{% extends 'default_frame.twig' %}{% block javascript %}<script src="https://yubinbango.github.io/yubinbango/yubinbango.js" charset="UTF-8"></script><script src="https://www.google.com/recaptcha/api.js" async defer></script>{% endblock javascript %}{% block stylesheet %} {{ parent() }} <link rel="stylesheet" href="/test/contact_form.css"> <link rel="stylesheet" href="/user_data/common/css/form.css"> <link rel="stylesheet" href="/user_data/common/css/form_recruit.css">{% endblock %}{% block main %} <div class="contact_area" id="form_recruit"> <div class="ec-off1Grid"> <div class="ec-off1Grid__cell"> {{ include('@PiaContact/default/alert.twig') }} <h1 class="page-heading">リクルート応募フォーム</h1> <div id="recruit_form_wrap"> <div class="ec-borderedDefs"> <p id="attention">ご応募の方は入力内容を入力し「確認ページへ」ボタンを押して下さい。</p> <form name="form1" id="form1" method="post" action="{{ url('plugin_pia_form_recruit') }}" class="h-adr"> <span class="p-country-name" style="display:none;">Japan</span> {{ form_widget(form._token) }} <input type="hidden" name="mode" value="confirm"> <table class="seminar_form_table"> <tr> <th>お名前 <span style="color: red">必須</span></th> <td> <div class="ec-halfInput{{ has_errors(form.name.name01, form.name.name02) ? ' error' }}"> {{ form_widget(form.name.name01, { 'attr': { 'placeholder': '姓' }}) }} {{ form_widget(form.name.name02, { 'attr': { 'placeholder': '名' }}) }} {{ form_errors(form.name.name01) }} {{ form_errors(form.name.name02) }} </div> </td> </tr> <tr> <th>フリガナ <span style="color: red">必須</span></th> <td> <div class="ec-halfInput{{ has_errors(form.kana.kana01, form.kana.kana02) ? ' error' }}"> {{ form_widget(form.kana.kana01, { 'attr': { 'placeholder': 'セイ' }}) }} {{ form_widget(form.kana.kana02, { 'attr': { 'placeholder': 'メイ' }}) }} {{ form_errors(form.kana.kana01) }} {{ form_errors(form.kana.kana02) }} </div> </td> </tr> <tr> <th>生年月日 <span style="color: red">必須</span></th> <td> <div class="ec-input{{ has_errors(form.birth) ? ' error' }}"> {{ form_widget(form.birth) }} {{ form_errors(form.birth) }} </div> </td> </tr> <tr> <th>性別</th> <td> <div class="ec-input{{ has_errors(form.sex) ? ' error' }}"> {{ form_widget(form.sex) }} {{ form_errors(form.sex) }} </div> </td> </tr> <tr> <th>郵便番号 <span style="color: red">必須</span></th> <td> <div class="ec-zipInput{{ has_errors(form.zip) ? ' error' }}"> <span>{{ '〒'|trans }}</span> {{ form_widget(form.zip) }} <div class="ec-zipInputHelp"> <div class="ec-zipInputHelp__icon"> <div class="ec-icon"><img src="{{ asset('assets/icon/question-white.svg') }}" alt=""> </div> </div> <a href="https://www.post.japanpost.jp/zipcode/" target="_blank"><span>{{ '郵便番号検索'|trans }}</span></a> </div> {{ form_errors(form.zip) }} </div> </td> </tr> <tr> <th>住所 <span style="color: red">必須</span></th> <td> <div class="ec-select{{ has_errors(form.address.pref) ? ' error' }}"> {{ form_widget(form.address.pref) }} {{ form_errors(form.address.pref) }} </div> <div class="ec-input{{ has_errors(form.address.addr01) ? ' error' }}"> {{ form_widget(form.address.addr01, { 'attr': { 'placeholder': '市区町村名（例：大阪市北区）' }}) }} {{ form_errors(form.address.addr01) }} </div> <div class="ec-input{{ has_errors(form.address.addr02) ? ' error' }}"> {{ form_widget(form.address.addr02, { 'attr': { 'placeholder': '番地・ビル名（例:西梅田1-2-3 ABC梅田ビル4F）' }}) }} {{ form_errors(form.address.addr02) }} </div> </td> </tr> <tr> <th>メールアドレス <span style="color: red">必須</span></th> <td> <div class="ec-input{{ has_errors(form.email) ? ' error' }}"> {{ form_widget(form.email, { 'attr': { 'placeholder': '例：sample@example.com' }}) }} {{ form_errors(form.email) }} </div> </td> </tr> <tr> <th>電話番号 <span style="color: red">必須</span></th> <td> <div class="ec-telInput{{ has_errors(form.tel) ? ' error' }}"> {{ form_widget(form.tel) }} {{ form_errors(form.tel) }} </div> </td> </tr> <tr> <th>最終学歴 <span style="color: red">必須</span></th> <td> <div class="ec-input{{ has_errors(form.final_education) ? ' error' }}"> {{ form_widget(form.final_education, { 'attr': { 'placeholder': '例：○○大学○○学部' }}) }} {{ form_errors(form.final_education) }} </div> </td> </tr> <tr> <th>卒業年月 <span style="color: red">必須</span></th> <td> <div class="ec-input{{ has_errors(form.graduation_date) ? ' error' }}"> {{ form_widget(form.graduation_date, { 'attr': { 'placeholder': '例：2020年3月' }}) }} {{ form_errors(form.graduation_date) }} </div> </td> </tr> <tr> <th>{{ form_label(form.free_area) }}</th> <td> <div class="ec-input{{ has_errors(form.free_area) ? ' error' }}"> {{ form_widget(form.free_area, { 'attr': { 'rows': 5, 'placeholder': '応募動機・自己PR・ご質問など' }}) }} {{ form_errors(form.free_area) }} </div> </td> </tr> </table> <div class="g-recaptcha" data-sitekey="{{ recaptcha_site_key }}"></div> <div class="ec-off4Grid" style="margin-top: 2rem;"> <div class="ec-off4Grid__cell"> <button type="submit" class="ec-blockBtn--action btn btn-primary">確認ページへ</button> </div> </div> </form> </div> </div> </div> </div> </div>{% endblock %}