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[]
[null,"大阪公立大学　女性研究者支援室長　様"]
[null,null,null,"２０２4年度のイベントにて、理系女子大学院生チームIRISの紹介を依頼します。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"TODAY()","v":"2024-04-10"},null,null,"提出"]
[]
[null,"事業責任者の所属","事業団体名",null,"ﾌﾘｶﾞﾅ："]
[]
[null,null,"申込代表者\n（職名・氏名）"]
[null,null,"氏名",null,"事務担当者①",null,null,null,null,null,null,"事務担当者②"]
[null,null,null,null,"ﾌﾘｶﾞﾅ：",null,null,null,null,null,null,"ﾌﾘｶﾞﾅ："]
[]
[null,null,"所属"]
[null,null,"電話番号(内線)"]
[null,null,"メールアドレス（ＰＣ）"]
[null,"イベント内容","イベント名称"]
[null,null,"イベント内容",null,"(例)\n進路講演会と保護者懇談",null,"(記入欄)\n"]
[null,null,"参加者（対象）",null,null,"小学生",null,"中学生",null,"高校生",null,"保護者",null,"その他","（　　　　　）","人数",null,"名"]
[null,null,"日時",null,null,"年",null,"月",null,"日",null,"時間","：",null,null,"～","："]
[null,null,"実施場所",null,"場所名："]
[null,null,"当日",null,"IRISに希望する内容",null,null,null,null,null,null,"IRISの雇用",null,null,null,"IRISへの交通費"]
[null,null,null,null,"（例）\n・講師\n・講師補助\n・司会進行\n・登壇など",null,"(記入欄)\n",null,null,null,null,"　円/時間",null,null,null,"有\n\n無"]
[null,null,"事前準備",null,"（例）\n・PPT資料の作成\n・2回程度の打ち合わせ",null,"(記入欄)\n",null,null,null,null,"　円/時間",null,null,null,"有\n\n無"]
[null,null,"希望するIRISの派遣人数",null,"名"]
[null,"備考","その他"]
[]
[null,"※　開催日や開催場所など具体的に決定していない場合は、おおよその時期やキャンパスなどご教示ください。"]
[null,"[提出先]　 大阪公立大学　女性研究者支援室　　E-mai:　gr-knky-wsupport@omu.ac.jp　"]

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["　"]
["可",null,"AM",null,"サイエンスイベント"]
["不可",null,"PM",null,"講演"]
[null,null,"その他"]