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【アルファ医療福祉専門学校】資料請求

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.InnerInputErr1858 { border-color: #ff0000; background-color: #ffc0cb; } .VerticalLine1858 { border-right-style: solid; border-right-width: 2px; border-right-color: #eeeded; } .BorderLine1858 { border-style: solid; border-width: 2px; border-color: #eeeded; border-bottom: 0; } .BtnHorizontal1858{ text-align: left; } .InnerItem2022{ font-size: 14px; color: #000000; background-color: transparent; text-align: left; display: -webkit-flex; display: -moz-flex; display: -ms-flex; display: -o-flex; display: flex; flex-wrap: wrap; flex-direction: column; align-items: normal; justify-content: center; min-height: 144px !important; } .InnerInput2022{ border-style: solid; border-width: 1px; border-color: #c0c0c0; border-radius: 3px; padding-top:10px; padding-bottom:10px; padding-left: 10px; padding-right: 10px; margin-top: 10px; margin-bottom: 10px; margin-left: 5px; margin-right: 5px; } .btn.InnerInput2022{ margin-bottom: 10px !important; } .InnerInput2022:focus{ outline: 0; border-color: #000000; background-color: #ffffff; } .InnerComment2022{ border-style: solid; border-width: 1px; border-color: #c0c0c0; border-radius: 3px; padding-top:10px; padding-bottom:10px; padding-left: 10px; padding-right: 10px; margin-top: 0px; margin-bottom: 0px; margin-left: 5px; margin-right: 5px; } .ItemColFlex2022{ display: flex; flex-wrap: wrap; justify-content: flex-start; align-items: center; padding-top:0px !important; padding-bottom:0px !important; padding-left: 40px !important; padding-right: 40px !important; } .InnerInputCalc2022{ width:calc(100% - 30px ); } .InnerInputErr2022 { border-color: #ff0000; background-color: #ffc0cb; } .VerticalLine2022 { border-right-style: solid; border-right-width: 2px; border-right-color: #eeeded; } .BorderLine2022 { border-style: solid; border-width: 2px; border-color: #eeeded; border-bottom: 0; } .BtnHorizontal2022{ text-align: left; } .InnerItem1850{ font-size: 14px; color: #000000; background-color: transparent; text-align: left; display: -webkit-flex; display: -moz-flex; display: -ms-flex; display: -o-flex; display: flex; flex-wrap: wrap; flex-direction: column; align-items: normal; justify-content: center; min-height: 146.75px !important; } .InnerInput1850{ border-style: solid; border-width: 0.975px; border-color: #c0c0c0; border-radius: 3px; padding-top:10px; padding-bottom:10px; padding-left: 10px; padding-right: 10px; margin-top: 10px; margin-bottom: 10px; margin-left: 5px; margin-right: 5px; } .btn.InnerInput1850{ margin-bottom: 10px !important; } .InnerInput1850:focus{ outline: 0; border-color: #000000; background-color: #ffffff; } .InnerComment1850{ border-style: solid; border-width: 0.975px; border-color: #c0c0c0; border-radius: 3px; padding-top:10px; padding-bottom:10px; padding-left: 10px; padding-right: 10px; margin-top: 0px; margin-bottom: 0px; margin-left: 5px; margin-right: 5px; } .ItemColFlex1850{ display: flex; flex-wrap: wrap; justify-content: flex-start; align-items: center; padding-top:0px !important; padding-bottom:0px !important; padding-left: 40px !important; padding-right: 40px !important; } .InnerInputCalc1850{ width:calc(100% - 30px ); } .InnerInputErr1850 { border-color: #ff0000; background-color: #ffc0cb; } .VerticalLine1850 { border-right-style: solid; border-right-width: 2px; border-right-color: #eeeded; } .BorderLine1850 { border-style: solid; border-width: 2px; border-color: #eeeded; } .BtnHorizontal1850{ text-align: left; } .LineSpace1860 { margin-bottom: 0px; } .LineSpace1840 { margin-bottom: 0px; } .LineSpace1852 { margin-bottom: 0px; } .LineSpace1854 { margin-bottom: 0px; } .LineSpace1844 { margin-bottom: 0px; } .LineSpace1864 { margin-bottom: 0px; } .LineSpace1848 { margin-bottom: 0px; } .LineSpace1842 { margin-bottom: 0px; } .LineSpace1856 { margin-bottom: 0px; } .LineSpace1858 { margin-bottom: 0px; } .LineSpace2022 { margin-bottom: 0px; } .WebTempBtn { background-color: #ffffff; color: #1976d2; border-radius: 10px; border: solid 1px #1976d2; margin-left: 788px; box-shadow: 0px 4px 6px 1px #00000022; padding: 12px 33px; position: fixed; white-space: nowrap; top: 80%; right: 50px; transition: 0.3s; } .WebTempBtn:hover{ background-color: #1976d2; color: #ffffff; text-decoration: none; } .AutoEntryFrame{ text-align: center; vertical-align: middle; font-size: 16px; margin:20px 10px; } .AutoEntryRadio{ display: inline-block; vertical-align: middle; padding-top: 10px; padding-bottom: 10px; } .reCAPTCHA_Btn { border: none; } </style> <script type="text/javascript"> function submit_form(action) { $(window).off('beforeunload'); document.frm.action = action; document.frm.submit(); }; $(document).ready(function(){ autosize($('textarea')); }); $(function(){ if( $('#privacy').css('display') != 'none' ){ if( $('input[name="privacyok"]').prop('checked') ){ OkBtnSwitch(true); }else{ OkBtnSwitch(false); } } else { OkBtnSwitch(true); } $('input[name="privacyok"]').change(function() { if( $('input[name="privacyok"]').prop('checked') ){ OkBtnSwitch(true); }else{ OkBtnSwitch(false); } }); if( 0 < $('.cloudlineaddfriendsbtn').length ){ $('.cloudlineaddfriendsbtn').on('click', function() { WriteLineAddFriendLog(this); }); } }); function OkBtnSwitch(flg) { if(flg){ $('#okbtn').find("a[href]").each(function() { $(this).removeClass('btn_invalid'); }); }else{ $('#okbtn').find("a[href]").each(function() { $(this).addClass('btn_invalid'); }); } } function WriteLineAddFriendLog(obj){ var nfi = ''; if( nfi.length < 1 ){ nfi = GetCookiensdForm('nittosys_fp_id'); } var param_array = { cc: '528', fno: '451', fsno: '1', fpid : nfi, href: $(obj).attr('href'), lc: $(obj).data('lc'), }; $.ajax({ type: 'POST', url: "/schoolgo/ajax/ajax_LineAddFriend.php", data: param_array, dataType: 'json', }).done(function(data, status, xhr) { }).fail(function(xhr, status, error) { }).always(function(data, status, arg2) { }); } function GetCookiensdForm(cookie_n) { var StartIndex = ""; var EndIndex = ""; if( document.cookie.length > 0 ) { StartIndex=document.cookie.indexOf(cookie_n + "="); if( StartIndex != -1 ) { StartIndex += cookie_n.length+1; EndIndex = document.cookie.indexOf(";",StartIndex); if( EndIndex == -1 ) { EndIndex=document.cookie.length; } return decodeURIComponent( document.cookie.substring( StartIndex,EndIndex ) ); } } return ""; } </script> <style> .row{ margin-right: 0; margin-left:0; } .btn_invalid { pointer-events: none; opacity: 0.5; } .btn_efo_invalid { pointer-events: none; opacity: 0.5; } .error_event { font-size: 24px; color: #ff0000; font-weight: bold; background-color: #ffffff; border: solid 3px #ff0000; text-align: center; /* display: none; */ } </style> <title>【アルファ医療福祉専門学校】資料請求</title> </head> <div class="guide-brank"></div> <body class="base-color"> <!-- Google Tag Manager (noscript) --> <noscript><iframe src="https://www.googletagmanager.com/ns.html?id=GTM-NKD6H2Q" height="0" width="0" style="display:none;visibility:hidden"></iframe></noscript> <!-- End Google Tag Manager (noscript) --><form class="body" name="frm" method="post"> <input type="hidden" id="hiddeneventcode" name="hiddeneventcode" value="0"/> <div class="container base-size center-block"> <!-- コンテンツ --> <div> <!-- メイン --> <div class="base"> <div class="header"> <!-- header --> <div id="HTBF-10" style="background:none;"> <div class="HTBFParts10"> <object style="display:none;" id="url" type="text/html" data="" width="100%" charset="utf-8"></object> <picture> <source id="pc" media="(min-width: 701px)" srcset="/fm/abrcil/img/81cq9b/alpha_rogo.jpg"> <img id="sm" class="pcimg-pattern10" src="/fm/abrcil/img/81cq9b/alpha_rogo_sp.jpg" > </picture> <span style="display:none;" id="text"></span> <span style="display:none;" id="usdate">0000-00-00</span></div><input type="hidden" id="pc-text" name="pc-text" value="/fm/abrcil/img/81cq9b/alpha_rogo.jpg"/><input type="hidden" id="sm-text" name="sm-text" value="/fm/abrcil/img/81cq9b/alpha_rogo_sp.jpg"/><input type="hidden" id="url-text" name="url-text" value=""/> </div> <!-- top1 --> <div id="HTBF-30" style="background:none;"> <div class="HTBFParts30"> <object style="display:none;" id="url" type="text/html" data="" width="100%" charset="utf-8"></object> <picture> <source id="pc" media="(min-width: 701px)" srcset="/fm/abrcil/img/81cq9b/資料請求_Document-request.jpg"> <img id="sm" class="pcimg-pattern30" src="/fm/abrcil/img/81cq9b/資料請求申込_sp.jpg" > </picture> <span style="display:none;" id="text">資料請求</span> <span style="display:none;" id="usdate">0000-00-00</span></div><input type="hidden" id="pc-text" name="pc-text" value="/fm/abrcil/img/81cq9b/資料請求_Document-request.jpg"/><input type="hidden" id="sm-text" name="sm-text" value="/fm/abrcil/img/81cq9b/資料請求申込_sp.jpg"/><input type="hidden" id="url-text" name="url-text" value=""/> </div> <!-- top2 --> <div id="HTBF-31" style="background:none;"> <div class="HTBFParts31"> <object style="display:none;" id="url" type="text/html" data="" width="100%" charset="utf-8"></object> <div class="textp"> <img id="pc" style="display:none; width:100%" src=""> <img id="sm" style="display:none; width:100%" src=""> <span id="text">必須事項を入力し、『入力内容の確認へ』ボタンを押してください。</span> <span style="display:none;" id="usdate">0000-00-00</span> </div></div><input type="hidden" id="pc-text" name="pc-text" value=""/><input type="hidden" id="sm-text" name="sm-text" value=""/><input type="hidden" id="url-text" name="url-text" value=""/> </div> <!-- eventstatus --> </div> <!-- container --> <div class="body containerparts"> <input type="hidden" id="RequiredPosition" value="right"/> <!-- body --> <div class="row datano13 sortno3" id="1860"> <div class="LineSpace1860 BorderLine1860"> <div class="ItemRowFlex1860"><div class="col-xs-12 col-sm-3 ItemFBC1860 ItemColFlex1860 VerticalLine1860 " title=""> <div><span class="OuterItem1860"><span id="ItemNameBlock">希望学科</span><span class="p-w10 requiredfont">必須</span> <span class="p-w10 fcolor13 nodisplay" id="InputSuccessSign1860"><i class="fas fa-check-circle"></i></span> <span class="p-w10 fcolor-danger nodisplay" id="InputFailureSign1860"><i class="fas fa-times-circle"></i></span> </span></div></div><input type="hidden" id="itemrequired1860" value="1"/><div class="col-xs-12 col-sm-9 InnerItem1860" style="padding:10px;"> <div class="row" style="padding:0px;margin:0px;"> <div class="col-xs-12 col-sm-12" style="padding:0px;"> <select class="InnerInput1860 InnerInputCalc1860 Insp4" name="data[3][13][1][]"><option value="">&nbsp;▼選択してください</option><option value="0-1-1" >&nbsp;鍼灸学科&nbsp;午前コース</option><option value="0-1-30" >&nbsp;鍼灸学科&nbsp;昼間コース</option><option value="0-3-27" >&nbsp;柔道整復学科&nbsp;午前コース</option><option value="0-3-28" >&nbsp;柔道整復学科&nbsp;昼間コース</option><option value="0-7-31" >&nbsp;こども保育学科&nbsp;昼間部</option><option value="0-7-32" >&nbsp;こども保育学科&nbsp;公共職業訓練</option><option value="0-8-33" >&nbsp;介護福祉学科&nbsp;昼間部</option><option value="0-8-34" >&nbsp;介護福祉学科&nbsp;公共職業訓練</option><option value="0-12-36" >&nbsp;美容学科&nbsp;昼間部</option><option value="0-5-5" >&nbsp;社会福祉士通信科&nbsp;一般養成コース</option><option value="0-5-6" >&nbsp;社会福祉士通信科&nbsp;短期養成コース</option><option value="0-9-7" >&nbsp;精神保健福祉士通信科&nbsp;一般養成コース</option><option value="0-9-8" >&nbsp;精神保健福祉士通信科&nbsp;短期養成コース</option><option value="0-10-9" >&nbsp;介護職員初任者研修&nbsp;(通信制)</option><optgroup label=""></optgroup> </select> </div> </div><div class="InnerComment1860" style="border-width:0;width:100%;"><div id="bottomcom1860" class="col-xs-12 col-sm-12" style="padding:0px;"><span style="font-size:13px">※社会福祉士・精神保健福祉士通信科(一般・短期)をご希望の場合、お送りする資料は同一です。</span></div></div><input class="ErrorText1860" type="hidden" value=""><div class="err-option1860" style="padding:10px 10px 10px 10px;"></div></div></div> </div> </div> <div class="row datano1 sortno10" id="1840"> <div class="LineSpace1840 BorderLine1840"> <div class="ItemRowFlex1840"><div class="col-xs-12 col-sm-3 ItemFBC1840 ItemColFlex1840 VerticalLine1840 " title=""> <div><span class="OuterItem1840"><span id="ItemNameBlock">お名前</span><span class="p-w10 requiredfont">必須</span> <span class="p-w10 fcolor13 nodisplay" id="InputSuccessSign1840"><i class="fas fa-check-circle"></i></span> <span class="p-w10 fcolor-danger nodisplay" id="InputFailureSign1840"><i class="fas fa-times-circle"></i></span> </span></div></div><input type="hidden" id="itemrequired1840" value="1"/><script>$(function() { $.fn.autoKana("#sei1840", "#seikana1840", {katakana:true}); $.fn.autoKana("#mei1840", "#meikana1840", {katakana:true});});</script><div class="col-xs-12 col-sm-9 InnerItem1840" style="padding:10px;"> <div class="row" style="padding:0px;margin:0px;"> <div class="col-xs-6 col-sm-6" style="padding:0px;"> <input id="sei1840" class="InnerInput1840 InnerInputCalc1840 Insp1 Insp12 Sei1840" name="data[10][1][1][]" type="text" maxlength="50" placeholder="姓" value=""> </div> <div class="col-xs-6 col-sm-6" style="padding:0px;"> <input id="mei1840" class="InnerInput1840 InnerInputCalc1840 Insp1 Insp12 Mei1840" name="data[10][1][2][]" type="text" maxlength="50" placeholder="名" value="" > </div> </div> <div class="row" style="padding:0px;margin:0px;"> <div class="col-xs-6 col-sm-6" style="padding:0px;"> <input id="seikana1840" class="InnerInput1840 InnerInputCalc1840 Insp1 Insp6 Insp13 SeiKana1840" name="data[10][1][3][]" type="text" maxlength="50" placeholder="セイ" value="" > </div> <div class="col-xs-6 col-sm-6" style="padding:0px;"> <input id="meikana1840" class="InnerInput1840 InnerInputCalc1840 Insp1 Insp6 Insp13 MeiKana1840" name="data[10][1][4][]" type="text" maxlength="50" placeholder="メイ" value="" > </div> </div><input class="ErrorText1840" type="hidden" value=""><div class="err-option1840" style="padding:10px 10px 10px 10px;"></div></div></div> </div> </div> <div class="row datano3 sortno11" id="1852"> <div class="LineSpace1852 BorderLine1852"> <div class="ItemRowFlex1852"><div class="col-xs-12 col-sm-3 ItemFBC1852 ItemColFlex1852 VerticalLine1852 " title=""> <div><span class="OuterItem1852"><span id="ItemNameBlock">性別</span><span class="p-w10 requiredfont">必須</span> <span class="p-w10 fcolor13 nodisplay" id="InputSuccessSign1852"><i class="fas fa-check-circle"></i></span> <span class="p-w10 fcolor-danger nodisplay" id="InputFailureSign1852"><i class="fas fa-times-circle"></i></span> </span></div></div><input type="hidden" id="itemrequired1852" value="1"/><div class="col-xs-12 col-sm-9 InnerItem1852" style="padding:10px;"> <div class="row" style="padding:0px;margin:0px;"> <div class="col-xs-12 col-sm-12" style="padding:0px;"><label class="w-width100 InnerInput1852 Insp3" style="border-style:none; width:150px;" ><input type="radio" class="chk vb" name="data[11][3][1][]" value="0">男性</label><label class="w-width100 InnerInput1852 Insp3" style="border-style:none; width:150px;" ><input type="radio" class="chk vb" name="data[11][3][1][]" value="1">女性</label> </div> </div><input class="ErrorText1852" type="hidden" value=""><div class="err-option1852" style="padding:10px 10px 10px 10px;"></div></div></div> </div> </div> <div class="row datano4 sortno12" id="1854"> <div class="LineSpace1854 BorderLine1854"> <div class="ItemRowFlex1854"><div class="col-xs-12 col-sm-3 ItemFBC1854 ItemColFlex1854 VerticalLine1854 " title=""> <div><span class="OuterItem1854"><span id="ItemNameBlock">生年月日</span><span class="p-w10 requiredfont">必須</span> <span class="p-w10 fcolor13 nodisplay" id="InputSuccessSign1854"><i class="fas fa-check-circle"></i></span> <span class="p-w10 fcolor-danger nodisplay" id="InputFailureSign1854"><i class="fas fa-times-circle"></i></span> </span></div></div><input type="hidden" id="itemrequired1854" value="1"/><div class="col-xs-12 col-sm-9 InnerItem1854" style="padding:10px;"> <div class="row" style="padding:0px;margin:0px;"> <div class="col-xs-4 col-sm-5" style="padding:0px;"> <select name="data[12][4][1][]" class="InnerInput1854 InnerInputCalc1854 Insp4"><option value="" selected>▼選択してください</option><option value=2014>2014年(平成26年)</option><option value=2013>2013年(平成25年)</option><option value=2012>2012年(平成24年)</option><option value=2011>2011年(平成23年)</option><option value=2010>2010年(平成22年)</option><option value=2009>2009年(平成21年)</option><option value=2008>2008年(平成20年)</option><option value=2007>2007年(平成19年)</option><option value=2006>2006年(平成18年)</option><option value=2005>2005年(平成17年)</option><option value=2004>2004年(平成16年)</option><option value=2003>2003年(平成15年)</option><option value=2002>2002年(平成14年)</option><option value=2001>2001年(平成13年)</option><option value=2000>2000年(平成12年)</option><option value=1999>1999年(平成11年)</option><option value=1998>1998年(平成10年)</option><option value=1997>1997年(平成9年)</option><option value=1996>1996年(平成8年)</option><option value=1995>1995年(平成7年)</option><option value=1994>1994年(平成6年)</option><option value=1993>1993年(平成5年)</option><option value=1992>1992年(平成4年)</option><option value=1991>1991年(平成3年)</option><option value=1990>1990年(平成2年)</option><option value=1989>1989年(平成元年)</option><option value=1988>1988年(昭和63年)</option><option value=1987>1987年(昭和62年)</option><option value=1986>1986年(昭和61年)</option><option value=1985>1985年(昭和60年)</option><option value=1984>1984年(昭和59年)</option><option value=1983>1983年(昭和58年)</option><option value=1982>1982年(昭和57年)</option><option value=1981>1981年(昭和56年)</option><option value=1980>1980年(昭和55年)</option><option value=1979>1979年(昭和54年)</option><option value=1978>1978年(昭和53年)</option><option value=1977>1977年(昭和52年)</option><option value=1976>1976年(昭和51年)</option><option value=1975>1975年(昭和50年)</option><option value=1974>1974年(昭和49年)</option><option value=1973>1973年(昭和48年)</option><option value=1972>1972年(昭和47年)</option><option value=1971>1971年(昭和46年)</option><option value=1970>1970年(昭和45年)</option><option value=1969>1969年(昭和44年)</option><option value=1968>1968年(昭和43年)</option><option value=1967>1967年(昭和42年)</option><option value=1966>1966年(昭和41年)</option><option value=1965>1965年(昭和40年)</option><option value=1964>1964年(昭和39年)</option><option value=1963>1963年(昭和38年)</option><option value=1962>1962年(昭和37年)</option><option value=1961>1961年(昭和36年)</option><option value=1960>1960年(昭和35年)</option><option value=1959>1959年(昭和34年)</option><option value=1958>1958年(昭和33年)</option><option value=1957>1957年(昭和32年)</option><option value=1956>1956年(昭和31年)</option><option value=1955>1955年(昭和30年)</option><option value=1954>1954年(昭和29年)</option><option value=1953>1953年(昭和28年)</option><option value=1952>1952年(昭和27年)</option><option value=1951>1951年(昭和26年)</option><option value=1950>1950年(昭和25年)</option><option value=1949>1949年(昭和24年)</option><option value=1948>1948年(昭和23年)</option><option value=1947>1947年(昭和22年)</option><option value=1946>1946年(昭和21年)</option><option value=1945>1945年(昭和20年)</option><option value=1944>1944年(昭和19年)</option><option value=1943>1943年(昭和18年)</option><option value=1942>1942年(昭和17年)</option><option value=1941>1941年(昭和16年)</option><option value=1940>1940年(昭和15年)</option><option value=1939>1939年(昭和14年)</option><option value=1938>1938年(昭和13年)</option><option value=1937>1937年(昭和12年)</option><option value=1936>1936年(昭和11年)</option><option value=1935>1935年(昭和10年)</option><option value=1934>1934年(昭和9年)</option><option value=1933>1933年(昭和8年)</option><option value=1932>1932年(昭和7年)</option><option value=1931>1931年(昭和6年)</option><option value=1930>1930年(昭和5年)</option><option value=1929>1929年(昭和4年)</option><option value=1928>1928年(昭和3年)</option><option value=1927>1927年(昭和2年)</option><option value=1926>1926年(昭和元年)</option><option value=1925>1925年(大正14年)</option><option value=1924>1924年(大正13年)</option> </select> </div> <div class="col-xs-4 col-sm-2" style="padding:0px;"> <select name="data[12][4][2][]" class="InnerInput1854 InnerInputCalc1854 Insp4"><option value="" selected>▼選択してください</option><option value=1>1月</option><option value=2>2月</option><option value=3>3月</option><option value=4>4月</option><option value=5>5月</option><option value=6>6月</option><option value=7>7月</option><option value=8>8月</option><option value=9>9月</option><option value=10>10月</option><option value=11>11月</option><option value=12>12月</option> </select> </div> <div class="col-xs-4 col-sm-2" style="padding:0px;"> <select name="data[12][4][3][]" class="InnerInput1854 InnerInputCalc1854 Insp4"><option value="" selected>▼選択してください</option><option value=1>1日</option><option value=2>2日</option><option value=3>3日</option><option value=4>4日</option><option value=5>5日</option><option value=6>6日</option><option value=7>7日</option><option value=8>8日</option><option value=9>9日</option><option value=10>10日</option><option value=11>11日</option><option value=12>12日</option><option value=13>13日</option><option value=14>14日</option><option value=15>15日</option><option value=16>16日</option><option value=17>17日</option><option value=18>18日</option><option value=19>19日</option><option value=20>20日</option><option value=21>21日</option><option value=22>22日</option><option value=23>23日</option><option value=24>24日</option><option value=25>25日</option><option value=26>26日</option><option value=27>27日</option><option value=28>28日</option><option value=29>29日</option><option value=30>30日</option><option value=31>31日</option> </select> </div> </div><input class="ErrorText1854" type="hidden" value=""><div class="err-option1854" style="padding:10px 10px 10px 10px;"></div></div></div> </div> </div> <div class="row datano7 sortno13" id="1844"> <div class="LineSpace1844 BorderLine1844"> <div class="ItemRowFlex1844"><div class="col-xs-12 col-sm-3 ItemFBC1844 ItemColFlex1844 VerticalLine1844 " title=""> <div><span class="OuterItem1844"><span id="ItemNameBlock">住所</span><span class="p-w10 requiredfont">必須</span> <span class="p-w10 fcolor13 nodisplay" id="InputSuccessSign1844"><i class="fas fa-check-circle"></i></span> <span class="p-w10 fcolor-danger nodisplay" id="InputFailureSign1844"><i class="fas fa-times-circle"></i></span> </span></div></div><input type="hidden" id="itemrequired1844" value="1"/><div class="col-xs-12 col-sm-9 InnerItem1844" style="padding:10px;"><div class="InnerComment1844" style="border-width:0;width:100%;"><div id="topcom1844" class="col-xs-12 col-sm-12" style="padding:0px;">※郵便番号はハイフンなしでご入力ください</div></div> <div class="row" style="padding:0px;margin:0px;"> <div class="col-xs-12 col-sm-12" style="padding:0px;"> <input class="InnerInput1844 InnerInputCalc1844 zip Insp1 Insp10 Zip1844" name="data[13][7][1][]" type="text" style="width:120px;" placeholder="郵便番号" maxlength="8" value="">&nbsp;<button type="button" class="InnerInput1844 btn " onclick="zipCodeSerch('.Zip1844');"style="margin-right:10px;">検索</button> <select class="InnerInput1844 InnerInputCalc1844 ken Insp4 ZipKenAdd1844" name="data[13][7][2][]" style="width:200px;"><option value="">&nbsp;▼選択してください</option><option value="1" >&nbsp;北海道</option><option value="2" >&nbsp;青森県</option><option value="3" >&nbsp;岩手県</option><option value="4" >&nbsp;宮城県</option><option value="5" >&nbsp;秋田県</option><option value="6" >&nbsp;山形県</option><option value="7" >&nbsp;福島県</option><option value="8" >&nbsp;茨城県</option><option value="9" >&nbsp;栃木県</option><option value="10" >&nbsp;群馬県</option><option value="11" >&nbsp;埼玉県</option><option value="12" >&nbsp;千葉県</option><option value="13" >&nbsp;東京都</option><option value="14" >&nbsp;神奈川県</option><option value="15" >&nbsp;新潟県</option><option value="16" >&nbsp;富山県</option><option value="17" >&nbsp;石川県</option><option value="18" >&nbsp;福井県</option><option value="19" >&nbsp;山梨県</option><option value="20" >&nbsp;長野県</option><option value="21" >&nbsp;岐阜県</option><option value="22" >&nbsp;静岡県</option><option value="23" >&nbsp;愛知県</option><option value="24" >&nbsp;三重県</option><option value="25" >&nbsp;滋賀県</option><option value="26" >&nbsp;京都府</option><option value="27" >&nbsp;大阪府</option><option value="28" >&nbsp;兵庫県</option><option value="29" >&nbsp;奈良県</option><option value="30" >&nbsp;和歌山県</option><option value="31" >&nbsp;鳥取県</option><option value="32" >&nbsp;島根県</option><option value="33" >&nbsp;岡山県</option><option value="34" >&nbsp;山口県</option><option value="35" >&nbsp;広島県</option><option value="36" >&nbsp;徳島県</option><option value="37" >&nbsp;香川県</option><option value="38" >&nbsp;愛媛県</option><option value="39" >&nbsp;高知県</option><option value="40" >&nbsp;福岡県</option><option value="41" >&nbsp;佐賀県</option><option value="42" >&nbsp;長崎県</option><option value="43" >&nbsp;熊本県</option><option value="44" >&nbsp;大分県</option><option value="45" >&nbsp;宮崎県</option><option value="46" >&nbsp;鹿児島県</option><option value="47" >&nbsp;沖縄県</option><option value="48" >&nbsp;その他</option> </select> </div> </div> <div class="row" style="padding:0px;margin:0px;"> <div class="col-xs-12 col-sm-4" style="padding:0px;"> <input class="InnerInput1844 InnerInputCalc1844 add1 Insp1 Insp12 ZipKenAdd1844" name="data[13][7][3][]" type="text" placeholder="市区町村" maxlength="50" value=""> </div> <div class="col-xs-12 col-sm-4" style="padding:0px;"> <input class="InnerInput1844 InnerInputCalc1844 add2 Insp1 Insp12 ZipKenAdd1844" name="data[13][7][4][]" type="text" placeholder="番地" maxlength="50" value=""> </div> <div class="col-xs-12 col-sm-4" style="padding:0px;"> <input class="InnerInput1844 InnerInputCalc1844 add3 Insp12" name="data[13][7][5][]" type="text" placeholder="建物名 部屋番号" maxlength="50" value=""> </div> </div><input class="ErrorText1844" type="hidden" value=""><div class="err-option1844" style="padding:10px 10px 10px 10px;"></div></div></div> </div> </div> <div class="row datano10 sortno14" id="1864"> <div class="LineSpace1864 BorderLine1864"> <div class="ItemRowFlex1864"><div class="col-xs-12 col-sm-3 ItemFBC1864 ItemColFlex1864 VerticalLine1864 " title=""> <div><span class="OuterItem1864"><span id="ItemNameBlock">電話番号</span><span class="p-w10 requiredfont">必須</span> <span class="p-w10 fcolor13 nodisplay" id="InputSuccessSign1864"><i class="fas fa-check-circle"></i></span> <span class="p-w10 fcolor-danger nodisplay" id="InputFailureSign1864"><i class="fas fa-times-circle"></i></span> </span></div></div><input type="hidden" id="itemrequired1864" value="1"/><div class="col-xs-12 col-sm-9 InnerItem1864" style="padding:10px;"> <div class="row" style="padding:0px;margin:0px;"> <div class="col-xs-4 col-sm-3" style="padding:0px;"> <input class="InnerInput1864 InnerInputCalc1864 Insp1 Insp9 Insp13" name="data[14][10][1][]" type="tel" maxlength="4" placeholder="042" value=""> </div> <div class="col-xs-4 col-sm-3" style="padding:0px;"> <input class="InnerInput1864 InnerInputCalc1864 Insp1 Insp9 Insp13" name="data[14][10][2][]" type="tel" maxlength="4" placeholder="729" value=""> </div> <div class="col-xs-4 col-sm-3" style="padding:0px;"> <input class="InnerInput1864 InnerInputCalc1864 Insp1 Insp9 Insp13" name="data[14][10][3][]" type="tel" maxlength="4" placeholder="1026" value=""> </div> </div><input class="ErrorText1864" type="hidden" value=""><div class="err-option1864" style="padding:10px 10px 10px 10px;"></div></div></div> </div> </div> <div class="row datano11 sortno16" id="1848"> <div class="LineSpace1848 BorderLine1848"> <div class="ItemRowFlex1848"><div class="col-xs-12 col-sm-3 ItemFBC1848 ItemColFlex1848 VerticalLine1848 " title=""> <div><span class="OuterItem1848"><span id="ItemNameBlock">メールアドレス</span><span class="p-w10 requiredfont">必須</span> <span class="p-w10 fcolor13 nodisplay" id="InputSuccessSign1848"><i class="fas fa-check-circle"></i></span> <span class="p-w10 fcolor-danger nodisplay" id="InputFailureSign1848"><i class="fas fa-times-circle"></i></span> </span></div></div><input type="hidden" id="itemrequired1848" value="1"/><div class="col-xs-12 col-sm-9 InnerItem1848" style="padding:10px;"> <div class="row" style="padding:0px;margin:0px;"> <div class="col-xs-12 col-sm-12" style="padding:0px;" > <input list="MailList1848" class="InnerInput1848 InnerInputCalc1848 Insp1 Insp8 Insp13" name="data[16][11][1][]" type="email" maxlength="50" placeholder="info@alpha-net.jp" value=""> <datalist class="MailList1848" id="MailList1848"> </datalist> </div> </div><input class="ErrorText1848" type="hidden" value=""><div class="err-option1848" style="padding:10px 10px 10px 10px;"></div></div></div> </div> </div> <div class="row datano6 sortno17" id="1842"> <div class="LineSpace1842 BorderLine1842"> <div class="ItemRowFlex1842"><div class="col-xs-12 col-sm-3 ItemFBC1842 ItemColFlex1842 VerticalLine1842 " title=""> <div><span class="OuterItem1842"><span id="ItemNameBlock">現在の学年・職業</span><span class="p-w10 requiredfont">必須</span> <span class="p-w10 fcolor13 nodisplay" id="InputSuccessSign1842"><i class="fas fa-check-circle"></i></span> <span class="p-w10 fcolor-danger nodisplay" id="InputFailureSign1842"><i class="fas fa-times-circle"></i></span> </span></div></div><input type="hidden" id="itemrequired1842" value="1"/><div class="col-xs-12 col-sm-9 InnerItem1842" style="padding:10px;"> <div class="row" style="padding:0px;margin:0px;"> <div class="col-xs-12 col-sm-6" style="padding:0px;"> <select name="data[17][6][1][]" class="InnerInput1842 InnerInputCalc1842 Insp4"><option value="" >▼選択してください</option> <option value="11" > 社会人 </option> <option value="1_3" > 高校3年生 </option> <option value="1_2" > 高校2年生 </option> <option value="1_1" > 高校1年生 </option> <option value="1_5" > 高校その他 </option> <option value="4" > 大学生 </option> <option value="5" > 短大生 </option> <option value="7" > 専門学校生 </option> <option value="10" > その他の学生 </option> <option value="17" > フリーター </option> <option value="13" > 留学生 </option> <option value="12" > その他 </option> </select> </div> </div><input class="ErrorText1842" type="hidden" value=""><div class="err-option1842" style="padding:10px 10px 10px 10px;"></div></div></div> </div> </div> <div class="row datano16 sortno18" id="1856"> <div class="LineSpace1856 BorderLine1856"> <div class="ItemRowFlex1856"><div class="col-xs-12 col-sm-3 ItemFBC1856 ItemColFlex1856 VerticalLine1856 " title=""> <div><span class="OuterItem1856"><span id="ItemNameBlock">最終学歴</span><span class="p-w10 requiredfont">必須</span> <span class="p-w10 fcolor13 nodisplay" id="InputSuccessSign1856"><i class="fas fa-check-circle"></i></span> <span class="p-w10 fcolor-danger nodisplay" id="InputFailureSign1856"><i class="fas fa-times-circle"></i></span> </span></div></div><input type="hidden" id="itemrequired1856" value="1"/><div class="col-xs-12 col-sm-9 InnerItem1856" style="padding:10px;"> <div class="row" style="padding:0px;margin:0px;"> <div class="col-xs-12 col-sm-12" style="padding:0px;"> <select class="InnerInput1856 InnerInputCalc1856 Insp4" name="data[18][16][1][]"><option value="">▼選択してください</option><option value="1">高校在学</option><option value="2">高校卒業</option><option value="3">専門卒業</option><option value="4">短大卒業</option><option value="5">大学卒業</option><option value="6">大学院卒業</option><option value="7">その他</option><optgroup label=""></optgroup> </select> </div> </div><input class="ErrorText1856" type="hidden" value=""><div class="err-option1856" style="padding:10px 10px 10px 10px;"></div></div> <input type="hidden" id="BKubunCodeFlg18" value="2"/></div> </div> </div> <div class="row datano5 sortno19" id="1858"> <div class="LineSpace1858 BorderLine1858"> <div class="ItemRowFlex1858" ><div class="col-xs-12 col-sm-3 ItemFBC1858 ItemColFlex1858 VerticalLine1858 " title=""> <div><span class="OuterItem1858"><span id="ItemNameBlock">学校名(高校在学中の方は必須)</span> <span class="p-w10 fcolor13 nodisplay" id="InputSuccessSign1858"><i class="fas fa-check-circle"></i></span> <span class="p-w10 fcolor-danger nodisplay" id="InputFailureSign1858"><i class="fas fa-times-circle"></i></span> </span></div></div><input type="hidden" id="itemrequired1858" value="0"/><script type="text/javascript">function SuggestFromSchoolName() { $(".suggest_fromschoolname").TapSuggest({ tsAjaxUrl : "/x2_common/fromschool_ajax.php?orgflg=0", tsInputElement : ".input_fromschoolname", tsListCount : 100, tsRegExpAll : true, tsSpScroll : true });}</script><div class="col-xs-12 col-sm-9 InnerItem1858" style="padding:10px;"> <div class="row" style="padding:0px;margin:0px;"> <div class="col-xs-12 col-sm-12" style="padding:0px;"> <input class="InnerInput1858 InnerInputCalc1858 Insp12 input_fromschoolname" name="data[19][5][1][]" type="text" id="FromSchoolName19_1" maxlength="50" placeholder="○○高校・○○大学等を記載してください" autocomplete="off" style="ime-mode:active;" value=""> <div class="suggest_fromschoolname"></div></div> </div><input class="ErrorText1858" type="hidden" value=""><div class="err-option1858" style="padding:10px 10px 10px 10px;"></div></div></div> </div> </div> <div class="row datano18 sortno20" id="2022"> <div class="LineSpace2022 BorderLine2022"> <div class="ItemRowFlex2022"><div class="col-xs-12 col-sm-3 ItemFBC2022 ItemColFlex2022 VerticalLine2022 " title=""> <div><span class="OuterItem2022"><span id="ItemNameBlock">イベント申込</span> <span class="p-w10 fcolor13 nodisplay" id="InputSuccessSign2022"><i class="fas fa-check-circle"></i></span> <span class="p-w10 fcolor-danger nodisplay" id="InputFailureSign2022"><i class="fas fa-times-circle"></i></span> </span></div></div><input type="hidden" id="itemrequired2022" value="0"/><div id="EventCoursePattern2022" class="col-xs-12 col-sm-9 InnerItem2022" style="padding:10px;"><div class="InnerComment2022" style="border-width:0;width:100%;"><div id="topcom2022" class="col-xs-12 col-sm-12" style="padding:0px;"><span style="font-size:13px">イベント参加予約を同時にお申し込みされる方は参加希望日を選択してください。</span> <br><span style="font-size:13px">※通学課程(鍼灸・柔整・保育・介護・美容)のみご予約を承っております。</span></div></div> <div class="row" style="padding:0px;margin:0px;"> <div class="col-xs-12 col-sm-12" style="padding:0px;"> <select class="InnerInput2022 InnerInputCalc2022 " name="data[20][18][1][]" onchange="javascript:changeEventType(this, 20);"><option value="">&nbsp;▼選択してください</option><option class="eventID6" value="6" >&nbsp;【鍼灸・柔整・保育・介護・美容】オープンキャンパス</option><option class="eventID5" value="5" 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