{"id":5035,"date":"2026-07-14T18:04:15","date_gmt":"2026-07-14T09:04:15","guid":{"rendered":"https:\/\/stg.isi-education.com\/ja\/?page_id=5035"},"modified":"2026-08-26T12:18:06","modified_gmt":"2026-08-26T03:18:06","slug":"apply-short-term","status":"publish","type":"page","link":"https:\/\/www.isi-education.com\/ja\/apply-short-term\/","title":{"rendered":"\u77ed\u671f\u30b3\u30fc\u30b9\u304a\u7533\u8fbc\u307f\u30d5\u30a9\u30fc\u30e0"},"content":{"rendered":"<div class=\"c-page-title body-container bg-blue half short\">\r\n    <div class=\"inner\">\r\n        <h1>\u77ed\u671f\u30b3\u30fc\u30b9\u304a\u7533\u8fbc\u307f\u30d5\u30a9\u30fc\u30e0<\/h1>\r\n        <p>\u4ee5\u4e0b\u306e\u30d5\u30a9\u30fc\u30e0\u306b\u5fc5\u8981\u4e8b\u9805\u3092\u3054\u5165\u529b\u306e\u3046\u3048\u3001\u300c\u9001\u4fe1\u3059\u308b\u300d\u30dc\u30bf\u30f3\u3092\u62bc\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/p>\r\n    <\/div>\r\n<\/div>\r\n<!-- \/.c-page-title -->\r\n\r\n\r\n<section class=\"body-container\" id=\"contact_form\">\r\n    <div class=\"inner\">\r\n\r\n        <div class=\"form_top_note\">\r\n            <p>\u304a\u7533\u8fbc\u307f\u306e\u524d\u306b\u3001\u77ed\u671f\u52df\u96c6\u8981\u9805\u306e\u30ad\u30e3\u30f3\u30bb\u30eb\u30fb\u8fd4\u91d1\u898f\u5b9a\u3092\u5fc5\u305a\u3054\u78ba\u8a8d\u304f\u3060\u3055\u3044\u3002\r\n                <br>\r\n                <a href=\"https:\/\/www.isi-education.com\/wp\/wp-content\/uploads\/2026\/07\/2026_Cancellation_and_Refund_Policies_Japanese.pdf\" target=\"_blank\" rel=\"noopener\">2026\u5e74\u5ea6\u7528 \u30ad\u30e3\u30f3\u30bb\u30eb\u30fb\u8fd4\u91d1\u898f\u5b9a\uff08PDF\uff09<\/a> \uff0f\r\n                <a href=\"https:\/\/sm.isi-education.com\/short\/#requirements-section-7\" target=\"_blank\" rel=\"noopener\">2027\u5e74\u5ea6\u7528 \u30ad\u30e3\u30f3\u30bb\u30eb\u30fb\u8fd4\u91d1\u898f\u5b9a<\/a><\/p>\r\n            <p>\u307e\u305f\u3001\u62c5\u5f53\u8005\u3088\u308a\u9023\u7d61\u3092\u3044\u305f\u3057\u307e\u3059\u306e\u3067\u3001<a href=\"\/wp\/wp-content\/uploads\/2026\/07\/Declaration-on-Health-Status_Japanese-1-1.docx\" target=\"_blank\" rel=\"noopener\">\u5065\u5eb7\u7533\u544a\u66f8<\/a>\u306e\u3054\u6e96\u5099\u3092\u304a\u9858\u3044\u3044\u305f\u3057\u307e\u3059\u3002<\/p>\r\n<p>\u7533\u8fbc\u30d5\u30a9\u30fc\u30e0\u9001\u4fe1\u5f8c\u3001\u62c5\u5f53\u8005\u304c\u304a\u7533\u8fbc\u307f\u5185\u5bb9\u3092\u78ba\u8a8d\u3057\u3001\u3054\u9023\u7d61\u3044\u305f\u3057\u307e\u3059\u3002<\/p>\r\n<p>\u4e0b\u8a18\u3088\u308a\u5065\u5eb7\u7533\u544a\u66f8\u3092\u30c0\u30a6\u30f3\u30ed\u30fc\u30c9\u3057\u3066\u3054\u8a18\u5165\u306e\u3046\u3048\u3001\u62c5\u5f53\u8005\u304b\u3089\u306e\u6848\u5185\u3092\u304a\u5f85\u3061\u304f\u3060\u3055\u3044\u3002<\/p>\r\n        <\/div>\r\n\r\n        <form class=\"contact_form_wrap\" action=\"https:\/\/mark.isi-global.com\/l\/653693\/2026-06-08\/22kl85\" method=\"post\" novalidate>\r\n            <input type=\"hidden\" name=\"form_language\" value=\"ja\" data-wovn-ignore>\r\n            <div class=\"form_block\" data-validate-group=\"course\" data-field-type=\"radio\" data-required=\"true\">\r\n                <p class=\"form_title\">\u7533\u3057\u8fbc\u3080\u30b3\u30fc\u30b9 <span>*\u5fc5\u9808<\/span><\/p>\r\n                <ul class=\"choice_grid choice_grid-radio\">\r\n                    <li>\r\n                        <label class=\"choice_card\">\r\n                            <input type=\"radio\" name=\"Course_Selection\" value=\"\u7dcf\u5408\u65e5\u672c\u8a9e\u30b3\u30fc\u30b9\">\r\n                            <span class=\"mark mark-radio\" aria-hidden=\"true\"><\/span>\r\n                            <span class=\"txt\">\u7dcf\u5408\u65e5\u672c\u8a9e\u30b3\u30fc\u30b9<\/span>\r\n                        <\/label>\r\n                    <\/li>\r\n                    <li>\r\n                        <label class=\"choice_card\">\r\n                            <input type=\"radio\" name=\"Course_Selection\" value=\"\u30ad\u30e3\u30ea\u30a2\u65e5\u672c\u8a9e\u30b3\u30fc\u30b9\">\r\n                            <span class=\"mark mark-radio\" aria-hidden=\"true\"><\/span>\r\n                            <span class=\"txt\">\u30ad\u30e3\u30ea\u30a2\u65e5\u672c\u8a9e\u30b3\u30fc\u30b9<\/span>\r\n                        <\/label>\r\n                    <\/li>\r\n                <\/ul>\r\n                <p class=\"error_txt\">\u3053\u306e\u9805\u76ee\u306f\u5fc5\u9808\u3067\u3059<\/p>\r\n            <\/div>\r\n\r\n            <div class=\"form_block\" data-validate-group=\"school\" data-field-type=\"radio\" data-required=\"true\">\r\n                <p class=\"form_title\">\u5165\u5b66\u3092\u5e0c\u671b\u3059\u308b\u5b66\u6821 <span>*\u5fc5\u9808<\/span><\/p>\r\n                <ul class=\"choice_grid choice_grid-radio\">\r\n                    <li class=\"school_option\" data-courses=\"\u7dcf\u5408\u65e5\u672c\u8a9e\u30b3\u30fc\u30b9\" style=\"display:none\">\r\n                        <label class=\"choice_card\">\r\n                            <input type=\"radio\" name=\"Preferred_School\" value=\"\u6771\u4eac-\u65b0\u5bbf\u672c\u6821\">\r\n                            <span class=\"mark mark-radio\" aria-hidden=\"true\"><\/span>\r\n                            <span class=\"txt\">\u6771\u4eac-\u65b0\u5bbf\u672c\u6821<\/span>\r\n                        <\/label>\r\n                    <\/li>\r\n                    <li class=\"school_option\" data-courses=\"\u7dcf\u5408\u65e5\u672c\u8a9e\u30b3\u30fc\u30b9\" style=\"display:none\">\r\n                        <label class=\"choice_card\">\r\n                            <input type=\"radio\" name=\"Preferred_School\" value=\"\u6771\u4eac-\u65b0\u5bbf\u30d7\u30e9\u30a4\u30e0\u6821\">\r\n                            <span class=\"mark mark-radio\" aria-hidden=\"true\"><\/span>\r\n                            <span class=\"txt\">\u6771\u4eac-\u65b0\u5bbf\u30d7\u30e9\u30a4\u30e0\u6821<\/span>\r\n                        <\/label>\r\n                    <\/li>\r\n                    <li class=\"school_option\" data-courses=\"\u7dcf\u5408\u65e5\u672c\u8a9e\u30b3\u30fc\u30b9\" style=\"display:none\">\r\n                        <label class=\"choice_card\">\r\n                            <input type=\"radio\" name=\"Preferred_School\" value=\"\u6771\u4eac-\u6c60\u888b\u6821\">\r\n                            <span class=\"mark mark-radio\" aria-hidden=\"true\"><\/span>\r\n                            <span class=\"txt\">\u6771\u4eac-\u6c60\u888b\u6821<\/span>\r\n                        <\/label>\r\n                    <\/li>\r\n                    <li class=\"school_option\" data-courses=\"\u7dcf\u5408\u65e5\u672c\u8a9e\u30b3\u30fc\u30b9\" style=\"display:none\">\r\n                        <label class=\"choice_card\">\r\n                            <input type=\"radio\" name=\"Preferred_School\" value=\"\u6771\u4eac-\u9ad8\u7530\u99ac\u5834\u9032\u5b66\u6821\">\r\n                            <span class=\"mark mark-radio\" aria-hidden=\"true\"><\/span>\r\n                            <span class=\"txt\">\u6771\u4eac-\u9ad8\u7530\u99ac\u5834\u9032\u5b66\u6821<\/span>\r\n                        <\/label>\r\n                    <\/li>\r\n                    <li class=\"school_option\" data-courses=\"\u7dcf\u5408\u65e5\u672c\u8a9e\u30b3\u30fc\u30b9\" style=\"display:none\">\r\n                        <label class=\"choice_card\">\r\n                            <input type=\"radio\" name=\"Preferred_School\" value=\"\u5927\u962a\u6821\">\r\n                            <span class=\"mark mark-radio\" aria-hidden=\"true\"><\/span>\r\n                            <span class=\"txt\">\u5927\u962a\u6821<\/span>\r\n                        <\/label>\r\n                    <\/li>\r\n                    <li class=\"school_option\" data-courses=\"\u7dcf\u5408\u65e5\u672c\u8a9e\u30b3\u30fc\u30b9\" style=\"display:none\">\r\n                        <label class=\"choice_card\">\r\n                            <input type=\"radio\" name=\"Preferred_School\" value=\"\u4eac\u90fd\u6821\">\r\n                            <span class=\"mark mark-radio\" aria-hidden=\"true\"><\/span>\r\n                            <span class=\"txt\">\u4eac\u90fd\u6821<\/span>\r\n                        <\/label>\r\n                    <\/li>\r\n                    <li class=\"school_option\" data-courses=\"\u7dcf\u5408\u65e5\u672c\u8a9e\u30b3\u30fc\u30b9\" style=\"display:none\">\r\n                        <label class=\"choice_card\">\r\n                            <input type=\"radio\" name=\"Preferred_School\" value=\"\u9577\u91ce\u6821\">\r\n                            <span class=\"mark mark-radio\" aria-hidden=\"true\"><\/span>\r\n                            <span class=\"txt\">\u9577\u91ce\u6821<\/span>\r\n                        <\/label>\r\n                    <\/li>\r\n                    <li class=\"school_option\" data-courses=\"\u30ad\u30e3\u30ea\u30a2\u65e5\u672c\u8a9e\u30b3\u30fc\u30b9\" style=\"display:none\">\r\n                        <label class=\"choice_card\">\r\n                            <input type=\"radio\" name=\"Preferred_School\" value=\"\u6771\u4eac-\u6e0b\u8c37\u539f\u5bbf\u30ad\u30e3\u30ea\u30a2\u6821\">\r\n                            <span class=\"mark mark-radio\" aria-hidden=\"true\"><\/span>\r\n                            <span class=\"txt\">\u6771\u4eac-\u6e0b\u8c37\u539f\u5bbf\u30ad\u30e3\u30ea\u30a2\u6821<\/span>\r\n                        <\/label>\r\n                    <\/li>\r\n                    <li class=\"school_option\" data-courses=\"\u30ad\u30e3\u30ea\u30a2\u65e5\u672c\u8a9e\u30b3\u30fc\u30b9\" style=\"display:none\">\r\n                        <label class=\"choice_card\">\r\n                            <input type=\"radio\" name=\"Preferred_School\" value=\"\u6771\u4eac-\u9ad8\u7530\u99ac\u5834\u30ad\u30e3\u30ea\u30a2\u6821\">\r\n                            <span class=\"mark mark-radio\" aria-hidden=\"true\"><\/span>\r\n                            <span class=\"txt\">\u6771\u4eac-\u9ad8\u7530\u99ac\u5834\u30ad\u30e3\u30ea\u30a2\u6821<\/span>\r\n                        <\/label>\r\n                    <\/li>\r\n                <\/ul>\r\n                <p class=\"note_txt js-school-hint\">\u203b \u5148\u306b\u30b3\u30fc\u30b9\u3092\u9078\u629e\u3059\u308b\u3068\u3001\u9078\u629e\u53ef\u80fd\u306a\u5b66\u6821\u304c\u8868\u793a\u3055\u308c\u307e\u3059\u3002<\/p>\r\n                <p class=\"error_txt\">\u3053\u306e\u9805\u76ee\u306f\u5fc5\u9808\u3067\u3059<\/p>\r\n            <\/div>\r\n\r\n            <div class=\"form_block\" data-validate-group=\"class_start\" data-field-type=\"text\" data-required=\"true\">\r\n                <p class=\"form_title\">\u6388\u696d\u958b\u59cb\u65e5 <span>*\u5fc5\u9808<\/span><\/p>\r\n                <input class=\"form_input\" type=\"date\" name=\"Class_Start_Date\" required>\r\n                <p class=\"error_txt\">\u3053\u306e\u9805\u76ee\u306f\u5fc5\u9808\u3067\u3059<\/p>\r\n            <\/div>\r\n\r\n            <div class=\"form_block\" data-validate-group=\"class_end\" data-field-type=\"text\" data-required=\"true\">\r\n                <p class=\"form_title\">\u6388\u696d\u7d42\u4e86\u65e5 <span>*\u5fc5\u9808<\/span><\/p>\r\n                <input class=\"form_input\" type=\"date\" name=\"Class_Finish_Date\" required>\r\n                <p class=\"error_txt\">\u3053\u306e\u9805\u76ee\u306f\u5fc5\u9808\u3067\u3059<\/p>\r\n            <\/div>\r\n\r\n            <div class=\"form_block\" data-validate-group=\"name\" data-field-type=\"text\" data-required=\"true\">\r\n                <p class=\"form_title\">\u540d\u524d\uff08\u30ed\u30fc\u30de\u5b57\uff09 <span>*\u5fc5\u9808<\/span><\/p>\r\n                <div class=\"name_grid\">\r\n                    <input class=\"form_input\" type=\"text\" name=\"Last_Name\" placeholder=\"\u59d3 \/ Family name\" required>\r\n                    <input class=\"form_input\" type=\"text\" name=\"First_Name\" placeholder=\"\u540d \/ Given name\" required>\r\n                <\/div>\r\n                <div class=\"detail_txt\">\r\n                    <p>\u30d1\u30b9\u30dd\u30fc\u30c8\u8a18\u8f09\u306e\u30ed\u30fc\u30de\u5b57\u540d\u3067\u5165\u529b\u3057\u3066\u304f\u3060\u3055\u3044<\/p>\r\n                <\/div>\r\n                <p class=\"error_txt\">\u3053\u306e\u9805\u76ee\u306f\u5fc5\u9808\u3067\u3059<\/p>\r\n            <\/div>\r\n\r\n            <div class=\"form_block\" data-validate-group=\"kanji_name\" data-field-type=\"text\" data-required=\"false\">\r\n                <p class=\"form_title\">\u540d\u524d\uff08\u6f22\u5b57\uff09 \u4efb\u610f<\/p>\r\n                <div class=\"name_grid\">\r\n                    <input class=\"form_input\" type=\"text\" name=\"Last_Name_Kanji\" placeholder=\"\u59d3\">\r\n                    <input class=\"form_input\" type=\"text\" name=\"First_Name_Kanji\" placeholder=\"\u540d\">\r\n                <\/div>\r\n                <div class=\"detail_txt\">\r\n                    <p>\u6f22\u5b57\u306e\u304a\u540d\u524d\u304c\u3042\u308b\u65b9\u306e\u307f\u3054\u5165\u529b\u304f\u3060\u3055\u3044<\/p>\r\n                <\/div>\r\n            <\/div>\r\n\r\n            <div class=\"form_block\" data-validate-group=\"gender\" data-field-type=\"radio\" data-required=\"true\">\r\n                <p class=\"form_title\">\u6027\u5225 <span>*\u5fc5\u9808<\/span><\/p>\r\n                <ul class=\"choice_grid choice_grid-radio\">\r\n                    <li>\r\n                        <label class=\"choice_card\">\r\n                            <input type=\"radio\" name=\"Gender\" value=\"\u7537\">\r\n                            <span class=\"mark mark-radio\" aria-hidden=\"true\"><\/span>\r\n                            <span class=\"txt\">\u7537<\/span>\r\n                        <\/label>\r\n                    <\/li>\r\n                    <li>\r\n                        <label class=\"choice_card\">\r\n                            <input type=\"radio\" name=\"Gender\" value=\"\u5973\">\r\n                            <span class=\"mark mark-radio\" aria-hidden=\"true\"><\/span>\r\n                            <span class=\"txt\">\u5973<\/span>\r\n                        <\/label>\r\n                    <\/li>\r\n                <\/ul>\r\n                <p class=\"error_txt\">\u3053\u306e\u9805\u76ee\u306f\u5fc5\u9808\u3067\u3059<\/p>\r\n<div class=\"detail_txt\">\r\n                    <p>\u5404\u7a2e\u624b\u7d9a\u304d\u306b\u5fc5\u8981\u306a\u305f\u3081\u3001\u30d1\u30b9\u30dd\u30fc\u30c8\u306b\u8a18\u8f09\u3055\u308c\u3066\u3044\u308b\u6027\u5225\u3092\u3054\u9078\u629e\u304f\u3060\u3055\u3044\u3002<\/p>\r\n                <\/div>\r\n            <\/div>\r\n\r\n            <div class=\"form_block\" data-validate-group=\"dob\" data-field-type=\"text\" data-required=\"true\">\r\n                <p class=\"form_title\">\u751f\u5e74\u6708\u65e5 <span>*\u5fc5\u9808<\/span><\/p>\r\n                <input class=\"form_input\" type=\"date\" name=\"Birth_Date\" required>\r\n                <p class=\"error_txt\">\u3053\u306e\u9805\u76ee\u306f\u5fc5\u9808\u3067\u3059<\/p>\r\n            <\/div>\r\n\r\n            <div class=\"form_block\" data-validate-group=\"nationality\" data-field-type=\"country\" data-required=\"true\">\r\n                <p class=\"form_title\">\u56fd\u7c4d <span>*\u5fc5\u9808<\/span><\/p>\r\n                <div class=\"detail_txt\" style=\"margin-bottom: 1em;\">\r\n                    <p>\u4e0a\u306e\u6b04\u306b\u82f1\u8a9e\u3067\u56fd\u540d\u3092\u5165\u529b\u3059\u308b\u3068\u3001\u4e0b\u306b\u5019\u88dc\u304c\u8868\u793a\u3055\u308c\u307e\u3059\u3002\u4e00\u89a7\u304b\u3089\u8a72\u5f53\u3059\u308b\u56fd\u3092\u304a\u9078\u3073\u304f\u3060\u3055\u3044\uff08\u4f8b\uff1aJapan\uff09\u3002<\/p>\r\n                <\/div>\r\n                <div class=\"form-field search_country_text\">\r\n                    <div class=\"formInputOuter search_country_text\">\r\n                        <div class=\"formInputInner search_country_text\">\r\n                            <input type=\"text\" class=\"form_input\" placeholder=\"\u4f8b\uff1aJapan\" autocomplete=\"off\">\r\n                        <\/div>\r\n                    <\/div>\r\n                <\/div>\r\n                <button type=\"button\" id=\"search-countries\" class=\"c-button c-button-blue c-button-xsmall-sp\"><\/button>\r\n                <div class=\"form-field search_country_dropdown no-label\" style=\"margin-top:1em;\">\r\n                    <div class=\"formInputOuter search_country_dropdown\">\r\n                        <div class=\"formInputInner search_country_dropdown\">\r\n                            <select class=\"form_input form_select\"><\/select>\r\n                        <\/div>\r\n                    <\/div>\r\n                <\/div>\r\n                <div class=\"form-field search_country_selected\" style=\"margin-top:1em;\">\r\n                    <div class=\"formInputOuter search_country_selected\">\r\n                        <div class=\"formInputInner search_country_selected\">\r\n                            <input type=\"text\" name=\"Nationality\" class=\"form_input\" readonly placeholder=\"\u4e0a\u3067\u56fd\u3092\u9078\u629e\u3057\u3066\u304f\u3060\u3055\u3044\">\r\n                        <\/div>\r\n                    <\/div>\r\n                <\/div>\r\n                <div class=\"form-field search_citizenship_id\" style=\"display:none;\">\r\n                    <div class=\"formInputOuter search_citizenship_id\">\r\n                        <div class=\"formInputInner search_citizenship_id\">\r\n                            <input type=\"hidden\" name=\"Country_Id\">\r\n                        <\/div>\r\n                    <\/div>\r\n                <\/div>\r\n                <p class=\"error_txt\">\u3053\u306e\u9805\u76ee\u306f\u5fc5\u9808\u3067\u3059<\/p>\r\n            <\/div>\r\n\r\n            <div class=\"form_block\" data-validate-group=\"email\" data-field-type=\"email\" data-required=\"true\">\r\n                <p class=\"form_title\">\u30e1\u30fc\u30eb\u30a2\u30c9\u30ec\u30b9 <span>*\u5fc5\u9808<\/span><\/p>\r\n                <input class=\"form_input\" type=\"email\" name=\"Email\" placeholder=\"example@yourdomain.com\" required>\r\n                <div class=\"detail_txt\">\r\n                    <p>\u300c@web.de\u300d\u300c@gmx.de\u300d\u306e\u30e1\u30fc\u30eb\u30a2\u30c9\u30ec\u30b9\u306b\u306f\u5f53\u6821\u304b\u3089\u306e\u30e1\u30fc\u30eb\u3092\u304a\u5c4a\u3051\u3067\u304d\u307e\u305b\u3093\u3002\u5225\u306e\u30e1\u30fc\u30eb\u30a2\u30c9\u30ec\u30b9\u3092\u3054\u767b\u9332\u304f\u3060\u3055\u3044\u3002<\/p>\r\n                <\/div>\r\n                <p class=\"error_txt\">\u6b63\u3057\u3044\u30e1\u30fc\u30eb\u30a2\u30c9\u30ec\u30b9\u3092\u5165\u529b\u3057\u3066\u304f\u3060\u3055\u3044<\/p>\r\n            <\/div>\r\n\r\n            <div class=\"form_block\" data-validate-group=\"tel\" data-field-type=\"text\" data-required=\"true\">\r\n                <p class=\"form_title\">\u96fb\u8a71\u756a\u53f7 <span>*\u5fc5\u9808<\/span><\/p>\r\n                <input class=\"form_input\" type=\"tel\" name=\"Phone\" placeholder=\"\u4f8b\uff1a1-90-1234-5678\" required>\r\n                <div class=\"detail_txt\">\r\n                    <p>\u56fd\u969b\u756a\u53f7\u3092\u542b\u3081\u3066\u3054\u5165\u529b\u304f\u3060\u3055\u3044<\/p>\r\n                <\/div>\r\n                <p class=\"error_txt\">\u3053\u306e\u9805\u76ee\u306f\u5fc5\u9808\u3067\u3059<\/p>\r\n            <\/div>\r\n\r\n            <div class=\"form_block\" data-validate-group=\"address\" data-field-type=\"text\" data-required=\"true\">\r\n                <p class=\"form_title\">\u4f4f\u6240 <span>*\u5fc5\u9808<\/span><\/p>\r\n                <input class=\"form_input\" type=\"text\" name=\"Address\" placeholder=\"\u4f8b\uff1a1-2-3 Shinjuku, Shinjuku-ku, Tokyo, Japan\" required>\r\n                <p class=\"error_txt\">\u3053\u306e\u9805\u76ee\u306f\u5fc5\u9808\u3067\u3059<\/p>\r\n            <\/div>\r\n\r\n            <div class=\"form_block\" data-validate-group=\"japan_residence\" data-field-type=\"radio\" data-required=\"true\">\r\n                <p class=\"form_title\">\u65e5\u672c\u5728\u4f4f\u3067\u3059\u304b\uff1f <span>*\u5fc5\u9808<\/span><\/p>\r\n                <ul class=\"choice_grid choice_grid-radio\">\r\n                    <li>\r\n                        <label class=\"choice_card\">\r\n                            <input type=\"radio\" name=\"Residence_in_Japan\" value=\"\u306f\u3044\">\r\n                            <span class=\"mark mark-radio\" aria-hidden=\"true\"><\/span>\r\n                            <span class=\"txt\">\u306f\u3044<\/span>\r\n                        <\/label>\r\n                    <\/li>\r\n                    <li>\r\n                        <label class=\"choice_card\">\r\n                            <input type=\"radio\" name=\"Residence_in_Japan\" value=\"\u3044\u3044\u3048\">\r\n                            <span class=\"mark mark-radio\" aria-hidden=\"true\"><\/span>\r\n                            <span class=\"txt\">\u3044\u3044\u3048<\/span>\r\n                        <\/label>\r\n                    <\/li>\r\n                <\/ul>\r\n                <p class=\"error_txt\">\u3053\u306e\u9805\u76ee\u306f\u5fc5\u9808\u3067\u3059<\/p>\r\n            <\/div>\r\n\r\n            <div class=\"form_block\" data-validate-group=\"visa\" data-field-type=\"text\" data-required=\"true\">\r\n                <p class=\"form_title\">\u65e5\u672c\u6ede\u5728\u306e\u30d3\u30b6\u306e\u7a2e\u985e <span>*\u5fc5\u9808<\/span><\/p>\r\n                <div class=\"selectWrapper\">\r\n                    <select class=\"form_input form_select\" name=\"Visa_Type_in_Japan\" required>\r\n                        <option value=\"\">\u9078\u629e\u3057\u3066\u304f\u3060\u3055\u3044<\/option>\r\n                        <option value=\"\u89b3\u5149\u30d3\u30b6\">\u89b3\u5149\u30d3\u30b6<\/option>\r\n                        <option value=\"\u30ef\u30fc\u30ad\u30f3\u30b0\u30db\u30ea\u30c7\u30fc\u30d3\u30b6\">\u30ef\u30fc\u30ad\u30f3\u30b0\u30db\u30ea\u30c7\u30fc\u30d3\u30b6<\/option>\r\n                        <option value=\"\u5c31\u52b4\u30d3\u30b6\">\u5c31\u52b4\u30d3\u30b6<\/option>\r\n                        <option value=\"\u5bb6\u65cf\u30d3\u30b6\">\u5bb6\u65cf\u30d3\u30b6<\/option>\r\n                        <option value=\"\u7814\u4fee\u30d3\u30b6\">\u7814\u4fee\u30d3\u30b6<\/option>\r\n                        <option value=\"\u305d\u306e\u4ed6\">\u305d\u306e\u4ed6<\/option>\r\n                    <\/select>\r\n                <\/div>\r\n                <p class=\"error_txt\">\u3053\u306e\u9805\u76ee\u306f\u5fc5\u9808\u3067\u3059<\/p>\r\n            <\/div>\r\n\r\n            <div class=\"form_block\" data-validate-group=\"jp_study_period\" data-field-type=\"text\" data-required=\"true\">\r\n                <p class=\"form_title\">\u3053\u308c\u307e\u3067\u306e\u65e5\u672c\u8a9e\u5b66\u7fd2\u671f\u9593 <span>*\u5fc5\u9808<\/span><\/p>\r\n                <div class=\"selectWrapper\">\r\n                    <select class=\"form_input form_select\" name=\"Japanese_Learning_History\" required>\r\n                        <option value=\"\">\u9078\u629e\u3057\u3066\u304f\u3060\u3055\u3044<\/option>\r\n                        <option value=\"\u672a\u5b66\u7fd2\">\u672a\u5b66\u7fd2<\/option>\r\n                        <option value=\"\uff5e6\u304b\u6708\">\uff5e6\u304b\u6708<\/option>\r\n                        <option value=\"\uff5e1\u5e74\">\uff5e1\u5e74<\/option>\r\n                        <option value=\"\uff5e2\u5e74\">\uff5e2\u5e74<\/option>\r\n                        <option value=\"2\u5e74\u4ee5\u4e0a\">2\u5e74\u4ee5\u4e0a<\/option>\r\n                    <\/select>\r\n                <\/div>\r\n                <p class=\"error_txt\">\u3053\u306e\u9805\u76ee\u306f\u5fc5\u9808\u3067\u3059<\/p>\r\n            <\/div>\r\n\r\n            <div class=\"form_block\" data-validate-group=\"jp_study_method\" data-field-type=\"text\" data-required=\"true\">\r\n                <p class=\"form_title\">\u3053\u308c\u307e\u3067\u306e\u65e5\u672c\u8a9e\u5b66\u7fd2\u65b9\u6cd5 <span>*\u5fc5\u9808<\/span><\/p>\r\n                <div class=\"selectWrapper\">\r\n                    <select class=\"form_input form_select\" name=\"Japanese_Study_Method\" required>\r\n                        <option value=\"\">\u9078\u629e\u3057\u3066\u304f\u3060\u3055\u3044<\/option>\r\n                        <option value=\"\u306a\u3057\">\u306a\u3057<\/option>\r\n                        <option value=\"\u72ec\u5b66\">\u72ec\u5b66<\/option>\r\n                        <option value=\"\u30d7\u30e9\u30a4\u30d9\u30fc\u30c8\u30ec\u30c3\u30b9\u30f3\">\u30d7\u30e9\u30a4\u30d9\u30fc\u30c8\u30ec\u30c3\u30b9\u30f3<\/option>\r\n                        <option value=\"\u65e5\u672c\u8a9e\u5b66\u6821\">\u65e5\u672c\u8a9e\u5b66\u6821<\/option>\r\n                        <option value=\"\u5927\u5b66 \/ \u5c02\u9580\u5b66\u6821\">\u5927\u5b66 \/ \u5c02\u9580\u5b66\u6821<\/option>\r\n                        <option value=\"\u305d\u306e\u4ed6\">\u305d\u306e\u4ed6<\/option>\r\n                    <\/select>\r\n                <\/div>\r\n                <p class=\"error_txt\">\u3053\u306e\u9805\u76ee\u306f\u5fc5\u9808\u3067\u3059<\/p>\r\n            <\/div>\r\n\r\n            <div class=\"form_block\" data-validate-group=\"jp_test_passed\" data-field-type=\"checkbox\" data-required=\"true\">\r\n                <p class=\"form_title\">\u3053\u308c\u307e\u3067\u306b\u5408\u683c\u3057\u305f\u65e5\u672c\u8a9e\u30c6\u30b9\u30c8\uff08\u8907\u6570\u9078\u629e\u53ef\uff09 <span>*\u5fc5\u9808<\/span><\/p>\r\n                <ul class=\"choice_grid choice_grid-check\">\r\n                    <li>\r\n                        <label class=\"choice_card\">\r\n                            <input type=\"checkbox\" name=\"Japanese_Tests_Passed\" value=\"EJU\">\r\n                            <span class=\"mark mark-check\" aria-hidden=\"true\"><\/span>\r\n                            <span class=\"txt\">EJU<\/span>\r\n                        <\/label>\r\n                    <\/li>\r\n                    <li>\r\n                        <label class=\"choice_card\">\r\n                            <input type=\"checkbox\" name=\"Japanese_Tests_Passed\" value=\"JLPT\">\r\n                            <span class=\"mark mark-check\" aria-hidden=\"true\"><\/span>\r\n                            <span class=\"txt\">JLPT<\/span>\r\n                        <\/label>\r\n                    <\/li>\r\n                    <li>\r\n                        <label class=\"choice_card\">\r\n                            <input type=\"checkbox\" name=\"Japanese_Tests_Passed\" value=\"J-TEST\">\r\n                            <span class=\"mark mark-check\" aria-hidden=\"true\"><\/span>\r\n                            <span class=\"txt\">J-TEST<\/span>\r\n                        <\/label>\r\n                    <\/li>\r\n                    <li>\r\n                        <label class=\"choice_card\">\r\n                            <input type=\"checkbox\" name=\"Japanese_Tests_Passed\" value=\"\u305d\u306e\u4ed6\">\r\n                            <span class=\"mark mark-check\" aria-hidden=\"true\"><\/span>\r\n                            <span class=\"txt\">\u305d\u306e\u4ed6<\/span>\r\n                        <\/label>\r\n                    <\/li>\r\n                    <li>\r\n                        <label class=\"choice_card\">\r\n                            <input type=\"checkbox\" name=\"Japanese_Tests_Passed\" value=\"\u306a\u3057\">\r\n                            <span class=\"mark mark-check\" aria-hidden=\"true\"><\/span>\r\n                            <span class=\"txt\">\u306a\u3057<\/span>\r\n                        <\/label>\r\n                    <\/li>\r\n                <\/ul>\r\n                <p class=\"error_txt\">\u3053\u306e\u9805\u76ee\u306f\u5fc5\u9808\u3067\u3059<\/p>\r\n            <\/div>\r\n\r\n            <div class=\"form_block\" data-validate-group=\"jp_test_result\" data-field-type=\"text\" data-required=\"false\">\r\n                <p class=\"form_title\">\u65e5\u672c\u8a9e\u30c6\u30b9\u30c8\u7d50\u679c \u4efb\u610f<\/p>\r\n                <input class=\"form_input\" type=\"text\" name=\"Japanese_Test_Score\" placeholder=\"\u4f8b\uff1aJLPT N3 \u5408\u683c\">\r\n            <\/div>\r\n\r\n            <div class=\"form_block\" data-validate-group=\"jp_purpose\" data-field-type=\"checkbox\" data-required=\"false\">\r\n                <p class=\"form_title\">\u65e5\u672c\u8a9e\u5b66\u7fd2\u306e\u76ee\u7684\uff08\u8907\u6570\u9078\u629e\u53ef\uff09 \u4efb\u610f<\/p>\r\n                <ul class=\"choice_grid choice_grid-check\">\r\n                    <li>\r\n                        <label class=\"choice_card\">\r\n                            <input type=\"checkbox\" name=\"Study_Purpose\" value=\"\u691c\u5b9a\u8a66\u9a13\uff08JLPT\u3084EJU\u306a\u3069)\u306e\u5408\u683c\u3092\u76ee\u6307\u3059\">\r\n                            <span class=\"mark mark-check\" aria-hidden=\"true\"><\/span>\r\n                            <span class=\"txt\">\u691c\u5b9a\u8a66\u9a13\uff08JLPT\u3084EJU\u306a\u3069)\u306e\u5408\u683c\u3092\u76ee\u6307\u3059<\/span>\r\n                        <\/label>\r\n                    <\/li>\r\n                    <li>\r\n                        <label class=\"choice_card\">\r\n                            <input type=\"checkbox\" name=\"Study_Purpose\" value=\"\u65e5\u672c\u8a9e\u306e\u4f1a\u8a71\u80fd\u529b\u3092\u4e0a\u9054\u3055\u305b\u308b\">\r\n                            <span class=\"mark mark-check\" aria-hidden=\"true\"><\/span>\r\n                            <span class=\"txt\">\u65e5\u672c\u8a9e\u306e\u4f1a\u8a71\u80fd\u529b\u3092\u4e0a\u9054\u3055\u305b\u308b<\/span>\r\n                        <\/label>\r\n                    <\/li>\r\n                    <li>\r\n                        <label class=\"choice_card\">\r\n                            <input type=\"checkbox\" name=\"Study_Purpose\" value=\"\u5c31\u8077\u306e\u305f\u3081\u306e\u65e5\u672c\u8a9e\u80fd\u529b\u3092\u8eab\u306b\u4ed8\u3051\u308b\">\r\n                            <span class=\"mark mark-check\" aria-hidden=\"true\"><\/span>\r\n                            <span class=\"txt\">\u5c31\u8077\u306e\u305f\u3081\u306e\u65e5\u672c\u8a9e\u80fd\u529b\u3092\u8eab\u306b\u4ed8\u3051\u308b<\/span>\r\n                        <\/label>\r\n                    <\/li>\r\n                    <li>\r\n                        <label class=\"choice_card\">\r\n                            <input type=\"checkbox\" name=\"Study_Purpose\" value=\"\u9032\u5b66\u306e\u305f\u3081\u306e\u65e5\u672c\u8a9e\u80fd\u529b\u3092\u8eab\u306b\u4ed8\u3051\u308b\">\r\n                            <span class=\"mark mark-check\" aria-hidden=\"true\"><\/span>\r\n                            <span class=\"txt\">\u9032\u5b66\u306e\u305f\u3081\u306e\u65e5\u672c\u8a9e\u80fd\u529b\u3092\u8eab\u306b\u4ed8\u3051\u308b<\/span>\r\n                        <\/label>\r\n                    <\/li>\r\n                    <li>\r\n                        <label class=\"choice_card\">\r\n                            <input type=\"checkbox\" name=\"Study_Purpose\" value=\"\u305d\u306e\u4ed6\">\r\n                            <span class=\"mark mark-check\" aria-hidden=\"true\"><\/span>\r\n                            <span class=\"txt\">\u305d\u306e\u4ed6<\/span>\r\n                        <\/label>\r\n                    <\/li>\r\n                <\/ul>\r\n            <\/div>\r\n\r\n            <div class=\"form_block\" data-validate-group=\"accommodation\" data-field-type=\"radio\" data-required=\"true\">\r\n                <p class=\"form_title\">\u6ede\u5728\u5148\u7533\u8fbc\u307f\u306e\u5e0c\u671b <span>*\u5fc5\u9808<\/span><\/p>\r\n                <ul class=\"choice_grid choice_grid-radio\">\r\n                    <li>\r\n                        <label class=\"choice_card\">\r\n                            <input type=\"radio\" name=\"Accommodation_Request\" value=\"\u306f\u3044\">\r\n                            <span class=\"mark mark-radio\" aria-hidden=\"true\"><\/span>\r\n                            <span class=\"txt\">\u306f\u3044<\/span>\r\n                        <\/label>\r\n                    <\/li>\r\n                    <li>\r\n                        <label class=\"choice_card\">\r\n                            <input type=\"radio\" name=\"Accommodation_Request\" value=\"\u3044\u3044\u3048\">\r\n                            <span class=\"mark mark-radio\" aria-hidden=\"true\"><\/span>\r\n                            <span class=\"txt\">\u3044\u3044\u3048<\/span>\r\n                        <\/label>\r\n                    <\/li>\r\n                <\/ul>\r\n                <p class=\"error_txt\">\u3053\u306e\u9805\u76ee\u306f\u5fc5\u9808\u3067\u3059<\/p>\r\n            <\/div>\r\n\r\n            <div class=\"form_block is-hidden\" data-validate-group=\"accom_where\" data-cond-group=\"accom\" data-field-type=\"text\" data-required=\"true\">\r\n                <p class=\"form_title\">\u6ede\u5728\u5148 <span>*\u5fc5\u9808<\/span><\/p>\r\n                <div class=\"selectWrapper\">\r\n                    <select class=\"form_input form_select\" name=\"Accommodation_Location\">\r\n                        <option value=\"\">\u9078\u629e\u3057\u3066\u304f\u3060\u3055\u3044<\/option>\r\n                        <option value=\"\u30db\u30fc\u30e0\u30b9\u30c6\u30a4\">\u30db\u30fc\u30e0\u30b9\u30c6\u30a4<\/option>\r\n                        <option value=\"\u30b2\u30b9\u30c8\u30cf\u30a6\u30b9\">\u30b2\u30b9\u30c8\u30cf\u30a6\u30b9<\/option>\r\n                        <option value=\"\u30a6\u30a3\u30fc\u30af\u30ea\u30fc\u30de\u30f3\u30b7\u30e7\u30f3\">\u30a6\u30a3\u30fc\u30af\u30ea\u30fc\u30de\u30f3\u30b7\u30e7\u30f3<\/option>\r\n                        <option value=\"\u5b66\u751f\u5bee\">\u5b66\u751f\u5bee<\/option>\r\n                    <\/select>\r\n                <\/div>\r\n                <p class=\"error_txt\">\u3053\u306e\u9805\u76ee\u306f\u5fc5\u9808\u3067\u3059<\/p>\r\n            <\/div>\r\n\r\n            <div class=\"form_block is-hidden\" data-validate-group=\"accom_checkin\" data-cond-group=\"accom\" data-field-type=\"text\" data-required=\"true\">\r\n                <p class=\"form_title\">\u6ede\u5728\u5148\u30c1\u30a7\u30c3\u30af\u30a4\u30f3\u65e5 <span>*\u5fc5\u9808<\/span><\/p>\r\n                <input class=\"form_input\" type=\"date\" name=\"Accommodation_Checkin_Date\" required>\r\n                <p class=\"error_txt\">\u3053\u306e\u9805\u76ee\u306f\u5fc5\u9808\u3067\u3059<\/p>\r\n            <\/div>\r\n\r\n            <div class=\"form_block is-hidden\" data-validate-group=\"accom_checkout\" data-cond-group=\"accom\" data-field-type=\"text\" data-required=\"true\">\r\n                <p class=\"form_title\">\u6ede\u5728\u5148\u30c1\u30a7\u30c3\u30af\u30a2\u30a6\u30c8\u65e5 <span>*\u5fc5\u9808<\/span><\/p>\r\n                <input class=\"form_input\" type=\"date\" name=\"Accommodation_Checkout_Date\" required>\r\n                <p class=\"error_txt\">\u3053\u306e\u9805\u76ee\u306f\u5fc5\u9808\u3067\u3059<\/p>\r\n            <\/div>\r\n\r\n            <div class=\"form_block is-hidden\" data-validate-group=\"accom_room\" data-cond-group=\"accom\" data-field-type=\"text\" data-required=\"true\">\r\n                <p class=\"form_title\">\u90e8\u5c4b\u306e\u5e0c\u671b\u30bf\u30a4\u30d7 <span>*\u5fc5\u9808<\/span><\/p>\r\n                <div class=\"selectWrapper\">\r\n                    <select class=\"form_input form_select\" name=\"Preferred_Room_Type\">\r\n                        <option value=\"\">\u9078\u629e\u3057\u3066\u304f\u3060\u3055\u3044<\/option>\r\n                        <option value=\"\u30b7\u30f3\u30b0\u30eb\">\u30b7\u30f3\u30b0\u30eb<\/option>\r\n                        <option value=\"\u30c4\u30a4\u30f3\">\u30c4\u30a4\u30f3<\/option>\r\n                        <option value=\"\u4e09\u4eba\u90e8\u5c4b\">\u4e09\u4eba\u90e8\u5c4b<\/option>\r\n                        <option value=\"\u56db\u4eba\u90e8\u5c4b\">\u56db\u4eba\u90e8\u5c4b<\/option>\r\n                    <\/select>\r\n                <\/div>\r\n                <div class=\"detail_txt\">\r\n                    <p>\u203b\uff13\u4eba\u3001\u56db\u4eba\u90e8\u5c4b\u306f\u9577\u91ce\u6821\u306e\u307f\u3068\u306a\u308a\u307e\u3059<\/p>\r\n                <\/div>\r\n                <p class=\"error_txt\">\u3053\u306e\u9805\u76ee\u306f\u5fc5\u9808\u3067\u3059<\/p>\r\n            <\/div>\r\n\r\n            <div class=\"form_block\" data-validate-group=\"airport\" data-field-type=\"radio\" data-required=\"true\">\r\n                <p class=\"form_title\">\u7a7a\u6e2f\u9001\u8fce\u7533\u8fbc\u307f\u306f\u5fc5\u8981\u3067\u3059\u304b\uff1f <span>*\u5fc5\u9808<\/span><\/p>\r\n                <ul class=\"choice_grid choice_grid-radio\">\r\n                    <li>\r\n                        <label class=\"choice_card\">\r\n                            <input type=\"radio\" name=\"Airport_Pick-up_Request\" value=\"\u3044\u3044\u3048\">\r\n                            <span class=\"mark mark-radio\" aria-hidden=\"true\"><\/span>\r\n                            <span class=\"txt\">\u3044\u3044\u3048<\/span>\r\n                        <\/label>\r\n                    <\/li>\r\n                    <li>\r\n                        <label class=\"choice_card\">\r\n                            <input type=\"radio\" name=\"Airport_Pick-up_Request\" value=\"\u7247\u9053\u9001\u8fce\">\r\n                            <span class=\"mark mark-radio\" aria-hidden=\"true\"><\/span>\r\n                            <span class=\"txt\">\u7247\u9053\u9001\u8fce<\/span>\r\n                        <\/label>\r\n                    <\/li>\r\n                    <li>\r\n                        <label class=\"choice_card\">\r\n                            <input type=\"radio\" name=\"Airport_Pick-up_Request\" value=\"\u307e\u3060\u6c7a\u3081\u3066\u3044\u306a\u3044\">\r\n                            <span class=\"mark mark-radio\" aria-hidden=\"true\"><\/span>\r\n                            <span class=\"txt\">\u307e\u3060\u6c7a\u3081\u3066\u3044\u306a\u3044<\/span>\r\n                        <\/label>\r\n                    <\/li>\r\n                <\/ul>\r\n                <p class=\"error_txt\">\u3053\u306e\u9805\u76ee\u306f\u5fc5\u9808\u3067\u3059<\/p>\r\n            <\/div>\r\n\r\n            <div class=\"form_block\" data-validate-group=\"arrival\" data-field-type=\"text\" data-required=\"false\">\r\n                <p class=\"form_title\">\u65e5\u672c\u5230\u7740\u65e5 \u4efb\u610f<\/p>\r\n                <input class=\"form_input\" type=\"date\" name=\"Arrival_Date\">\r\n            <\/div>\r\n\r\n            <div class=\"form_block\" data-validate-group=\"departure\" data-field-type=\"text\" data-required=\"false\">\r\n                <p class=\"form_title\">\u65e5\u672c\u51fa\u767a\u65e5 \u4efb\u610f<\/p>\r\n                <input class=\"form_input\" type=\"date\" name=\"Departure_Date\">\r\n            <\/div>\r\n\r\n            <div class=\"form_block\" data-validate-group=\"entry_refused\" data-field-type=\"radio\" data-required=\"true\">\r\n                <p class=\"form_title\">\u4eca\u307e\u3067\u306b\u3001\u65e5\u672c\u3078\u306e\u5165\u56fd\u3092\u62d2\u5426\u3055\u308c\u305f\u3053\u3068\u306f\u3042\u308a\u307e\u3059\u304b\uff1f <span>*\u5fc5\u9808<\/span><\/p>\r\n                <ul class=\"choice_grid choice_grid-radio\">\r\n                    <li>\r\n                        <label class=\"choice_card\">\r\n                            <input type=\"radio\" name=\"Entry_Refusal_History\" value=\"\u306f\u3044\">\r\n                            <span class=\"mark mark-radio\" aria-hidden=\"true\"><\/span>\r\n                            <span class=\"txt\">\u306f\u3044<\/span>\r\n                        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name=\"Reason_of_Entry_Refusal\" placeholder=\"\u7406\u7531\u3092\u3054\u5165\u529b\u304f\u3060\u3055\u3044\">\r\n                <div class=\"detail_txt\">\r\n                    <p>\u300c\u306f\u3044\u300d\u3092\u9078\u629e\u3057\u305f\u65b9\u306f\u5165\u56fd\u3092\u62d2\u5426\u3055\u308c\u305f\u7406\u7531\u3092\u304a\u7b54\u3048\u304f\u3060\u3055\u3044\u3002<\/p>\r\n                <\/div>\r\n                <p class=\"error_txt\">\u3053\u306e\u9805\u76ee\u306f\u5fc5\u9808\u3067\u3059<\/p>\r\n            <\/div>\r\n\r\n            <div class=\"form_block\" data-validate-group=\"source\" data-field-type=\"source\" data-required=\"true\">\r\n                <p class=\"form_title\">\u3069\u306e\u3088\u3046\u306a\u304d\u3063\u304b\u3051\u3067ISI\u3092\u77e5\u308a\u307e\u3057\u305f\u304b\uff1f <span>*\u5fc5\u9808<\/span><\/p>\r\n                <div class=\"selectWrapper\">\r\n                    <select class=\"form_input form_select\" name=\"Referral_Source\" required>\r\n              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