お問い合せ｜アルファ医療福祉専門学校【東京都町田市】 | アルファ医療福祉専門学校

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<div class="address">1号館総合受付：〒194-0022 東京都町田市森野1-7-8<br>TEL：042-729-1026 (平日8時30分〜17時30分)</div> </div> </div> </div> <main class="l-main"> <div class="mod-title_page"> <h1>お問い合わせ<span>Contact</span></h1> </div> <div class="mod-breadcrumbs"><div class="aioseo-breadcrumbs"><span class="aioseo-breadcrumb"> <a href="https://alpha-net.ac.jp" title="トップページ">トップページ</a> </span><span class="aioseo-breadcrumb-separator">&rsaquo;</span><span class="aioseo-breadcrumb"> お問い合せ </span></div></div> <section class="mod-form"> <div class="container"> <p><strong>本校に関するご不明点・ご質問などがございましたら、下記の内容をご入力のうえお問い合せ欄に詳細をご記入ください。</strong></p> <p>フォームが正しく動作しない場合は、<a href="tel:0427291026">042-729-1026</a>までご連絡ください。</p> <ul class="mod-form_status"> <li class="active"><span>内容の入力</span></li> <li><span>入力内容確認</span></li> <li><span>送信完了</span></li> </ul> <p>下記フォームに必要事項をご記入のうえ「確認する」ボタンをクリックしてください。<br><span class="required">*必須項目</span></p> <div id="mw_wp_form_mw-wp-form-155" class="mw_wp_form mw_wp_form_input "> <form method="post" action="" enctype="multipart/form-data"><dl> <dt class="u-margin-adjust"><label for="inquiry-select">お問い合わせ内容<span class="required">*</span></label></dt> <dd> <div class="mod-select"> <select name="inquiry-select" class="inquiry-select"> <option value="入学について" > 入学について </option> <option value="寄付について" > 寄付について </option> <option value="その他" > その他 </option> </select> <input type="hidden" name="__children[inquiry-select][]" value="{"\u5165\u5b66\u306b\u3064\u3044\u3066":"\u5165\u5b66\u306b\u3064\u3044\u3066","\u5bc4\u4ed8\u306b\u3064\u3044\u3066":"\u5bc4\u4ed8\u306b\u3064\u3044\u3066","\u305d\u306e\u4ed6":"\u305d\u306e\u4ed6"}" /> </div> </dd> </dl> <dl> <dt class="u-margin-adjust"><label for="department">希望する学科・講座</label></dt> <dd> <div class="mod-select"> <select name="dept_01" id="dept_01" class="js-addOptGroup js-removeValueFirst"> <option value="" selected='selected'> 学科・講座をお選びください </option> <option value="1" > 柔道整復学科（午前コース） </option> <option value="2" > 柔道整復学科（昼間コース） </option> <option value="3" > 鍼灸学科（午前コース） </option> <option value="4" > 鍼灸学科（昼間コース） </option> <option value="5" > こども保育学科 </option> <option value="6" > こども保育学科（公共職業訓練） </option> <option value="7" > 介護福祉学科 </option> <option value="8" > 介護福祉学科（公共職業訓練） </option> <option value="9" > 社会福祉士通信科一般養成コース </option> <option value="10" > 社会福祉士通信科短期養成コース </option> <option value="11" > 精神保健福祉士通信科一般養成コース </option> <option value="12" > 精神保健福祉士通信科短期養成コース </option> <option value="13" > 介護職員初任者研修 </option> </select> <input type="hidden" name="__children[dept_01][]" value="{"":"\u5b66\u79d1\u30fb\u8b1b\u5ea7\u3092\u304a\u9078\u3073\u304f\u3060\u3055\u3044","1":"\u67d4\u9053\u6574\u5fa9\u5b66\u79d1\uff08\u5348\u524d\u30b3\u30fc\u30b9\uff09","2":"\u67d4\u9053\u6574\u5fa9\u5b66\u79d1\uff08\u663c\u9593\u30b3\u30fc\u30b9\uff09","3":"\u937c\u7078\u5b66\u79d1\uff08\u5348\u524d\u30b3\u30fc\u30b9\uff09","4":"\u937c\u7078\u5b66\u79d1\uff08\u663c\u9593\u30b3\u30fc\u30b9\uff09","5":"\u3053\u3069\u3082\u4fdd\u80b2\u5b66\u79d1","6":"\u3053\u3069\u3082\u4fdd\u80b2\u5b66\u79d1\uff08\u516c\u5171\u8077\u696d\u8a13\u7df4\uff09","7":"\u4ecb\u8b77\u798f\u7949\u5b66\u79d1","8":"\u4ecb\u8b77\u798f\u7949\u5b66\u79d1\uff08\u516c\u5171\u8077\u696d\u8a13\u7df4\uff09","9":"\u793e\u4f1a\u798f\u7949\u58eb\u901a\u4fe1\u79d1 \u4e00\u822c\u990a\u6210\u30b3\u30fc\u30b9","10":"\u793e\u4f1a\u798f\u7949\u58eb\u901a\u4fe1\u79d1 \u77ed\u671f\u990a\u6210\u30b3\u30fc\u30b9","11":"\u7cbe\u795e\u4fdd\u5065\u798f\u7949\u58eb\u901a\u4fe1\u79d1 \u4e00\u822c\u990a\u6210\u30b3\u30fc\u30b9","12":"\u7cbe\u795e\u4fdd\u5065\u798f\u7949\u58eb\u901a\u4fe1\u79d1 \u77ed\u671f\u990a\u6210\u30b3\u30fc\u30b9","13":"\u4ecb\u8b77\u8077\u54e1\u521d\u4efb\u8005\u7814\u4fee"}" /> </div> <div id="inqSelectDept2area"> <p>その他興味がある学科やコースをチェックしてください。</p> <div class="mod-checkbox"> <span class="mwform-checkbox-field horizontal-item"> <label for="interest_select-1"> <input type="checkbox" name="interest_select[data][]" value="1" id="interest_select-1" class="c-checkes_label" /> <span class="mwform-checkbox-field-text">柔道整復学科（午前コース）</span> </label> </span> <span class="mwform-checkbox-field horizontal-item"> <label for="interest_select-2"> <input type="checkbox" name="interest_select[data][]" value="2" id="interest_select-2" class="c-checkes_label" /> <span class="mwform-checkbox-field-text">柔道整復学科（昼間コース）</span> </label> </span> <span class="mwform-checkbox-field horizontal-item"> <label for="interest_select-3"> <input type="checkbox" name="interest_select[data][]" value="3" id="interest_select-3" class="c-checkes_label" /> <span class="mwform-checkbox-field-text">鍼灸学科（午前コース）</span> </label> </span> <span class="mwform-checkbox-field horizontal-item"> <label for="interest_select-4"> <input type="checkbox" name="interest_select[data][]" value="4" id="interest_select-4" class="c-checkes_label" /> <span class="mwform-checkbox-field-text">鍼灸学科（昼間コース）</span> </label> </span> <span class="mwform-checkbox-field horizontal-item"> <label for="interest_select-5"> <input type="checkbox" name="interest_select[data][]" value="5" id="interest_select-5" class="c-checkes_label" /> <span class="mwform-checkbox-field-text">こども保育学科</span> </label> </span> <span class="mwform-checkbox-field horizontal-item"> <label for="interest_select-6"> <input type="checkbox" name="interest_select[data][]" value="6" id="interest_select-6" class="c-checkes_label" /> <span class="mwform-checkbox-field-text">こども保育学科（公共職業訓練）</span> </label> </span> <span class="mwform-checkbox-field horizontal-item"> <label for="interest_select-7"> <input type="checkbox" name="interest_select[data][]" value="7" id="interest_select-7" class="c-checkes_label" /> <span class="mwform-checkbox-field-text">介護福祉学科</span> </label> </span> <span class="mwform-checkbox-field horizontal-item"> <label for="interest_select-8"> <input type="checkbox" name="interest_select[data][]" value="8" id="interest_select-8" class="c-checkes_label" /> <span class="mwform-checkbox-field-text">介護福祉学科（公共職業訓練）</span> </label> </span> <span class="mwform-checkbox-field horizontal-item"> <label for="interest_select-9"> <input type="checkbox" name="interest_select[data][]" value="9" id="interest_select-9" class="c-checkes_label" /> <span class="mwform-checkbox-field-text">社会福祉士通信科一般養成コース</span> </label> </span> <span class="mwform-checkbox-field horizontal-item"> <label for="interest_select-10"> <input type="checkbox" name="interest_select[data][]" value="10" id="interest_select-10" class="c-checkes_label" /> <span class="mwform-checkbox-field-text">社会福祉士通信科短期養成コース</span> </label> </span> <span class="mwform-checkbox-field horizontal-item"> <label for="interest_select-11"> <input type="checkbox" name="interest_select[data][]" value="11" id="interest_select-11" class="c-checkes_label" /> <span class="mwform-checkbox-field-text">精神保健福祉士通信科一般養成コース</span> </label> </span> <span class="mwform-checkbox-field horizontal-item"> <label for="interest_select-12"> <input type="checkbox" name="interest_select[data][]" value="12" id="interest_select-12" class="c-checkes_label" /> <span class="mwform-checkbox-field-text">精神保健福祉士通信科短期養成コース</span> </label> </span> <span class="mwform-checkbox-field horizontal-item"> <label for="interest_select-13"> <input type="checkbox" name="interest_select[data][]" value="13" id="interest_select-13" class="c-checkes_label" /> <span class="mwform-checkbox-field-text">介護職員初任者研修</span> </label> </span> <input type="hidden" name="interest_select[separator]" value="," /> <input type="hidden" name="__children[interest_select][]" value="{"1":"\u67d4\u9053\u6574\u5fa9\u5b66\u79d1\uff08\u5348\u524d\u30b3\u30fc\u30b9\uff09","2":"\u67d4\u9053\u6574\u5fa9\u5b66\u79d1\uff08\u663c\u9593\u30b3\u30fc\u30b9\uff09","3":"\u937c\u7078\u5b66\u79d1\uff08\u5348\u524d\u30b3\u30fc\u30b9\uff09","4":"\u937c\u7078\u5b66\u79d1\uff08\u663c\u9593\u30b3\u30fc\u30b9\uff09","5":"\u3053\u3069\u3082\u4fdd\u80b2\u5b66\u79d1","6":"\u3053\u3069\u3082\u4fdd\u80b2\u5b66\u79d1\uff08\u516c\u5171\u8077\u696d\u8a13\u7df4\uff09","7":"\u4ecb\u8b77\u798f\u7949\u5b66\u79d1","8":"\u4ecb\u8b77\u798f\u7949\u5b66\u79d1\uff08\u516c\u5171\u8077\u696d\u8a13\u7df4\uff09","9":"\u793e\u4f1a\u798f\u7949\u58eb\u901a\u4fe1\u79d1 \u4e00\u822c\u990a\u6210\u30b3\u30fc\u30b9","10":"\u793e\u4f1a\u798f\u7949\u58eb\u901a\u4fe1\u79d1 \u77ed\u671f\u990a\u6210\u30b3\u30fc\u30b9","11":"\u7cbe\u795e\u4fdd\u5065\u798f\u7949\u58eb\u901a\u4fe1\u79d1 \u4e00\u822c\u990a\u6210\u30b3\u30fc\u30b9","12":"\u7cbe\u795e\u4fdd\u5065\u798f\u7949\u58eb\u901a\u4fe1\u79d1 \u77ed\u671f\u990a\u6210\u30b3\u30fc\u30b9","13":"\u4ecb\u8b77\u8077\u54e1\u521d\u4efb\u8005\u7814\u4fee"}" /> </div> </div> </dd> </dl> <dl> <dt class="u-margin-adjust">お名前<span class="required">*</span></dt> <dd> <div class="mod-two"><span> <input type="text" name="family_name" id="family_name" class="" size="20" maxlength="255" value="" placeholder="例：町田" /> </span> <span> <input type="text" name="first_name" id="first_name" class="" size="20" maxlength="255" value="" placeholder="例：太郎" /> </span></div> </dd> </dl> <dl> <dt class="u-margin-adjust">フリガナ<span class="required">*</span></dt> <dd> <div class="mod-two"><span> <input type="text" name="family_kana" id="family_kana" class="restriction_kana" size="20" maxlength="255" value="" placeholder="例：マチダ" /> </span> <span> <input type="text" name="first_kana" id="first_kana" class="restriction_kana" size="20" maxlength="255" value="" placeholder="例：タロウ" /> </span></div> </dd> </dl> <dl> <dt>性別<span class="required">*</span></dt> <dd> <div class="mod-radio"> <span class="mwform-radio-field horizontal-item"> <label for="sex-1"> <input type="radio" name="sex" value="sex_1" id="sex-1" class="c-checkes_label radio" /> <span class="mwform-radio-field-text">男</span> </label> </span> <span class="mwform-radio-field horizontal-item"> <label for="sex-2"> <input type="radio" name="sex" value="sex_2" id="sex-2" class="c-checkes_label radio" /> <span class="mwform-radio-field-text">女</span> </label> </span> <input type="hidden" name="__children[sex][]" value="{"sex_1":"\u7537","sex_2":"\u5973"}" /> </div> </dd> </dl> <dl> <dt class="u-margin-adjust">年齢<span class="required">*</span></dt> <dd> <div class="mod-birthday"> <div class="flex"> <div class="mod-select"> <select name="birth_y" id="birth_y" class=""> <option value="2022" > 2022 </option> <option value="2021" > 2021 </option> <option value="2020" > 2020 </option> <option value="2019" > 2019 </option> <option value="2018" > 2018 </option> <option value="2017" > 2017 </option> <option value="2016" > 2016 </option> <option value="2015" > 2015 </option> <option value="2014" > 2014 </option> <option value="2013" > 2013 </option> <option value="2012" > 2012 </option> <option value="2011" > 2011 </option> <option value="2010" > 2010 </option> <option value="2009" > 2009 </option> <option value="2008" > 2008 </option> <option value="2007" > 2007 </option> <option value="2006" > 2006 </option> <option value="2005" > 2005 </option> <option value="2004" > 2004 </option> <option value="2003" > 2003 </option> <option value="2002" selected='selected'> 2002 </option> <option value="2001" > 2001 </option> <option value="2000" > 2000 </option> <option value="1999" > 1999 </option> <option value="1998" > 1998 </option> <option value="1997" > 1997 </option> <option value="1996" > 1996 </option> <option value="1995" > 1995 </option> <option value="1994" > 1994 </option> <option value="1993" > 1993 </option> <option value="1992" > 1992 </option> <option value="1991" > 1991 </option> <option value="1990" > 1990 </option> <option value="1989" > 1989 </option> <option value="1988" > 1988 </option> <option value="1987" > 1987 </option> <option value="1986" > 1986 </option> <option value="1985" > 1985 </option> <option value="1984" > 1984 </option> <option value="1983" > 1983 </option> <option value="1982" > 1982 </option> <option value="1981" > 1981 </option> <option value="1980" > 1980 </option> <option value="1979" > 1979 </option> <option value="1978" > 1978 </option> <option value="1977" > 1977 </option> <option value="1976" > 1976 </option> <option value="1975" > 1975 </option> <option value="1974" > 1974 </option> <option value="1973" > 1973 </option> <option value="1972" > 1972 </option> <option value="1971" > 1971 </option> <option value="1970" > 1970 </option> <option value="1969" > 1969 </option> <option value="1968" > 1968 </option> <option value="1967" > 1967 </option> <option value="1966" > 1966 </option> <option value="1965" > 1965 </option> <option value="1964" > 1964 </option> <option value="1963" > 1963 </option> <option value="1962" > 1962 </option> <option value="1961" > 1961 </option> <option value="1960" > 1960 </option> <option value="1959" > 1959 </option> <option value="1958" > 1958 </option> <option value="1957" > 1957 </option> <option value="1956" > 1956 </option> <option value="1955" > 1955 </option> <option value="1954" > 1954 </option> <option value="1953" > 1953 </option> <option value="1952" > 1952 </option> <option value="1951" > 1951 </option> <option value="1950" > 1950 </option> <option value="1949" > 1949 </option> <option value="1948" > 1948 </option> <option value="1947" > 1947 </option> <option value="1946" > 1946 </option> <option value="1945" > 1945 </option> <option value="1944" > 1944 </option> <option value="1943" > 1943 </option> <option value="1942" > 1942 </option> <option value="1941" > 1941 </option> <option value="1940" > 1940 </option> <option value="1939" > 1939 </option> <option value="1938" > 1938 </option> <option value="1937" > 1937 </option> <option value="1936" > 1936 </option> <option value="1935" > 1935 </option> <option value="1934" > 1934 </option> <option value="1933" > 1933 </option> <option value="1932" > 1932 </option> <option value="1931" > 1931 </option> <option value="1930" > 1930 </option> <option value="1929" > 1929 </option> <option value="1928" > 1928 </option> </select> <input type="hidden" name="__children[birth_y][]" value="{"2022":"2022","2021":"2021","2020":"2020","2019":"2019","2018":"2018","2017":"2017","2016":"2016","2015":"2015","2014":"2014","2013":"2013","2012":"2012","2011":"2011","2010":"2010","2009":"2009","2008":"2008","2007":"2007","2006":"2006","2005":"2005","2004":"2004","2003":"2003","2002":"2002","2001":"2001","2000":"2000","1999":"1999","1998":"1998","1997":"1997","1996":"1996","1995":"1995","1994":"1994","1993":"1993","1992":"1992","1991":"1991","1990":"1990","1989":"1989","1988":"1988","1987":"1987","1986":"1986","1985":"1985","1984":"1984","1983":"1983","1982":"1982","1981":"1981","1980":"1980","1979":"1979","1978":"1978","1977":"1977","1976":"1976","1975":"1975","1974":"1974","1973":"1973","1972":"1972","1971":"1971","1970":"1970","1969":"1969","1968":"1968","1967":"1967","1966":"1966","1965":"1965","1964":"1964","1963":"1963","1962":"1962","1961":"1961","1960":"1960","1959":"1959","1958":"1958","1957":"1957","1956":"1956","1955":"1955","1954":"1954","1953":"1953","1952":"1952","1951":"1951","1950":"1950","1949":"1949","1948":"1948","1947":"1947","1946":"1946","1945":"1945","1944":"1944","1943":"1943","1942":"1942","1941":"1941","1940":"1940","1939":"1939","1938":"1938","1937":"1937","1936":"1936","1935":"1935","1934":"1934","1933":"1933","1932":"1932","1931":"1931","1930":"1930","1929":"1929","1928":"1928"}" /> </div> <span>年</span></div> <div class="flex"> <div class="mod-select"> <select name="birth_m" id="birth_m" class=""> <option value="1" selected='selected'> 1 </option> <option value="2" > 2 </option> <option value="3" > 3 </option> <option value="4" > 4 </option> <option value="5" > 5 </option> <option value="6" > 6 </option> <option value="7" > 7 </option> <option value="8" > 8 </option> <option value="9" > 9 </option> <option value="10" > 10 </option> <option value="11" > 11 </option> <option value="12" > 12 </option> </select> <input type="hidden" name="__children[birth_m][]" value="{"1":"1","2":"2","3":"3","4":"4","5":"5","6":"6","7":"7","8":"8","9":"9","10":"10","11":"11","12":"12"}" /> </div> <span>月</span></div> <div class="flex"> <div class="mod-select"> <select name="birth_d" id="birth_d" class=""> <option value="1" selected='selected'> 1 </option> <option value="2" > 2 </option> <option value="3" > 3 </option> <option value="4" > 4 </option> <option value="5" > 5 </option> <option value="6" > 6 </option> <option value="7" > 7 </option> <option value="8" > 8 </option> <option value="9" > 9 </option> <option value="10" > 10 </option> <option value="11" > 11 </option> <option value="12" > 12 </option> <option value="13" > 13 </option> <option value="14" > 14 </option> <option value="15" > 15 </option> <option value="16" > 16 </option> <option value="17" > 17 </option> <option value="18" > 18 </option> <option value="19" > 19 </option> <option value="20" > 20 </option> <option value="21" > 21 </option> <option value="22" > 22 </option> <option value="23" > 23 </option> <option value="24" > 24 </option> <option value="25" > 25 </option> <option value="26" > 26 </option> <option value="27" > 27 </option> <option value="28" > 28 </option> <option value="29" > 29 </option> <option value="30" > 30 </option> <option value="31" > 31 </option> </select> <input type="hidden" name="__children[birth_d][]" value="{"1":"1","2":"2","3":"3","4":"4","5":"5","6":"6","7":"7","8":"8","9":"9","10":"10","11":"11","12":"12","13":"13","14":"14","15":"15","16":"16","17":"17","18":"18","19":"19","20":"20","21":"21","22":"22","23":"23","24":"24","25":"25","26":"26","27":"27","28":"28","29":"29","30":"30","31":"31"}" /> </div> <span>日生まれ</span></div> </div> </dd> </dl> <dl> <dt><label for="zip">郵便番号<span class="required">*</span></label></dt> <dd><span> 〒 <input type="text" name="zip_1" id="zip_1" class="restriction_digit character-change-01 character-change-03" size="3" maxlength="8" value="" /> <button id="zipSearch" class="zip_btn zipSearch zipSearch_btn" type="button">住所検索</button> </span></dd> <dt><label for="pref">都道府県<span class="required">*</span></label></dt> <dd> <div class="mod-select is-pref"> <select name="prefecture" id="prefecture" > <option value="1" > 北海道 </option> <option value="2" > 青森県 </option> <option value="3" > 岩手県 </option> <option value="4" > 秋田県 </option> <option value="5" > 山形県 </option> <option value="6" > 宮城県 </option> <option value="7" > 福島県 </option> <option value="8" > 茨城県 </option> <option value="9" > 栃木県 </option> <option value="10" > 群馬県 </option> <option value="11" > 埼玉県 </option> <option value="12" > 千葉県 </option> <option value="13" selected='selected'> 東京都 </option> <option value="14" > 神奈川県 </option> <option value="15" > 山梨県 </option> <option value="16" > 新潟県 </option> <option value="17" > 長野県 </option> <option value="18" > 富山県 </option> <option value="19" > 石川県 </option> <option value="20" > 福井県 </option> <option value="21" > 静岡県 </option> <option value="22" > 愛知県 </option> <option value="23" > 三重県 </option> <option value="24" > 岐阜県 </option> <option value="25" > 滋賀県 </option> <option value="26" > 京都府 </option> <option value="27" > 大阪府 </option> <option value="28" > 兵庫県 </option> <option value="29" > 奈良県 </option> <option value="30" > 和歌山県 </option> <option value="31" > 鳥取県 </option> <option value="32" > 岡山県 </option> <option value="33" > 島根県 </option> <option value="34" > 広島県 </option> <option value="35" > 山口県 </option> <option value="36" > 香川県 </option> <option value="37" > 徳島県 </option> <option value="38" > 愛媛県 </option> <option value="39" > 高知県 </option> <option value="40" > 福岡県 </option> <option value="41" > 佐賀県 </option> <option value="42" > 大分県 </option> <option value="43" > 熊本県 </option> <option value="44" > 長崎県 </option> <option value="45" > 宮崎県 </option> <option value="46" > 鹿児島県 </option> <option value="47" > 沖縄県 </option> </select> <input type="hidden" name="__children[prefecture][]" value="{"1":"\u5317\u6d77\u9053","2":"\u9752\u68ee\u770c","3":"\u5ca9\u624b\u770c","4":"\u79cb\u7530\u770c","5":"\u5c71\u5f62\u770c","6":"\u5bae\u57ce\u770c","7":"\u798f\u5cf6\u770c","8":"\u8328\u57ce\u770c","9":"\u6803\u6728\u770c","10":"\u7fa4\u99ac\u770c","11":"\u57fc\u7389\u770c","12":"\u5343\u8449\u770c","13":"\u6771\u4eac\u90fd","14":"\u795e\u5948\u5ddd\u770c","15":"\u5c71\u68a8\u770c","16":"\u65b0\u6f5f\u770c","17":"\u9577\u91ce\u770c","18":"\u5bcc\u5c71\u770c","19":"\u77f3\u5ddd\u770c","20":"\u798f\u4e95\u770c","21":"\u9759\u5ca1\u770c","22":"\u611b\u77e5\u770c","23":"\u4e09\u91cd\u770c","24":"\u5c90\u961c\u770c","25":"\u6ecb\u8cc0\u770c","26":"\u4eac\u90fd\u5e9c","27":"\u5927\u962a\u5e9c","28":"\u5175\u5eab\u770c","29":"\u5948\u826f\u770c","30":"\u548c\u6b4c\u5c71\u770c","31":"\u9ce5\u53d6\u770c","32":"\u5ca1\u5c71\u770c","33":"\u5cf6\u6839\u770c","34":"\u5e83\u5cf6\u770c","35":"\u5c71\u53e3\u770c","36":"\u9999\u5ddd\u770c","37":"\u5fb3\u5cf6\u770c","38":"\u611b\u5a9b\u770c","39":"\u9ad8\u77e5\u770c","40":"\u798f\u5ca1\u770c","41":"\u4f50\u8cc0\u770c","42":"\u5927\u5206\u770c","43":"\u718a\u672c\u770c","44":"\u9577\u5d0e\u770c","45":"\u5bae\u5d0e\u770c","46":"\u9e7f\u5150\u5cf6\u770c","47":"\u6c96\u7e04\u770c"}" /> </div> </dd> <dt><label for="city">市区町村郡<span class="required">*</span></label></dt> <dd> <input type="text" name="add1" id="add1" class="" size="40" maxlength="255" value="" placeholder="例：町田市森野" /> </dd> <dt><label for="address">番地<span class="required">*</span></label></dt> <dd> <input type="text" name="add2" id="add2" class="character-change-01" size="40" maxlength="255" value="" placeholder="例：1-7-8（半角数字）" /> </dd> <dt><label for="building">建物名・番号など</label> <p><small>※建物名・部屋番号などがある場合は、ご記入ください。</small></p> </dt> <dd> <input type="text" name="add3" id="add3" size="40" maxlength="255" value="" placeholder="例：アルファマンション205" /> </dd> </dl> <dl> <dt class="u-margin-adjust"><label for="tel">電話番号<span class="required">*</span></label></dt> <dd> <input type="text" name="tel" id="tel" class="restriction_digit character-change-01" size="14" maxlength="14" value="" placeholder="例：042-729-1026" /> </dd> </dl> <dl> <dt class="u-margin-adjust"><label for="mail">メールアドレス<span class="required">*</span></label></dt> <dd> <input type="email" name="email" id="email1" class="restriction_mail character-change-01" size="40" maxlength="255" value="" placeholder="例：hanako@alpha-net.jp" data-conv-half-alphanumeric="true"/> </dd> </dl> <dl> <dt class="u-margin-adjust"><label for="job">学生・職業</label></dt> <dd> <div class="mod-select"> <select name="educational_status" id="educational_status" class="js-removeValueFirst"> <option value="" selected='selected'> 選択してください </option> <option value="1" > 高校生 </option> <option value="2" > 大学・短大・専門 </option> <option value="3" > 自営業・会社員 </option> <option value="4" > 主婦 </option> <option value="5" > フリーター </option> <option value="6" > その他 </option> </select> <input type="hidden" name="__children[educational_status][]" value="{"":"\u9078\u629e\u3057\u3066\u304f\u3060\u3055\u3044","1":"\u9ad8\u6821\u751f","2":"\u5927\u5b66\u30fb\u77ed\u5927\u30fb\u5c02\u9580","3":"\u81ea\u55b6\u696d\u30fb\u4f1a\u793e\u54e1","4":"\u4e3b\u5a66","5":"\u30d5\u30ea\u30fc\u30bf\u30fc","6":"\u305d\u306e\u4ed6"}" /> </div> <p style="margin-top: 0;"><small>※保護者の方は「その他」を選択してください</small></p> <div id="highschool_add"> <div style="margin-bottom: 10px;"> <div class="mod-select"> <select name="highschool_type" id="highschool_type" > <option value="" selected='selected'> -選択- </option> <option value="1" > 都立 </option> <option value="3" > 県立 </option> <option value="4" > 市立 </option> <option value="5" > 私立 </option> <option value="2" > 国立 </option> </select> <input type="hidden" name="__children[highschool_type][]" value="{"":"-\u9078\u629e-","1":"\u90fd\u7acb","3":"\u770c\u7acb","4":"\u5e02\u7acb","5":"\u79c1\u7acb","2":"\u56fd\u7acb"}" /> </div> </div> <p> <input type="text" name="highschool_name" id="highschool_name" class="highschool_name" size="40" value="" placeholder="例：○○高等学校" /> </p> <div class="inner_block"> <div class="flex"><small>卒業年</small> <div class="mod-select w180"> <select name="hs_educational_year" id="hs_educational_year" > <option value="" selected='selected'> -選択- </option> <option value="2020" > 2020 </option> <option value="2021" > 2021 </option> <option value="2022" > 2022 </option> <option value="2023" > 2023 </option> <option value="2024" > 2024 </option> <option value="2025" > 2025 </option> </select> <input type="hidden" name="__children[hs_educational_year][]" value="{"":"-\u9078\u629e-","2020":"2020","2021":"2021","2022":"2022","2023":"2023","2024":"2024","2025":"2025"}" /> </div> <small>年</small></div> </div> </div> <div id="univ_add"> <div style="margin-top: 10px;"> <p> <input type="text" name="college_name" id="college_name" class="college_name" size="40" value="" placeholder="例：○○大学　□□学部" /> </p> <div class="inner_block"> <div class="flex"><small>卒業年</small> <div class="mod-select w180"> <select name="college_educational_year" > <option value="" selected='selected'> -選択- </option> <option value="2020" > 2020 </option> <option value="2021" > 2021 </option> <option value="2022" > 2022 </option> <option value="2023" > 2023 </option> <option value="2024" > 2024 </option> <option value="2025" > 2025 </option> </select> <input type="hidden" name="__children[college_educational_year][]" value="{"":"-\u9078\u629e-","2020":"2020","2021":"2021","2022":"2022","2023":"2023","2024":"2024","2025":"2025"}" /> </div> <small>年</small></div> </div> </div> </div> <div id="finalEducation" style="margin-top: 10px;"> <div><strong><small>最終学歴</small></strong></div> <div class="mod-select"> <select name="educational_qualification" id="educational_qualification" class="js-removeValueFirst"> <option value="" selected='selected'> 項目をお選びください </option> <option value="1" > 中学卒 </option> <option value="2" > 高校卒 </option> <option value="3" > 専門学校卒 </option> <option value="4" > 短大卒 </option> <option value="5" > 4年制大学卒 </option> <option value="6" > 院卒 </option> <option value="7" > その他 </option> </select> <input type="hidden" name="__children[educational_qualification][]" value="{"":"\u9805\u76ee\u3092\u304a\u9078\u3073\u304f\u3060\u3055\u3044","1":"\u4e2d\u5b66\u5352","2":"\u9ad8\u6821\u5352","3":"\u5c02\u9580\u5b66\u6821\u5352","4":"\u77ed\u5927\u5352","5":"4\u5e74\u5236\u5927\u5b66\u5352","6":"\u9662\u5352","7":"\u305d\u306e\u4ed6"}" /> </div> <p><small>※本年度卒業見込みを含みます。</small><br /> <small>※社会福祉学科・精神保健福祉士科は、4年制大学卒または実務経験者が対象になります。</small><br /> <small>（社会福祉科・精神保健福祉士科の実務経験等による入学資格の詳細は資料請求ください）</small></p> </div> <div id="workExperience" style="margin-top: 10px;"> <div><strong><small>実務経験</small></strong></div> <p><small>※社会福祉士・精神保健福祉士・介護福祉実務者研修を希望される方は、ご記入下さい。</small></p> <p class="mod-radio"> <span class="mwform-radio-field horizontal-item"> <label for="work_experience-1"> <input type="radio" name="work_experience" value="work_experience_1" checked='checked' id="work_experience-1" class="c-checkes_label radio" /> <span class="mwform-radio-field-text">なし</span> </label> </span> <span class="mwform-radio-field horizontal-item"> <label for="work_experience-2"> <input type="radio" name="work_experience" value="work_experience_2" id="work_experience-2" class="c-checkes_label radio" /> <span class="mwform-radio-field-text">あり</span> </label> </span> <input type="hidden" name="__children[work_experience][]" value="{"work_experience_1":"\u306a\u3057","work_experience_2":"\u3042\u308a"}" /> </p> <div id="workExperienceYearArea"><small>実務歴</small> <div class="inner_block"> <div class="flex"> <input type="text" name="work_experience_text" size="3" value="" /> <small> 年</small></div> </div> </div> </div> </dd> </dl> <dl> <dt class="u-margin-adjust"><label for="iquiry">お問い合わせ<span class="required">*</span></label></dt> <dd> <textarea name="message" id="message" class="txtarea_ph message" cols="50" rows="7" ></textarea> </dd> </dl> <dl> <dt class="u-margin-adjust">個人情報について<span class="required">*</span></dt> <dd> <p>本校は個人情報保護基本方針に基づき、ご提供いただいた個人情報の適切な管理を実施致します。ご提供いただくにあたり、<a href="https://alpha-net.ac.jp/privacy-policy/" target="_blank" rel="noopener noreferrer">個人情報の取り扱いについて</a>を必ずお読みになり、ご理解・ご同意いただいた上でご登録をお願い致します。</p> <div class="checkbox"> <div class="mod-checkbox is-privacy"><span> <span class="mwform-checkbox-field horizontal-item"> <label for="form_privacy-1"> <input type="checkbox" name="form_privacy[data][]" value="1" id="form_privacy-1" class="c-checkes_label p-form_privacy_labels" /> <span class="mwform-checkbox-field-text">個人情報保護基本方針に同意する</span> </label> </span> <input type="hidden" name="form_privacy[separator]" value="," /> <input type="hidden" name="__children[form_privacy][]" value="{"1":"\u500b\u4eba\u60c5\u5831\u4fdd\u8b77 \u57fa\u672c\u65b9\u91dd\u306b\u540c\u610f\u3059\u308b"}" /> </span></div> </div> </dd> </dl> <div class="submit"><span></span><span> <input type="submit" name="submitConfirm" 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