title, organisation, phone and email) for two referees (including your current employer if applicable). Please note we will not take up references without your prior permission

• Completed Equalities Monitoring Form ( Appendix 3) To make an application please visit www.altair.co.uk/Jobs/alt287To discuss the role please contact Sioned Hughes from Altair who is supportingusintherecruitmenttoBarcudboard.Youcancontactonhermobile 07887 791381 or email sioned.hughes@altairltd.co.uk

3 The Role of a Board MemberRole Profile and Person SpecificationPlease see Appendices 1 and 2 TermBoard Members are initially elected for a term of 3 years and subject to re-election can serve for a maximum term of nine years in accordance with Barcud’s Rules.Time commitment and additional dutiesBoard members will be expected to:• prepare for and attend board and committee meetings and the annual

business planning meeting • devote time to acquaint themselves with Barcud’s business (including

attending training and site visits)• take part in Task and Finish Groups and other working-groups from

time to timeOn average, our board members estimate they spend around 2 days per month on board business, including preparation or reading time. It is essential that all board members have an empathy for the Welsh language and culture. Board papers are provided in English, and other than for virtual meetings a translation service is available in every meeting to allow members to use the language of their choice. Board members will be expected to serve on at least one board committee and/orsubsidiarybutthisspecificrecruitmentprocesswillnotundertakethis task. Remuneration and benefitsBecoming a Board Member presents the chance to contribute positively to the organisation and its customers.Currently this an unpaid position but we will reimburse all reasonable expenses. BoardMemberscanalsoexpectthefollowingbenefitsinreturnfortheircommitment: • the loan of IT equipment • a variety of personal development opportunities, including relevant

training and conferences• support from colleagues on the Board and from a dedicated Governance

team • the opportunity to be part of an organisation committed to excellence No terms of reference can cover every issue which may arise within the role and Board members are expected to carry out other duties from time to time that are broadly consistent with those noted in this pack.In accordance with Barcud’s rules, all Board members must sign a statement to confirm that theywillmeet their obligations (including theexpected standards of conduct) to the Board and the Association.

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Responsibilities Leadership and direction • Todefine thevision, values,mission,andstrategicobjectivesof the

organisation and ensure that these are realised and upheld • To ensure clear accountabilities and communications within the

organisation • To promote Barcud internally and externally, establishing constructive,

high-quality relationships, with current and potential customers, partners, and stakeholders

• To monitor, safeguard and enhance Barcud’s reputation. • To establish and maintain a positive customer and community focussed

culture • To create a positive climate within the Board which fosters constructive

challenge • To develop a constructive and supportive relationship with executive • To appoint (and, if necessary, remove) the Chair in accordance with

the Rules Strategic development • To set the key strategic objectives and determine the strategic aims

and outcomes required • To establish a framework for approving and regularly reviewing

strategies, policies and plans to achieve business objectives and effectivegovernance

• To approve an annual business plan, budgets for both revenue and capital expenditure and funding strategy that support the achievement of the corporate strategy, corporate plan, and business plan

• To approve business plan and budgets of subsidiaries • Toensurethatallassetsareadequatelyprotected,managedefficientlyandeffectively,andcapacityisproperlyutilised,soastomaintainlongterm viability and sustainability of the organisation and its assets.

Risk management • Tooverseeaframeworkfortheidentification,management,andreview

of risks, including agreeing risk capacity and appetite • To contribute to the review and evaluation of internal and external

strategic risks and receive regular reports on these, and on crystallising and emergent risks

• To take or ratify decisions on matters that might create significantfinancial or other risks to the organisation – or that raise issues ofprinciple

• To ensure that a positive culture of managing opportunities, threats and uncertainties is embedded throughout the organisation

• To determine policies and decisions on all matters that might create asignificantfinancialorotherrisktotheorganisation,orwhichraisematerial matters of principle.

Barcud Board Member - Role Profile Overall purpose To provide board member leadership to Barcud by contributing experience, expertise, and insight to determine strategy and to exercise direction and control in the interests of Barcud’s customers and the wider community; to balance Barcud’s social purpose with our business activities.

Overall role To play an active leadership and governance role within Barcud setting the strategic direction of the organisation to support the overall purpose ofmakingadifferencetopeople’s livesanddoingsoinawaywhichisconsistent with the Organisation’s values, ensuring that risk is managed and obligations to customers, regulators and stakeholders are understood and met.

Key accountabilities The Board has ultimate responsibility for the governance of Barcud. The Board’s central role is to direct and control Barcud’s work: to determine strategic direction and policies; and to establish and oversee control and risk management frameworks that will ensure that Barcud achieves its aims and objectives. All board members share responsibility for its decisions. Each board member must act only in the interests of Barcud; board members should put the interests of the organisation before their own interests and should not act on behalf of any constituency or interest group. Every board member is responsible for establishing strong working relationships within and between the Board, and with the Chief Executive and senior executivestaff.

Responsibility lines Individual board members are responsible to the Chair for the achieve-ment of the objectives of Barcud. The Chair will ensure the efficientconduct of the Board’s business; that all board members are given the opportunity to express their views; that the Board makes proper and appropriatearrangementsforitsowneffectivenessappraisalandthatofboard members; and for a succession plan for board members.

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Barcud Board Member - Person specificationBoard Members should be able to demonstrate the following competencies Think strategically - Able to plan and set direction; assess a wide-range offactorswhichinfluencethebusinessandweighuprisks.Askthe“whatif”and“whatnext”questions.Communicate effectively - Communicate well with a diverse range of people, listen and respect alternative views, be open and participative Be commercially aware - Ability to assess commercial risks and opportunities Be analytical - Able to assimilate, analyse and critically evaluate complex information; able to reach unbiased, logical conclusions Make decisions - Able to make and take decisions, holding self and others to account, accept collective responsibility and delegate authority appropriately. Consider the customers’ perspective in decision taking Innovative and creative - Embrace new ideas and approaches, come up with creative solutions Willing to challenge -Confidence tochallengeandquestion,unafraidto probe deeply and be a sole voice. Retain an independent view and be prepared to support collective decisions Show leadership - Inspire others, leads, and motivates people Team player - Behave well as part of a group, working with others, recog-nisingdifferentteamskillsSelf-Manage - Take responsibility for own behaviour, development of skills and knowledge. Board Members should have a least two of the following as part of their experience • Strategic leadership of a complex private company or public organisation • experience of financial strategy and management, risk and internal

control systems, knowledge of compliance or regulatory frameworks • experience of delivery of government policy and/or strategy • experience of customer service delivery and improvement • experience and/or understanding of tenants’ perspective • Senior management level experience in one or more of the sectors

within which the organisation operates Board Members should have a combination of the following skills and abilities • General business, financial andmanagement skills includingbudget

management, negotiation and change management • Seniorlevelbusinessmanagementskillssuchascommercial,financial,

HR, investment, risk management, legal, health, social services, education, property management and development, housing

• Politically astute • Welsh speakers

Internal controls framework • To establish and oversee a framework of delegation and systems of

internal control • To approve a system of delegation to subsidiary boards, committees,

and the executive • Toannually review theeffectivenessof suchsystemsof control andreportpubliclyontheireffectiveness

• Todrawupascheduleofsignificantmattersspecificallyreservedforthe Board’s decision

• To obtain systematic information that provides assurance on the effectivenessofinternalcontrols.

Performance monitoring and Continuous Improvement • To regularly review and monitor performance in relation to strategies,

plans, budgets, controls, and decisions • To drive an agenda for continuous improvement in service delivery • To set high governance standards, contributing to reviews of the

board’s performance • To obtain and consider customer and stakeholder feedback Probity and integrity • To approve each year’s accounts prior to publication • ToobtainassurancethatBarcud’saffairsareconducted lawfullyandin accordance with generally accepted and specific standards ofperformance, probity, good practice, and regulatory requirements

• To ensure that there are codes of conduct for non-executive directors andstaffthatsetthehigheststandardsofprobityandregularlyreviewcompliance

• To ensure Barcud’s compliance with all relevant regulatory requirements and good practice standards.

Executive and management arrangements • To appoint (and, if necessary, dismiss) the Chief Executive • To ensure there are appropriate policies and systems to recruit, develop,retain,andremuneratestaff

In carrying out your role and responsibilities Barcud will expect you to: • act in the best interests of Barcud and our tenants and customers at

all times, regardless of any personal, professional, or political interests • share the values of Barcud and adhere to our Code of Conduct • adhere to Barcud’s core policies, including those for equality and

diversity • promote the highest standards of governance • contribute to and share responsibility for decisions and work as part of

the board team • prepare for, attend, and contribute constructively to meetings, training

sessions and other events • use company systems and processes adhering to our IT policy • take ownership of your personal development and learning as a board

member • represent and promote Barcud on occasions • respecttheconfidentialityofinformationandadheretoGDPRregulation

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Knowledge expectations for the Board• In-depthawarenessofthefinancialandoperatingenvironmentsofthe

sectors within which the organisation operates • Legal and regulation knowledge relating to [at least one of] the sectors

in which organisation operates • Knowledge of the needs and aspirations (and links within) the

communities served by the organisation including diversity matters • Strategic understanding of the role of Information Technology (IT) in

business improvement • Knowledge and understanding of corporate structures and corporate

governance including an understanding of the role and responsibilities of the non-executive board member

Other • Willing to commit a minimum of 12 days per annum, with energy and

drive • Ability to work digitally

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1

Monitoring Form

Nid oes raid i chi ateb unrhyw un o’r cwestiynau canlynol. Bydd darparu’r wybodaeth hon yn cynorthwyo barcud i fonitro llwyddiant neu ddiffyg llwyddiant ei bolisïau a’i weithdrefnau cyfle cyfartal. Ni ddefnyddir yr wybodaeth a ddarperir i benderfynu addasrwydd at y swydd y ceisir amdani:

You are not required to answer any of the following questions. However, by providing this information it will assist barcud to monitor its success or otherwise of its equal opportunities policies and procedures. The information provided will not be used to determine suitability for the post applied for:

Welsh English Scottish Irish British

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CEREDIGION

Hindŵ

Jewish

CEREDIGION

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A fyddech yn eich disgrifio’ch hun fel anabl o dan y diffiniad sydd wedi’i gynnwys yn Neddf Cydraddoldeb 2010 bod arnoch amhariad corfforol neu feddyliol sy’n cael effaith sylweddol tymor hir ar eich gallu i gyflawni gweithgareddau beunyddiol normal: Would you describe yourself as disabled under the definition contained in the Equality Act 2010 which defines disability as a ‘a physical or mental impairment or an impairment that has a substantial and long-term adverse effect on a person’s ability to perform day-to-day activities Ticiwch y blwch priodol os gwelwch yn dda Please tick appropriate box

BYDDWN NA FYDDWN YES NO

Os ‘BYDDWN’, rhowch fanylion os gwelwch yn dda If ‘YES’ please give details

Drwy gyflwyno’r ffurflen hon gyda’ch cais rydych yn cytuno i’r wybodaeth a ddarperir gael ei defnyddio at ddibenion monitro cydraddoldeb yn unig. By submitting this form with your application you agree to the information provided being used only for equality monitoring purposes.

Deurywiol Hoyw / Lesbiaidd Heterorywiol Ddim yn dymuno datgeluBisexual Gay / Lesbian Heterosexual Do not wish to disclose

Arall. Nodwch os gwelwch yn dda Other Please Specify