stdClass Object ( [id] => 1333 [parent_id] => 1159 [site_id] => 6 [account_id] => 36 [rank] => 217 [release_kbn] => 1 [release_start_date] => [release_end_date] => [format_type] => formFormat [format_id] => 1 [name] => 病院見学のお申込み(卒後臨床研修) [catch] => [comment] => [meta_description] => [meta_keywords] => [directory_name] => visit-application [template_name] => 2column_fixedFormat.tpl [url] => https://www.jiaikai.or.jp/imamura-general/postgraduate-clinical-training/visit-application [page_limit] => 20 [delete_kbn] => [update_date] => 2024-05-16 15:56:55 [created_date] => 2022-10-07 00:42:22 [site_directory] => imamura-general [domain] => [uri] => /var/www/html/site/imamura-general/postgraduate-clinical-training/visit-application [structures] => host\cms\repository\pageStructureRepository Object ( [_status] => 1 [_message] => [_valid] => [_invalid] => [_lastId] => [select:host\cms\repository\dbRepository:private] => ps.*, m.module_theme, m.module_type, m.template, ac.name as account_name [from:host\cms\repository\dbRepository:private] => page_structure_tbl ps LEFT JOIN m_page_module_tbl m ON ps.module_id = m.id LEFT JOIN account_tbl ac ON ps.account_id = ac.id [where:host\cms\repository\dbRepository:private] => Array ( [0] => Array ( [0] => ps.delete_kbn IS NULL [1] => ps.site_id = :site_id [2] => ps.navigation_id = :navigation_id [3] => ps.release_kbn = :release_kbn AND (ps.release_start_date IS NULL || DATE_FORMAT(now(), '%Y-%m-%d') >= DATE_FORMAT(ps.release_start_date, '%Y-%m-%d')) AND (ps.release_end_date IS NULL || DATE_FORMAT(now(), '%Y-%m-%d') <= DATE_FORMAT(ps.release_end_date, '%Y-%m-%d')) ) ) [value:host\cms\repository\dbRepository:private] => Array ( [:site_id] => 6 [:navigation_id] => 1333 [:release_kbn] => 1 ) [page] => 0 [limit] => [order:host\cms\repository\dbRepository:private] => ps.rank ASC [group_by:host\cms\repository\dbRepository:private] => [explode_columns:host\cms\repository\dbRepository:private] => [explode_separator:host\cms\repository\dbRepository:private] => [json_decode_columns:host\cms\repository\dbRepository:private] => [rowNumber] => 2 [totalNumber] => 2 [pageNumber] => 0 [pageRange] => Array ( [0] => 0 ) [row] => Array ( [0] => stdClass Object ( [id] => 2650 [site_id] => 6 [navigation_id] => 1333 [module_id] => [account_id] => 36 [rank] => 0 [release_kbn] => 1 [release_start_date] => [release_end_date] => [name] => 説明文 [html] => <div class="alert alert-warning" role="alert"> <p><strong>見学のお申し込みは随時受け付けております。<br /> 見学ご希望の方は、希望日の2週間前までにお申し込みをお願いいたします。</strong></p> <ul class="list-unstyled m-0"> <li>※見学者への交通費等の支給は行っておりませんのでご了承ください。</li> <li> (鹿児島県初期臨床連絡協議会が運営する旅費サポートについては<a href="https://kagorinsho.jp/visit/entry-116.html"><span style="color:#e74c3c;"><strong>こちら</strong></span></a>)</li> <li>※お間違えの無いように入力をお願いいたします。(※お急ぎの場合は、お電話にてお問合せ下さい。)</li> <li>※送信後、2~3日(土日祝日除く)過ぎても返信がない場合は、お電話でご連絡ください。</li> </ul> </div> [meta_description] => [meta_keywords] => [delete_kbn] => [update_date] => 2023-01-17 12:01:48 [created_date] => 2022-10-21 22:34:39 [module_theme] => [module_type] => [template] => [account_name] => 今村総合病院 企画グループ [data] => stdClass Object ( ) ) [1] => stdClass Object ( [id] => 2649 [site_id] => 6 [navigation_id] => 1333 [module_id] => 294 [account_id] => [rank] => 1 [release_kbn] => 1 [release_start_date] => [release_end_date] => [name] => お問い合わせフォームテンプレート [html] => <div class="bg-brown d-flex mb-5"> <div class="container-fluid"> <div class="row"> <div class="col-12 d-flex justify-content-center align-items-center"> <div class="text-center text-white px-3 py-5"> <div class="td-kakko display-1 ls-1 fw-bold"> Inquiries </div> <h1 class="fs-6 fw-bold">病院見学のお申込み </h1> </div> </div> </div> </div> </div> <div class="container"> <div class="row justify-content-center"> <div class="col-md-10 col-lg-9"> <div class="alert alert-warning" role="alert"> <ul class="list-unstyled m-0"> <li class="mb-2">●お間違えの無いように入力をお願いいたします。 <br>(※お急ぎの場合は、お電話にてお問合せ下さい。)</li> <li>●なお、当店に対する他の営業の問い合わせはお断りしております。 <br>お問い合わせフォームを利用して、繰り返し売り込みをおこなう企業様には、しかるべき対応を取らせていただく場合があります。</li> </ul> </div> <form method="post"> <div id="content"> <div class="row mb-3"> <label for="" class="col-lg-3 col-form-label bg-light"> お名前 &nbsp;<span class="badge bg-danger">必須</span> </label> <div class="col-lg-9 mt-md-0"> </div> </div> <div class="row mb-3"> <label for="" class="col-lg-3 col-form-label bg-light"> お名前(フリガナ) &nbsp;<span class="badge bg-danger">必須</span> </label> <div class="col-lg-9 mt-md-0"> </div> </div> <div class="row"> <div class="col-10 col-lg-6 mx-auto d-grid gap-2"> <button type="submit" class="btn btn-dark">この内容で送信する </button> </div> </div> </div> </form> </div> </div> </div> [meta_description] => [meta_keywords] => [delete_kbn] => [update_date] => 2022-10-21 22:34:39 [created_date] => 2022-10-21 22:26:46 [module_theme] => default [module_type] => template [template] => form_Inquiries.tpl [account_name] => [data] => stdClass Object ( ) ) ) [post] => [id] => [site_id] => 6 [navigation_id] => 1333 [module_id] => [release_kbn] => 1 [site_uri] => [preview_page_post] => [preview_structure_post] => ) [elements] => host\cms\repository\mailFormRepository Object ( [confirm] => [_status] => 1 [_message] => [_valid] => [_invalid] => [_lastId] => [select:host\cms\repository\dbRepository:private] => * [from:host\cms\repository\dbRepository:private] => mail_form_tbl [where:host\cms\repository\dbRepository:private] => Array ( [0] => Array ( [0] => delete_kbn IS NULL [1] => id = :id [2] => site_id = :site_id ) ) [value:host\cms\repository\dbRepository:private] => Array ( [:id] => 1 [:site_id] => 6 ) [page] => 0 [limit] => 1 [order:host\cms\repository\dbRepository:private] => rank ASC [group_by:host\cms\repository\dbRepository:private] => [explode_columns:host\cms\repository\dbRepository:private] => [explode_separator:host\cms\repository\dbRepository:private] => [json_decode_columns:host\cms\repository\dbRepository:private] => [rowNumber] => 1 [totalNumber] => 1 [pageNumber] => 1 [pageRange] => Array ( [0] => 0 ) [row] => Array ( [0] => stdClass Object ( [id] => 1 [site_id] => 6 [rank] => 4 [release_kbn] => 1 [name] => 病院見学のお申込み [subject] => 公益財団法人慈愛会 今村総合病院 病院見学のお申込みありがとうございます。 [body] => 公益財団法人慈愛会 今村総合病院 病院見学のお申込み誠にありがとうございます。 送信後、2~3日(土日祝日除く)過ぎても返信がない場合は、お電話でご連絡ください。 {$detail} [from_mail] => sougou.rinken@jiaikai.jp [from_name] => 事務部総務課 臨床研修担当 [cc_mail] => Array ( [0] => sougou.rinken@jiaikai.jp [1] => jiaikai_support@eastasahi.com ) [g_recaptcha_v3_sitekey] => [g_recaptcha_v3_secretkey] => [delete_kbn] => [update_date] => 2023-06-27 10:53:03 [created_date] => 2022-10-21 22:23:48 [fields] => Array ( [0] => stdClass Object ( [id] => 1 [site_id] => 6 [form_id] => 1 [rank] => 51 [release_kbn] => 1 [name] => お名前 [variable] => [required] => 1 [field_type] => input_text [max_length_limit] => [detail] => [attention] => [delete_kbn] => [update_date] => 2023-06-27 10:57:51 [created_date] => 2022-10-21 22:25:09 ) [1] => stdClass Object ( [id] => 2 [site_id] => 6 [form_id] => 1 [rank] => 52 [release_kbn] => 1 [name] => お名前(フリガナ) [variable] => [required] => 1 [field_type] => input_text [max_length_limit] => [detail] => [attention] => [delete_kbn] => [update_date] => 2023-06-27 10:57:51 [created_date] => 2022-10-21 22:25:24 ) [2] => stdClass Object ( [id] => 13 [site_id] => 6 [form_id] => 1 [rank] => 53 [release_kbn] => 1 [name] => 年齢 [variable] => [required] => 1 [field_type] => input_number [max_length_limit] => [detail] => [attention] => ※数字のみ [delete_kbn] => [update_date] => 2023-06-27 10:57:51 [created_date] => 2022-10-21 22:50:50 ) [3] => stdClass Object ( [id] => 12 [site_id] => 6 [form_id] => 1 [rank] => 54 [release_kbn] => 1 [name] => 性別 [variable] => [required] => 1 [field_type] => input_radio [max_length_limit] => [detail] => Array ( [0] => 男性 [1] => 女性 ) [attention] => [delete_kbn] => [update_date] => 2023-06-27 10:57:51 [created_date] => 2022-10-21 22:50:18 ) [4] => stdClass Object ( [id] => 11 [site_id] => 6 [form_id] => 1 [rank] => 55 [release_kbn] => 1 [name] => 大学・学年/所属病院名〇年目 [variable] => [required] => 1 [field_type] => input_text [max_length_limit] => [detail] => [attention] => ※病院所属の場合は、病院名と所属年数を入力して下さい。 [delete_kbn] => [update_date] => 2023-06-27 10:57:51 [created_date] => 2022-10-21 22:50:01 ) [5] => stdClass Object ( [id] => 10 [site_id] => 6 [form_id] => 1 [rank] => 56 [release_kbn] => 1 [name] => 連絡先電話番号 [variable] => [required] => 1 [field_type] => input_tel [max_length_limit] => [detail] => [attention] => ※ハイフンは入れずにご入力ください [delete_kbn] => [update_date] => 2023-06-27 10:57:51 [created_date] => 2022-10-21 22:48:33 ) [6] => stdClass Object ( [id] => 9 [site_id] => 6 [form_id] => 1 [rank] => 57 [release_kbn] => 1 [name] => メールアドレス [variable] => [required] => 1 [field_type] => input_reply_email [max_length_limit] => [detail] => [attention] => 入力したメールアドレスに自動返信されます。 [delete_kbn] => [update_date] => 2023-06-27 10:57:51 [created_date] => 2022-10-21 22:46:45 ) [7] => stdClass Object ( [id] => 8 [site_id] => 6 [form_id] => 1 [rank] => 58 [release_kbn] => 1 [name] => 見学希望日(第一希望日) [variable] => [required] => 1 [field_type] => input_date [max_length_limit] => [detail] => [attention] => [delete_kbn] => [update_date] => 2023-06-27 10:57:51 [created_date] => 2022-10-21 22:46:06 ) [8] => stdClass Object ( [id] => 7 [site_id] => 6 [form_id] => 1 [rank] => 59 [release_kbn] => 1 [name] => 見学希望日(第二希望日) [variable] => [required] => 1 [field_type] => input_date [max_length_limit] => [detail] => [attention] => [delete_kbn] => [update_date] => 2023-06-27 10:57:51 [created_date] => 2022-10-21 22:45:44 ) [9] => stdClass Object ( [id] => 6 [site_id] => 6 [form_id] => 1 [rank] => 60 [release_kbn] => 1 [name] => 見学希望診療科 [variable] => [required] => 1 [field_type] => input_text [max_length_limit] => [detail] => [attention] => [delete_kbn] => [update_date] => 2023-06-27 10:57:51 [created_date] => 2022-10-21 22:44:59 ) [10] => stdClass Object ( [id] => 5 [site_id] => 6 [form_id] => 1 [rank] => 61 [release_kbn] => 1 [name] => 申込のきっかけ [variable] => [required] => 1 [field_type] => input_radio [max_length_limit] => [detail] => Array ( [0] => 当院のホームページ [1] => 先輩・知人の紹介 [2] => インターネット [3] => 病院説明会 [4] => その他 ) [attention] => [delete_kbn] => [update_date] => 2023-06-27 10:57:51 [created_date] => 2022-10-21 22:44:12 ) [11] => stdClass Object ( [id] => 4 [site_id] => 6 [form_id] => 1 [rank] => 62 [release_kbn] => 1 [name] => その他 [variable] => [required] => 0 [field_type] => textarea [max_length_limit] => [detail] => [attention] => ご質問やご要望等ありましたらご記入ください [delete_kbn] => [update_date] => 2023-06-27 10:57:51 [created_date] => 2022-10-21 22:43:21 ) [12] => stdClass Object ( [id] => 3 [site_id] => 6 [form_id] => 1 [rank] => 63 [release_kbn] => 1 [name] => 個人情報の取扱について [variable] => [required] => 1 [field_type] => input_checkbox [max_length_limit] => [detail] => Array ( [0] => 同意する「入力された個人情報は病院見学受付にのみ使用します」 ) [attention] => [delete_kbn] => [update_date] => 2023-06-27 10:57:51 [created_date] => 2022-10-21 22:42:36 ) ) ) ) [post] => [id] => 1 [site_id] => 6 [release_kbn] => ) ) 1

病院見学のお申込み(卒後臨床研修)

※数字のみ
※病院所属の場合は、病院名と所属年数を入力して下さい。
※ハイフンは入れずにご入力ください
入力したメールアドレスに自動返信されます。
ご質問やご要望等ありましたらご記入ください