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{"sheet":"意見交換会申込書","index":0,"n_rows":65,"n_cols":41,"rows_kept":65,"cut":false,"hidden":false,"merged":[[0,5,0,25],[1,5,1,25],[9,22,9,30],[10,22,10,30],[4,10,4,20],[5,23,5,25],[7,2,7,11],[8,22,8,30],[3,1,3,30],[8,2,8,11],[14,1,15,30],[16,1,17,5],[16,7,16,11],[16,21,16,23],[17,6,19,20],[17,21,19,30],[18,1,19,5],[22,1,23,5],[22,6,23,8],[22,9,23,17],[22,18,23,20],[22,21,23,30],[20,1,21,5],[20,6,21,8],[20,9,21,17],[20,18,21,20],[20,21,21,30],[24,1,28,5],[24,9,24,11],[24,25,24,26],[25,25,25,26],[26,6,28,18],[26,25,26,26],[27,25,27,26],[29,1,31,30],[32,1,34,5],[32,6,32,8],[32,9,32,15],[32,16,34,19],[32,20,34,21],[32,22,34,23],[32,24,34,24],[32,25,34,26],[32,27,34,27],[32,28,34,29],[32,30,34,30],[33,6,34,15],[64,2,64,30],[62,2,63,30],[60,2,61,30],[49,1,49,30],[50,1,50,30],[51,1,57,30],[45,1,47,5],[45,7,46,7],[39,12,39,18],[39,19,39,23],[39,24,39,29],[40,6,44,30],[40,1,44,5],[39,1,39,5],[39,7,39,9],[45,10,45,23],[46,10,47,29],[11,2,11,30],[37,19,38,25],[37,26,38,26],[37,27,38,28],[37,29,38,29],[37,30,38,30],[37,1,38,5],[37,7,38,9],[37,10,38,10],[37,12,38,15],[37,16,38,17],[37,18,38,18],[35,1,36,5],[35,6,36,15],[35,16,36,25],[35,26,36,30]]}
[null,null,null,null,null,"障害者職業生活相談員資格認定講習",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,1,"北海道"]
[null,null,null,null,null,"における意見交換会のみの申込書",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"昭和","○",2,"青森県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"平成","✕",3,"岩手県"]
[null,"資格取得のための講習会にお申込の方は申込書①のみご記入ください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,4,"宮城県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,5,"秋田県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"令和 ７　年",null,null,9,"月",null,null,"日",null,null,null,null,null,null,null,null,6,"山形県"]
[null,"独立行政法人　高齢・障害・求職者雇用支援機構",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,7,"福島県"]
[null,null,"和歌山支部",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,8,"茨城県"]
[null,null,"FAX　073-462-6810",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"事業所の名称",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,9,"栃木県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"代表者の職・氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,10,"群馬県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,11,"埼玉県"]
[null,null,"次のとおり、障害者職業生活相談員資格認定講習における意見交換のみの受講を申込みます。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,12,"千葉県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,13,"東京都"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,14,"神奈川県"]
[null,"申込事業所",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,15,"新潟県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,16,"富山県"]
[null,"所在地",null,null,null,null,"〒",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（事業内容）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,17,"石川県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,18,"福井県"]
[null,"※郵送時の受講通知書の送付先となります",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,19,"山梨県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,20,"長野県"]
[null,"担当者の氏名、所属及び連絡先",null,null,null,null,"氏名",null,null,null,null,null,null,null,null,null,null,null,"所属部課",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,21,"岐阜県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,22,"静岡県"]
[null,"※当機構から照会する場合の担当者をご記載ください。",null,null,null,null,"電話番号",null,null,null,null,null,null,null,null,null,null,null,"ＦＡＸ番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,23,"愛知県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,24,"三重県"]
[null,"事業所概要",null,null,null,null,"労働者数",null,null,null,null,null,"名",null,"うち",null,null,null,null,null,"身体障害者数",null,null,null,null,null,null,"名",null,null,null,null,null,null,null,null,null,null,null,27,"大阪府"]
[null,null,null,null,null,null,null,null,null,null,"↑",null,null,null,null,null,null,null,null,null,"知的障害者数",null,null,null,null,null,null,"名",null,null,null,null,null,null,null,null,null,null,null,28,"兵庫県"]
[null,null,null,null,null,null,"申込事業所単体において常時雇用する労働者数及び、\n常時雇用する障害者数を実人数で記入してください。　",null,null,null,null,null,null,null,null,null,null,null,null,"→","精神障害者数",null,null,null,null,null,null,"名",null,null,null,null,null,null,null,null,null,null,null,29,"奈良県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他の障害者数",null,null,null,null,null,null,"名",null,null,null,null,null,null,null,null,null,null,null,30,"和歌山県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,31,"鳥取県"]
[null,"受講希望者\n※受講希望者欄の「氏名」「生年月日」は正確にご記入ください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,32,"島根県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,33,"岡山県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,34,"広島県"]
[null,"氏名",null,null,null,null,"（フリガナ）",null,null,null,null,null,null,null,null,null,"生年月日",null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日",null,null,null,null,null,null,null,null,35,"山口県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,36,"徳島県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,37,"香川県"]
[null,"所属部課",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"所属部課が所在する都道府県名\n（上記所在地と同一の場合は記入不要）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,38,"愛媛県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,39,"高知県"]
[null,"障害者の職業生活に\n関する相談・指導の\n実務経験年数",null,null,null,null,null,"初めて",null,null,"・",null,"実務経験あり",null,null,null,null,null,"年","複数名の受講希望者がいる事業所の\n場合、当該希望者の受講優先順位",null,null,null,null,null,null,null,"人中",null,null,"番目",null,null,null,null,null,null,null,null,42,"長崎県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,43,"熊本県"]
[null,"障害者職業生活相談員\n資格認定講習への参加",null,null,null,null,null,"ナシ",null,null,"・",null," 受講経験あり",null,null,null,null,null,null,"受講した支部",null,null,null,null,null,null,null,null,null,null,"支部",null,null,null,null,null,null,null,null,44,"大分県"]
[null,"受講希望理由",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,45,"宮崎県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,46,"鹿児島県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,47,"沖縄県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,48]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,49]
[null,"受講に際して\n必要な障害\n等への配慮",null,null,null,null,"　","要",null,null,"配慮が必要と✔された方はどのような配慮が必要なのかご記入ください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,50]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,51]
[null,null,null,null,null,null,"　","不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,52]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,53]
[null,"　下記のアンケートにご回答ください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,54]
[null,"◎どのようなことでも結構です、職務指導など障害者雇用に関することでお困りごとがあれば下記にご記入ください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,55]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,56]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,57]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,58]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,59]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,60]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,61]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,62]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,63]
[null,"（記入に際する留意事項）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,64]
[null,1,"「受講に際して必要な障害等への配慮」は、講習を円滑に受講いただく準備のために確認するものであり、受講決定可否の判断及びその他の目的に使用することはありません。個別の事情は、受講決定後に改めて伺いますので、支障のない範囲でご記入ください。"]
[]
[null,2,"記載された情報は、(独)高齢・障害・求職者雇用支援機構において適正に管理し、障害者職業生活相談員資格認定講習を適切に実施することを目的として、また当機構において実施する研修の情報提供のために使用します。"]
[]
[null,null,"（受講希望者が複数の場合、ご希望に添えない場合がございますのでご了承ください。）"]

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[null,null,null,null,null,"障害者職業生活相談員資格認定講習",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,1,"北海道"]
[null,null,null,null,null,"における意見交換会のみの申込書",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"昭和","○",null,null,null,2,"青森県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"平成","✕",null,null,null,3,"岩手県"]
[null,"資格取得のための講習会にお申込の方は申込書①のみご記入ください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,4,"宮城県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,5,"秋田県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"令和 ７　年",null,null,9,"月",null,10,"日",null,null,null,null,null,null,null,null,null,null,null,6,"山形県"]
[null,"独立行政法人　高齢・障害・求職者雇用支援機構",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,7,"福島県"]
[null,null,"和歌山支部",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,8,"茨城県"]
[null,null,"FAX　073-462-6810",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"事業所の名称",null,null,null,null,"株式会社○△□工業",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,9,"栃木県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"代表者の職・氏名",null,null,null,null,"代表取締役社長　幕張　太郎",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,10,"群馬県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,11,"埼玉県"]
[null,null,"次のとおり、障害者職業生活相談員資格認定講習における意見交換のみの受講を申込みます。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,12,"千葉県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,13,"東京都"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,14,"神奈川県"]
[null,"申込事業所",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,15,"新潟県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,16,"富山県"]
[null,"所在地",null,null,null,null,"〒",6408483,null,null,null,null,null,null,null,null,null,null,null,null,null,"（事業内容）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,17,"石川県"]
[null,null,null,null,null,null,"和歌山県和歌山市園部1276",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"食品の製造",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,18,"福井県"]
[null,"※郵送時の受講通知書の送付先となります",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,19,"山梨県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,20,"長野県"]
[null,"担当者の氏名、所属及び連絡先",null,null,null,null,"氏名",null,null,"幕張　若葉",null,null,null,null,null,null,null,null,"所属部課",null,null,"総務部人事課",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,21,"岐阜県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,22,"静岡県"]
[null,"※当機構から照会する場合の担当者をご記載ください。",null,null,null,null,"電話番号",null,null,"073-462-6900",null,null,null,null,null,null,null,null,"ＦＡＸ番号",null,null,"073-462-6810",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,23,"愛知県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,24,"三重県"]
[null,"事業所概要",null,null,null,null,"労働者数",null,null,120,null,null,"名",null,"うち",null,null,null,null,null,"身体障害者数",null,null,null,null,2,null,"名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,25,"大阪府"]
[null,null,null,null,null,null,null,null,null,null,"↑",null,null,null,null,null,null,null,null,null,"知的障害者数",null,null,null,null,4,null,"名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,26,"兵庫県"]
[null,null,null,null,null,null,"申込事業所単体において常時雇用する労働者数及び、\n常時雇用する障害者数を実人数で記入してください。　",null,null,null,null,null,null,null,null,null,null,null,null,"→","精神障害者数",null,null,null,null,1,null,"名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,27,"奈良県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他の障害者数",null,null,null,null,0,null,"名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,28,"和歌山県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,29,"鳥取県"]
[null,"受講希望者\n※受講希望者欄の「氏名」「生年月日」は正確にご記入ください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,30,"島根県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,31,"岡山県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,32,"広島県"]
[null,"氏名",null,null,null,null,"（フリガナ）",null,null,"チバ　　ハナコ",null,null,null,null,null,null,"生年月日",null,null,null,"昭和",null,57,null,"年",4,null,"月",10,null,"日",null,null,null,null,null,null,null,null,null,null,null,33,"山口県"]
[null,null,null,null,null,null,"千葉　花子",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,34,"徳島県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,35,"香川県"]
[null,"所属部課",null,null,null,null,"総務部経理課",null,null,null,null,null,null,null,null,null,"所属部課が所在する都道府県名\n（上記所在地と同一の場合は記入不要）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,36,"愛媛県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,37,"高知県"]
[null,"障害者の職業生活に\n関する相談・指導の\n実務経験年数",null,null,null,null,null,"初めて",null,null,"・",null,"実務経験あり",null,null,null,2,null,"年","複数名の受講希望者がいる事業所の\n場合、当該希望者の受講優先順位",null,null,null,null,null,null,2,"人中",null,1,"番目",null,null,null,null,null,null,null,null,null,null,null,38,"長崎県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,39,"熊本県"]
[null,"障害者職業生活相談員\n資格認定講習への参加",null,null,null,null,null,"ナシ",null,null,"・",null," 受講経験あり",null,null,null,null,null,null,"受講した支部",null,null,null,null,null,null,null,null,null,null,"支部",null,null,null,null,null,null,null,null,null,null,null,40,"大分県"]
[null,"受講希望理由",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,41,"宮崎県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,42,"鹿児島県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,43,"沖縄県"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,44]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,45]
[null,"受講に際して\n必要な障害\n等への配慮",null,null,null,null,"　","要",null,null,"配慮が必要と✔された方はどのような配慮が必要なのかご記入ください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,46]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,47]
[null,null,null,null,null,null,"　","不要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,48]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,49]
[null,"　下記のアンケートにご回答ください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,50]
[null,"◎どのようなことでも結構です、職務指導など障害者雇用に関することでお困りごとがあれば下記にご記入ください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,51]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,52]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,53]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,54]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,55]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,56]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,57]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,58]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,59]
[null,"（記入に際する留意事項）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,60]
[null,1,"「受講に際して必要な障害等への配慮」は、講習を円滑に受講いただく準備のために確認するものであり、受講決定可否の判断及びその他の目的に使用することはありません。個別の事情は、受講決定後に改めて伺いますので、支障のない範囲でご記入ください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,61]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,62]
[null,2,"記載された情報は、(独)高齢・障害・求職者雇用支援機構において適正に管理し、障害者職業生活相談員資格認定講習を適切に実施することを目的として、また当機構において実施する研修の情報提供のために使用します。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,63]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,64]
[null,null,"（受講希望者が複数の場合、ご希望に添えない場合がございますのでご了承ください。）"]