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[null,null,null,null,null,null,null,null,null,null,null,"専門様式第８号"]
[null,null,null,null,null,null,null,null,null,null,null,"令和　年　月　日"]
[null,"専門実践教育訓練実施状況調査票（変更内容票）"]
[]
[null,"施設の名称",null,null,null,null,null,"指定講座番号"]
[null,null,null,null,null,null,null,"移行前指定講座番号\n（専門実践教育訓練への移行希望のみ）"]
[null,"講座の名称",null,null,null,null,null,null,"専門様式第1号の仮番号"]
[]
[null,"１．変更項目　　※変更する項目にチェックした上、必要事項を記入してください。"]
[null,"(1)教育訓練施設",null,null,null,"（",null,null,"）"]
[null,null,null,null,"　　変更前："]
[null,null,null,null,"　　変更後："]
[null,"(2)教育訓練実施者(名称*)",null,null,null,"（","（",null,null,"）"]
[null,null,null,null,"　　変更前："]
[null,null,null,null,"　　変更後："]
[null,"(3)教育訓練講座の名称(*)",null,null,null,"　　変更前："]
[null,null,null,null,null,"　　変更後："]
[null,"(4)訓練期間(*)",null,null,null,"変更前：",null,"月",null,"変更後：",null,"月"]
[null,"(5)総訓練時間(*)",null,null,null,"変更前：",null,"時間",null,"変更後：",null,"時間"]
[null,"(6)教育訓練目標(*)",null,null,null,"主な変更部分"]
[null,"(7)教育訓練経費(*)",null,null,null,"（",null,null,null,"）"]
[null,null,null,null,null,"変更前：","入学料","（　　　　　　　　）","円","受講料","（　　　　　　　　）","円（合計額）"]
[null,null,null,null,null,"変更後：","入学料","（　　　　　　　　）","円","受講料","（　　　　　　　　）","円（合計額）"]
[null,null,null,null,null,"※期ごとの内訳の変更があった場合も変更の手続きが必要です"]
[null,"(8)受講者要件(*)",null,null,null,"　変更前："]
[null,null,null,null,null,"変更後："]
[null,"(9)受講・修了認定基準(*)",null,null,null,"　変更前："]
[null,null,null,null,null,"変更後："]
[null,"(10)開講月",null,null,null,"変更前：","1　　2　　3　　4　　5　　6　　7　　8　　9　　10　　11　　12　　毎月"]
[null,null,null,null,"※該当するものに○","変更後：","1　　2　　3　　4　　5　　6　　7　　8　　9　　10　　11　　12　　毎月"]
[null,"(11)カリキュラム(*)",null,null,null,"主な変更部分"]
[null,"(12)実施方法「２通信」の内訳(*)",null,null,null,"変更前："]
[null,null,null,null,null,"変更後："]
[null,"(13)教室",null,null,null,"（",null,null,null,null,null,"）"]
[null,"(14)主任指導者"]
[null,"(15)施設責任者・苦情受付者・事務担当者",null,null,null,"（",null,null,null,"）"]
[]
[null,"２．変更の理由"]
[null,"　上記１で(*)を付した項目について変更がある場合、項目ごとに、具体的な変更理由を記載してください。"]
[null,"①","変更項目"]
[]
[null,null,"変更理由"]
[null,"②","変更項目"]
[]
[null,null,"変更理由"]
[null,"③","変更項目"]
[]
[null,null,"変更理由"]
[null,"※　本票は講座ごとに作成してください。ただし、施設・教室・訓練実施者の名称・所在地・電話番号、訓練実施者の代表者名、教室の施設事務の変更のみの場合は、1部で結構です。"]