お名前※ [multiform "nama1"]  [multiform "nama2"]
    お名前(フリガナ)※ [multiform "kana1"]  [multiform "kana2"]
    郵便番号 〒  [multiform "zip01"] - [multiform "zip02"]
    住所 [multiform "prefecture"]

    [multiform "address1"]

    [multiform "address2"]
    勤務先 [multiform "kinmusaki"]
    電話番号※ [multiform "tel1"]-[multiform "tel2"]-[multiform "tel3"]
    メールアドレス※ [multiform "email"]
    生年月日※ [multiform "birthday1"] 年　 [multiform "birthday2"] 月　 [multiform "birthday3"] 日　
    件名※ [multiform "title"]
    備考
    		 [multiform "comment"]
    介護分野への
    就労意向確認※
    		 [multiform "kibou"] [multiform "kiboubi"]以降
    [previous class:button class:reset "戻る"][multistep multistep-traning-end last_step send_email "/training_sended"]