{"id":26,"date":"2016-09-29T19:59:07","date_gmt":"2016-09-29T10:59:07","guid":{"rendered":"http:\/\/www.tkc110.jp\/recruit\/?page_id=26"},"modified":"2025-07-18T16:29:05","modified_gmt":"2025-07-18T07:29:05","slug":"%e5%bf%9c%e5%8b%9f%e3%83%95%e3%82%a9%e3%83%bc%e3%83%a0","status":"publish","type":"page","link":"https:\/\/www.agaskin.net\/recruit\/entry\/","title":{"rendered":"\u5fdc\u52df\u30d5\u30a9\u30fc\u30e0"},"content":{"rendered":"<link rel=\"stylesheet\" href=\"\/recruit\/wp-content\/themes\/agaskin\/common\/css\/form.css\">\n<script src=\"https:\/\/ajaxzip3.github.io\/ajaxzip3.js\" charset=\"UTF-8\"><\/script><br \/>\n<script src=\"\/recruit\/wp-content\/themes\/agaskin\/common\/js\/validate.js\"><\/script>\n<link rel=\"stylesheet\" href=\"\/recruit\/wp-content\/themes\/agaskin\/entry\/css\/style.css?20170804\">\n<script src=\"\/recruit\/wp-content\/themes\/agaskin\/entry\/js\/page.js\"><\/script><br \/>\n<script src=\"\/recruit\/wp-content\/themes\/agaskin\/entry\/js\/form.js\"><\/script><\/p>\n<p><?php\n$calList = 'cl_doctor,cl_counselor,cl_r_counselor';\n$clData  = array();\n$paged = (int) get_query_var('paged');\nquery_posts('category_name='.$calList.'&#038;paged='.$paged);\n?><br \/>\n<?php if(have_posts()): while(have_posts()): the_post(); ?><br \/>\n<?php\n$data = array();\n$data['cNo'] = post_custom('c_no');\n$data['title'] = get_the_title();\n$clData[] = $data;\n?><br \/>\n<?php endwhile; endif; ?><br \/>\n<?php wp_reset_query(); ?><br \/>\n<?php sortArrayByKey( $clData, 'cNo' ); ?><\/p>\n<article>\n<div class=\"ttl_area\">\n<div class=\"inner\">\n<h2 class=\"font_ym\"><span class=\"font_yg\">ENTRY<\/span><br \/>\u5fdc\u52df\u30d5\u30a9\u30fc\u30e0<\/h2>\n<\/p><\/div>\n<\/p><\/div>\n<section>\n<form id=\"contactForm\" action=\"check.php\" method=\"post\">\n    <input type=\"hidden\" name=\"job_name\" value=\"\"><br \/>\n    <input type=\"hidden\" name=\"area_name\" value=\"\"><br \/>\n 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value=\"3\">\u53d7\u4ed8\u30ab\u30a6\u30f3\u30bb\u30e9\u30fc<\/option><\/select><br \/>\n            <\/label>\n            <\/div>\n<\/td>\n<\/tr>\n<tr>\n<th class=\"req\"><label for=\"input_area\">\u5e0c\u671b\u52e4\u52d9\u5730<\/label><\/th>\n<td>\n<p class=\"err_text\">\u5fc5\u9808\u5165\u529b\u9805\u76ee\u3067\u3059<\/p>\n<div class=\"sep\">\n            <label for=\"input_area\" class=\"select_wrap\"><br \/>\n            <select  id=\"input_area\" name=\"area\" class=\"req\"><option value=\"\">\u5e0c\u671b\u52e4\u52d9\u5730\u3092\u9078\u629e\u3057\u3066\u4e0b\u3055\u3044<\/option><option value='AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u6771\u4eac\u79cb\u8449\u539f\u9662'>AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u6771\u4eac\u79cb\u8449\u539f\u9662<\/option><option value='AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u6771\u4eac\u6c60\u888b\u9662'>AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u6771\u4eac\u6c60\u888b\u9662<\/option><option value='AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u6771\u4eac\u4e0a\u91ce\u9662'>AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u6771\u4eac\u4e0a\u91ce\u9662<\/option><option value='AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u6771\u4eac\u54c1\u5ddd\u9662'>AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u6771\u4eac\u54c1\u5ddd\u9662<\/option><option value='AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u6e0b\u8c37\u99c5\u524d\u9662'>AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u6e0b\u8c37\u99c5\u524d\u9662<\/option><option value='AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u65b0\u5bbf\u99c5\u524d\u9662'>AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u65b0\u5bbf\u99c5\u524d\u9662<\/option><option value='AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u6771\u4eac\u7acb\u5ddd\u9662'>AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u6771\u4eac\u7acb\u5ddd\u9662<\/option><option 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\u5ddd\u53e3\u9662<\/option><option value='AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u5343\u8449\u9662'>AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u5343\u8449\u9662<\/option><option value='AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u67cf\u9662'>AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u67cf\u9662<\/option><option value='AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u8239\u6a4b\u9662'>AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u8239\u6a4b\u9662<\/option><option value='AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u5b87\u90fd\u5bae\u9662'>AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u5b87\u90fd\u5bae\u9662<\/option><option value='AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u9ad8\u5d0e\u9662'>AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u9ad8\u5d0e\u9662<\/option><option value='AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af 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\u540d\u99c5\u9326\u901a\u9662<\/option><option value='AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u9759\u5ca1\u9662'>AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u9759\u5ca1\u9662<\/option><option value='AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u6d5c\u677e\u9662'>AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u6d5c\u677e\u9662<\/option><option value='AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u5c90\u961c\u9662'>AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u5c90\u961c\u9662<\/option><option value='AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u56db\u65e5\u5e02\u9662'>AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u56db\u65e5\u5e02\u9662<\/option><option value='AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u4eac\u90fd\u6cb3\u539f\u753a\u9662'>AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u4eac\u90fd\u6cb3\u539f\u753a\u9662<\/option><option value='AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u4eac\u90fd\u99c5\u524d\u9662'>AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u4eac\u90fd\u99c5\u524d\u9662<\/option><option value='AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u5927\u962a\u6885\u7530\u9662'>AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u5927\u962a\u6885\u7530\u9662<\/option><option value='AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u5927\u962a\u897f\u6885\u7530\u9662'>AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u5927\u962a\u897f\u6885\u7530\u9662<\/option><option value='AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u5927\u962a\u4eac\u6a4b\u9662'>AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u5927\u962a\u4eac\u6a4b\u9662<\/option><option value='AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u5927\u962a\u583a\u6771\u9662'>AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u5927\u962a\u583a\u6771\u9662<\/option><option value='AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u5927\u962a\u96e3\u6ce2\u9662'>AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u5927\u962a\u96e3\u6ce2\u9662<\/option><option value='AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u5927\u962a\u5929\u738b\u5bfa\u9662'>AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u5927\u962a\u5929\u738b\u5bfa\u9662<\/option><option value='AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u795e\u6238\u9662'>AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u795e\u6238\u9662<\/option><option value='AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u59eb\u8def\u9662'>AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u59eb\u8def\u9662<\/option><option value='AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u5948\u826f\u897f\u5927\u5bfa\u9662'>AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u5948\u826f\u897f\u5927\u5bfa\u9662<\/option><option value='AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u5ca1\u5c71\u9662'>AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u5ca1\u5c71\u9662<\/option><option value='AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u5e83\u5cf6\u9662'>AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u5e83\u5cf6\u9662<\/option><option value='AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u677e\u5c71\u9662'>AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u677e\u5c71\u9662<\/option><option value='AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u9ad8\u77e5\u9662'>AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u9ad8\u77e5\u9662<\/option><option value='AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u798f\u5ca1\u9662'>AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u798f\u5ca1\u9662<\/option><option value='AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u5c0f\u5009\u9662'>AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u5c0f\u5009\u9662<\/option><option value='AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u718a\u672c\u9662'>AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u718a\u672c\u9662<\/option><option value='AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u9e7f\u5150\u5cf6\u9662'>AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u9e7f\u5150\u5cf6\u9662<\/option><option value='AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u6c96\u7e04\u9662'>AGA\u30b9\u30ad\u30f3\u30af\u30ea\u30cb\u30c3\u30af \u6c96\u7e04\u9662<\/option><\/select><br \/>\n            <\/label>\n            <\/div>\n<\/td>\n<\/tr>\n<tr>\n<th class=\"req\"><label for=\"input_name\">\u304a\u540d\u524d<\/label><\/th>\n<td>\n<p class=\"err_text\">\n<div class=\"sep\"><input id=\"input_name\" data-name=\"name\" type=\"text\" name=\"l_name\" autocomplete=\"l_name\" class=\"req\" placeholder=\"\u59d3\"><\/div>\n<div class=\"sep\"><input data-name=\"name\" type=\"text\" name=\"f_name\" autocomplete=\"f_name\" class=\"req\" placeholder=\"\u540d\"><\/div>\n<\/td>\n<\/tr>\n<tr>\n<th class=\"req\"><label for=\"input_kana\">\u30d5\u30ea\u30ac\u30ca<\/label><\/th>\n<td>\n<p class=\"err_text\">\n<div class=\"sep\"><input id=\"input_kana\" data-name=\"kana\" type=\"text\" name=\"l_kana\" autocomplete=\"l_kana\" class=\"req\" placeholder=\"\u30bb\u30a4\"><\/div>\n<div class=\"sep\"><input data-name=\"kana\" type=\"text\" name=\"f_kana\" autocomplete=\"f_kana\" class=\"req\" placeholder=\"\u30e1\u30a4\"><\/div>\n<\/td>\n<\/tr>\n<tr>\n<th class=\"req\">\n<p>\u6027\u5225<\/p>\n<\/th>\n<td class=\"middle\">\n<p class=\"err_text\">\n<div><input id=\"input_gender1\" type=\"radio\" name=\"gender\" value=\"\u7537\u6027\"><label for=\"input_gender1\" class=\"radio\">\u7537\u6027<\/label><input id=\"input_gender2\" type=\"radio\" name=\"gender\" value=\"\u5973\u6027\"><label for=\"input_gender2\" class=\"radio\">\u5973\u6027<\/label><\/div>\n<\/td>\n<\/tr>\n<tr>\n<th class=\"req\">\n<p>\u751f\u5e74\u6708\u65e5<\/p>\n<\/th>\n<td class=\"sel_day middle\">\n<p class=\"err_text\">\u5fc5\u9808\u5165\u529b\u9805\u76ee\u3067\u3059<\/p>\n<div>\n            <label for=\"input_b_year\" class=\"select_wrap\"><br \/>\n            <select  id=\"input_b_year\" name=\"b_year\" class=\"req\"><option value=\"\"><\/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\">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=\"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><\/select><br \/>\n            <\/label><br \/>\n            <span>\u5e74<\/span><br \/>\n            <label for=\"input_b_month\" class=\"select_wrap\"><br \/>\n            <select  id=\"input_b_month\" name=\"b_month\" class=\"req\"><option value=\"\"><\/option><option value=\"1\">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><br \/>\n            <\/label><br \/>\n            <span>\u6708<\/span><br \/>\n            <label for=\"input_b_day\" class=\"select_wrap\"><br \/>\n            <select  id=\"input_b_day\" name=\"b_day\" class=\"req\"><option value=\"\"><\/option><option value=\"1\">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><br \/>\n            <\/label><br \/>\n            <span>\u65e5<\/span>\n            <\/div>\n<\/td>\n<\/tr>\n<tr>\n<th class=\"req\"><label for=\"input_zip\">\u90f5\u4fbf\u756a\u53f7<span>\uff08\u534a\u89d2\u82f1\u6570\u5b57\uff09<\/span><\/label><\/th>\n<td>\n<p class=\"err_text\">\n<div class=\"free\"><input id=\"input_zip\" data-name=\"num\" type=\"text\" name=\"zip1\" size=\"3\" maxlength=\"3\" class=\"req\"> \uff0d <input data-name=\"num\" type=\"text\" name=\"zip2\" size=\"4\" maxlength=\"4\" onKeyUp=\"AjaxZip3.zip2addr('zip1','zip2','addr','addr');\" class=\"req\"><\/div>\n<\/td>\n<\/tr>\n<tr>\n<th class=\"req\"><label for=\"input_addr\">\u4f4f\u6240<\/label><\/th>\n<td>\n<p class=\"err_text\">\n<div><input id=\"input_addr\" data-name=\"text\" type=\"text\" name=\"addr\" class=\"req\"><\/div>\n<\/td>\n<\/tr>\n<tr>\n<th class=\"req\"><label for=\"input_name\">\u81ea\u5b85\u6700\u5bc4\u308a\u99c5<\/label><\/th>\n<td>\n<p class=\"err_text\">\n<div class=\"sep\"><input id=\"input_station\" data-name=\"station\" type=\"text\" name=\"station01\" autocomplete=\"station01\" class=\"req\" placeholder=\"\u8def\u7dda\u540d\"><\/div>\n<div class=\"sep\"><input data-name=\"station\" type=\"text\" name=\"station02\" autocomplete=\"station02\" class=\"req\" placeholder=\"\u99c5\u540d\"><\/div>\n<\/td>\n<\/tr>\n<tr>\n<th class=\"req\"><label for=\"input_tel\">\u96fb\u8a71\u756a\u53f7<span>\uff08\u534a\u89d2\u82f1\u6570\u5b57\uff09<\/span><\/label><\/th>\n<td>\n<p class=\"err_text\">\n<div class=\"free\"><input id=\"input_tel\" data-name=\"num\" type=\"text\" name=\"tel1\" size=\"4\" maxlength=\"4\" class=\"req\"> \uff0d <input data-name=\"num\" type=\"text\" name=\"tel2\" size=\"4\" maxlength=\"4\" class=\"req\"> \uff0d <input data-name=\"num\" type=\"text\" name=\"tel3\" size=\"4\" maxlength=\"4\" class=\"req\"><\/div>\n<\/td>\n<\/tr>\n<tr>\n<th class=\"req\"><label for=\"input_email\">E-mail<span>\uff08\u534a\u89d2\u82f1\u6570\u5b57\uff09<\/span><\/label><\/th>\n<td>\n<p class=\"err_text\">\n<div><input id=\"input_email\" data-name=\"email\" type=\"text\" name=\"email1\" autocomplete=\"email1\" class=\"req\"><\/div>\n<div>\n<p class=\"input_info\">\u78ba\u8a8d\u306e\u305f\u3081\u3001\u3082\u3046\u4e00\u5ea6\u5165\u529b\u3057\u3066\u4e0b\u3055\u3044\u3002<\/p>\n<p><input data-name=\"email\" type=\"text\" name=\"email2\" autocomplete=\"email2\" class=\"req\"><\/div>\n<\/td>\n<\/tr>\n<tr>\n<th><label for=\"input_skill\">\u4fdd\u6709\u8cc7\u683c\u30fb\u30b9\u30ad\u30eb<\/label><\/th>\n<td>\n<div><textarea id=\"input_skill\" data-name=\"text\" name=\"skill\"><\/textarea><\/div>\n<\/td>\n<\/tr>\n<tr>\n<th>\n<p>\u6700\u7d42\u5b66\u6b74<\/p>\n<\/th>\n<td>\n<div>\n<table>\n<tbody>\n<tr>\n<th><label for=\"input_s_name\">\u5b66\u6821\u540d<\/label><\/th>\n<td>\n<div><input id=\"input_s_name\" data-name=\"text\" type=\"text\" name=\"s_name\"><\/div>\n<\/td>\n<\/tr>\n<tr>\n<th><label for=\"input_s_cat\">\u5b66\u90e8\u30fb\u5b66\u79d1\u30fb\u5c02\u653b<\/label><\/th>\n<td>\n<div><input id=\"input_s_cat\" data-name=\"text\" type=\"text\" name=\"s_cat\"><\/div>\n<\/td>\n<\/tr>\n<tr>\n<th>\n<p>\u5352\u696d\u5e74\u6708\u65e5<\/p>\n<\/th>\n<td class=\"sel_day middle\">\n<div>\n                  <label for=\"input_s_year\" class=\"select_wrap\"><br \/>\n                  <select  id=\"input_s_year\" name=\"s_year\"><option value=\"\"><\/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\">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=\"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><\/select><br \/>\n                  <\/label><br \/>\n                  <span>\u5e74<\/span><br \/>\n                  <label for=\"input_s_month\" class=\"select_wrap\"><br \/>\n                  <select  id=\"input_s_month\" name=\"s_month\"><option value=\"\"><\/option><option value=\"1\">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><br \/>\n                  <\/label><br \/>\n                  <span>\u6708<\/span><br \/>\n                  <label for=\"input_s_day\" class=\"select_wrap\"><br \/>\n                  <select  id=\"input_s_day\" name=\"s_day\"><option value=\"\"><\/option><option value=\"1\">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><br \/>\n                  <\/label><br \/>\n                  <span>\u65e5<\/span>\n                  <\/div>\n<\/td>\n<\/tr>\n<tr>\n<th><\/th>\n<td>\n<div><input id=\"input_s_stat1\" type=\"radio\" name=\"s_stat\" value=\"\u5352\u696d\"><label for=\"input_s_stat1\" class=\"radio\">\u5352\u696d<\/label><input id=\"input_s_stat2\" type=\"radio\" name=\"s_stat\" value=\"\u4e2d\u9000\"><label for=\"input_s_stat2\" class=\"radio\">\u4e2d\u9000<\/label><\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table><\/div>\n<\/td>\n<\/tr>\n<tr>\n<th>\n<p>\u8077\u52d9\u7d4c\u6b74\uff11<\/p>\n<\/th>\n<td>\n<div>\n<table>\n<tbody>\n<tr>\n<th><label for=\"input_c1_term\">\u671f\u9593<\/label><\/th>\n<td>\n<div><input id=\"input_c1_term\" data-name=\"text\" type=\"text\" name=\"c1_term\"><\/div>\n<\/td>\n<\/tr>\n<tr>\n<th><label for=\"input_c1_name\">\u793e\u540d\u30fb\u696d\u7a2e<span class=\"dr_only\">\u30fb\u75c5\u9662\u540d\u306a\u3069<\/span><\/label><\/th>\n<td>\n<div><input id=\"input_c1_name\" data-name=\"text\" type=\"text\" name=\"c1_name\"><\/div>\n<\/td>\n<\/tr>\n<tr>\n<th><label for=\"input_c1_cat\">\u8077\u7a2e<\/label><\/th>\n<td>\n<div><input id=\"input_c1_cat\" data-name=\"text\" type=\"text\" name=\"c1_cat\"><\/div>\n<\/td>\n<\/tr>\n<tr>\n<th><label for=\"input_c1_cont\">\u8077\u52d9\u5185\u5bb9<\/label><\/th>\n<td>\n<div><textarea id=\"input_c1_cont\" data-name=\"text\" name=\"c1_cont\"><\/textarea><\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div><\/td>\n<td class=\"add_btn tbl2 sp_disp\" colspan=\"2\">\u8077\u52d9\u7d4c\u6b74\u6b04\u3092\u8ffd\u52a0<\/td>\n<\/tr>\n<tr class=\"tbl2 add_tbl\">\n<th>\n<p>\u8077\u52d9\u7d4c\u6b74\uff12<\/p>\n<\/th>\n<td>\n<div>\n<table>\n<tbody>\n<tr>\n<th><label for=\"input_c2_term\">\u671f\u9593<\/label><\/th>\n<td>\n<div><input id=\"input_c2_term\" data-name=\"text\" type=\"text\" name=\"c2_term\"><\/div>\n<\/td>\n<\/tr>\n<tr>\n<th><label for=\"input_c2_name\">\u793e\u540d\u30fb\u696d\u7a2e<span class=\"dr_only\">\u30fb\u75c5\u9662\u540d\u306a\u3069<\/span><\/label><\/th>\n<td>\n<div><input id=\"input_c2_name\" data-name=\"text\" type=\"text\" name=\"c2_name\"><\/div>\n<\/td>\n<\/tr>\n<tr>\n<th><label for=\"input_c2_cat\">\u8077\u7a2e<\/label><\/th>\n<td>\n<div><input id=\"input_c2_cat\" data-name=\"text\" type=\"text\" name=\"c2_cat\"><\/div>\n<\/td>\n<\/tr>\n<tr>\n<th><label for=\"input_c2_cont\">\u8077\u52d9\u5185\u5bb9<\/label><\/th>\n<td>\n<div><textarea id=\"input_c2_cont\" data-name=\"text\" name=\"c2_cont\"><\/textarea><\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div><\/td>\n<td class=\"add_btn tbl3 sp_disp\" colspan=\"2\">\u8077\u52d9\u7d4c\u6b74\u6b04\u3092\u8ffd\u52a0<\/td>\n<\/tr>\n<tr class=\"tbl3 add_tbl\">\n<th>\n<p>\u8077\u52d9\u7d4c\u6b74\uff13<\/p>\n<\/th>\n<td>\n<div>\n<table>\n<tbody>\n<tr>\n<th><label for=\"input_c3_term\">\u671f\u9593<\/label><\/th>\n<td>\n<div><input id=\"input_c3_term\" data-name=\"text\" type=\"text\" name=\"c3_term\"><\/div>\n<\/td>\n<\/tr>\n<tr>\n<th><label for=\"input_c3_name\">\u793e\u540d\u30fb\u696d\u7a2e<span class=\"dr_only\">\u30fb\u75c5\u9662\u540d\u306a\u3069<\/span><\/label><\/th>\n<td>\n<div><input id=\"input_c3_name\" data-name=\"text\" type=\"text\" name=\"c3_name\"><\/div>\n<\/td>\n<\/tr>\n<tr>\n<th><label for=\"input_c3_cat\">\u8077\u7a2e<\/label><\/th>\n<td>\n<div><input id=\"input_c3_cat\" data-name=\"text\" type=\"text\" name=\"c3_cat\"><\/div>\n<\/td>\n<\/tr>\n<tr>\n<th><label for=\"input_c3_cont\">\u8077\u52d9\u5185\u5bb9<\/label><\/th>\n<td>\n<div><textarea id=\"input_c3_cont\" data-name=\"text\" name=\"c3_cont\"><\/textarea><\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div><\/td>\n<\/tr>\n<tr>\n<th><label for=\"input_free\">\u81ea\u7531\u8a18\u5165\u6b04<\/label><\/th>\n<td>\n<div><textarea id=\"input_free\" data-name=\"text\" name=\"free\"><\/textarea><\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table><\/div>\n<div class=\"btn_area inner clearfix\">\n      <button type='submit' name='action' value='send' class=\"send_btn detail_btn 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