Please complete the following form to express your interest in your school to attend the Outreach Programme taking place at CYBERUK 2020. Please note that by completing this form, this does not confirm your place and a member of the event team will be in touch once all applications have been collected.

Llenwch y ffurflen ganlynol i fynegi eich diddordeb yn eich ysgol i fynychu'r rhaglen allgymorth sy'n digwydd yn CYBERUK 2020. Cofiwch, drwy lenwi'r ffurflen hon, nad yw hyn yn cadarnhau eich lle a bydd aelod o'r tîm digwyddiadau yn cysylltu â chi ar ôl i'r holl geisiadau gael eu casglu.

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* 1. School Name / Enw’r Ysgol:

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* 2. Lead contact or teacher name / Prif gyswllt / enw’r athro:

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* 3. E-mail / E-bost:

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* 4. Phone number / Rhif ffôn:

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* 5. Please indicate how many students you wish to bring to this event / Nodwch nifer y dysgwyr yr hoffech ddod gyda chi i’r digwyddiad hwn:

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* 6. How will this visit be aligned to your current curriculum? / Sut bydd yr ymweliad hwn yn cyd-fynd â’ch cwricwlwm presennol?

Please note, travel should be covered by the school.

Sylwch mai’r ysgol ddylai dalu am gostau teithio.

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