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["施設情報登録票"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"宮崎県保育士・保育所支援センター"]
["受付年月日",null,null,null,null,null,null,"　　　　　　年　　　　月　　　　日",null,null,null,null,null,null,null,null,null,null,"取扱者"]
[]
["※",null,"は保育士支援センターで記入します。"]
[]
["施設概要"]
["フ　　リ　　ガ　　ナ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フ　　リ　　ガ　　ナ"]
["法　　人　　名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"代表者役職・氏名"]
["フ　　リ　　ガ　　ナ"]
["法人所在地"]
["フ　　リ　　ガ　　ナ"]
["就業先施設名"]
["就業先所在地",null,null,null,null,null,null,"〒"]
[]
["電　話",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"FAX"]
["ホームページＵＲＬ"]
["担当者の氏名・役職",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者連絡先"]
["事業開始年月日",null,null,null,null,null,null,null,null,null,"年　",null,null,null,"月",null,null,null,"日"]
["種　　別",null,null,null,null,null,null,null,"保育所",null,null,null,null,"認定こども園",null,null,null,null,null,null,"小規模保育事業",null,null,null,null,null,null,null,"（　　　　　　　　　　　　）"]
["開 園 時 間",null,null,null,null,null,null,"月曜～金曜",null,null,null,null,null,null,null,null,null,null,"土曜",null,null,null,null,null,null,null,"休日"]
[null,null,null,null,null,null,null,null,null,"：",null,null,"～",null,null,"：",null,null,null,"：",null,"～",null,"：",null,null,null,null,"：",null,null,"～",null,null,"："]
["特 別 保 育 の\n実　施　状　況",null,null,null,null,null,null,null,"延長保育",null,null,null,null,"障がい児保育",null,null,null,null,null,null,null,"一時預かり",null,null,null,null,null,"休日保育"]
[null,null,null,null,null,null,null,null,"学童保育",null,null,null,null,"病児病後児保育",null,null,null,null,null,null,null,"預かり保育"]
[null,null,null,null,null,null,null,null,"その他"]
["園の特色"]
["利用定員数",null,null,null,null,"　　　　　　　名",null,null,null,null,null,null,null,null,null,null,null,null,"利用現員数",null,null,null,null,null,"　　　　　　　　　　　名 (　　月　　日　現在)　　"]
["職員数",null,null,null,null,"法人全体：　　　　　人　　うち就業場所：　　　　　人  (うち女性　　　　人　)   (うちパート　　　　人)"]
[]
["※",null,"はホームページに公表します。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"宮崎県保育士・保育所支援センター"]
[null,"※雇用形態について\n求人につきましては、下記に沿ってそれぞれご提出ください。\n「正職員」雇用期間の定めのない社員\n「常勤（正職員以外）」雇用期間の定めのある社員\n「非常勤・パート」雇用期間の定めがあり、「正職員」「常勤（正職員以外）」より勤務時間が短い社員",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"職業紹介事業許可番号　４０-ユ-０１００６６"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"〒880-0805　宮崎市橘通東4丁目1-4　河北ビル7F"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"TEL0985-44-2414 / FAX(0985)35-3923"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"E-mail：miyazaki-hoiku@ahc-net.co.jp"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"HP：http//www.miyazaki-hoiku.jp"]

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["労働条件等"]
["採用する人数",null,null,null,null,null,null,"人","必要な経験等",null,null,null,null,null,null,null,null,null,null,null,null,"基本給"]
["必要な資格・\n免許等"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(",null,null,null,null,null,"円","～",null,null,null,null,null,"円","）"]
[null,null,null,null,null,null,null,null,"（　　　　　　　　　　　）",null,null,null,null,null,null,null,null,null,null,null,null,"手　当\n（月　額）",null,null,null,null,null,null,null,null,"手当",null,null,null,null,"円","～",null,null,null,"円"]
["雇用形態",null,null,null,null,"      ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"手当",null,null,null,null,"円","～",null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,"雇用形態については、上記コメントをご確認ください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"手当",null,null,null,null,"円","～",null,null,null,"円"]
["仕事の内容\n（具体的に）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"通勤手当",null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"賞与",null,null,null,null,null,null,"（",null,null,null,null,null,null,"）"]
["雇用期間",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"昇給",null,null,null,null,null,null,"（",null,null,null,null,null,null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"賃金支払日",null,null,null,null,"毎月",null,null,null,"日払",null,"（",null,null,"日締）"]
[null,null,null,null,null,"（",null,"年",null,"月",null,"日","～",null,"年",null,"月",null,"日","）",null,"休日等"]
[null,null,null,null,null,"※試用期間",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"□","その他",null,"（　　　　　　　　　　　　）",null,null,null,null,null,"）"]
[null,null,null,null,null,null,null,null,"（期間",null,null,null,null,"ヶ月",null,"）",null,null,null,null,null,"年間休日数",null,null,null,null,null,null,null,null,"日","※年次有給休暇、慶弔等特別休暇除く"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"有給休暇",null,null,null,null,null,null,"⇒","（",null,null,null,null,")"]
["就業時間",null,null,null,null,null,null,"：",null,null,null,"～",null,null,null,"：",null,null,null,null,null,"受動喫煙\n対策"]
["就業時間内\nシフト勤務"]
["シフト勤務\n有の場合",null,null,null,null,"※シフト勤務がある場合は全てご記入願います",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"受動喫煙対策に関する特記事項"]
[null,null,null,null,null,"①",null,null,"：",null,null,"～",null,null,"："]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"社会保険",null,null,null,null,"※該当するものに、☑をいれてください。"]
[null,null,null,null,null,"②",null,null,"：",null,null,"～",null,null,"："]
[null,null,null,null,null,"③",null,null,"：",null,null,"～",null,null,"：",null,null,null,null,null,null,"退職金制度"]
[null,null,null,null,null,"④",null,null,"：",null,null,"～",null,null,"：",null,null,null,null,null,null,"定年制度",null,null,null,null,null,null,"（",null,null,"歳","）"]
[null,null,null,null,null,"⑤",null,null,"：",null,null,"～",null,null,"：",null,null,null,null,null,null,"マイカー通勤"]
[null,null,null,null,null,"⑥",null,null,"：",null,null,"～",null,null,"：",null,null,null,null,null,null,null,null,null,null,null,"駐車料金",null,null,null,null,"（",null,null,null,"円）"]
[null,null,null,null,null,"⑦",null,null,"：",null,null,"～",null,null,"：",null,null,null,null,null,null,"応募書類"]
[null,null,null,null,null,"⑧",null,null,"：",null,null,"～",null,null,"：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,null,null,null,null,"）"]
[null,null,null,null,null,"⑧",null,null,"：",null,null,"～",null,null,"：",null,null,null,null,null,null,"選考方法"]
["休憩時間",null,null,null,null,"分"]
["週労働時間",null,null,null,null,"週",null,null,"時間～",null,null,null,null,"時間"]
["時間外勤務",null,null,null,null,null,null,"　（月平均",null,null,null,null,null,null,"時間）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,null,null,null,null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"備考欄",null,null,null,null," (土・日・祝の勤務について、夏季冬季休暇等)"]
["週勤務日数",null,null,null,null,"週",null,null,"日","（1週にあたりに換算）"]
[]
["※",null,"はホームページに公表します。"]

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["自己申告書"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　年　　　月　　　日"]
[]
[null,null,"私どもは、この求人申込みの時点において、職業安定法に規定する求人不受理の対象に\n該当いたしません。"]
[]
[]
[null,null,null,"事業所名"]
[]
[null,null,null,"事業所所在地"]
[]
[null,null,null,"代表者名"]
[]
[]
[]
[null,null,"◇この自己申告書についての説明事項◇"]
[null,null,null,"（１）以下のチェックシートの項目に1つでも該当する場合には、職業安定法に規定する求人不受理に該当"]
[null,null,null,"　　します。"]
[null,null,null,"（２）この自己申告書に記載した内容に変更があった場合は、速やかに修正の上提出してください。"]
[null,null,null,"（３）申告内容が事実と異なる場合は、職業安定法第４８条の３第２項及び第３項の規定に基づき、厚生労働"]
[null,null,null,"　　大臣又は都道府県労働局長による勧告及び公表の対象となります。"]
[]
[null,"チェックシート"]
[]
[]
[null,null,"以下に該当する場合は、チェック欄にレ点（「✔」）を記入してください。なお、以下のうち１つでも該当する場合は、求人不受理の対象となります。\n※項目４については、求人不受理の対象ではありませんが、該当する事業所には職業紹介を行うことができません。"]
[]
[]
[]
[null,null,"１．労働基準法および最低賃金法関係"]
[]
[]
[null,null,"（１）過去１年間に２回以上同一の対象条項（※１，２）違反行為　　　　により、労働基準監督署から是正勧告を受け、"]
[]
[]
[null,null,null,"　","a",null,"当該違反行為を是正していない。"]
[]
[null,null,null,"　","b",null,"是正してから６カ月が経過していない。"]
[]
[null,null,"（２）違法な長時間労働を繰り返している企業として企業名が公表され、"]
[]
[]
[null,null,null,"　","a",null,"当該違反行為を是正していない。"]
[]
[null,null,null,"　","b",null,"是正してから６カ月が経過していない。"]
[]
[null,null,"（３）対象条項違反行為に係る事件が送検かつ公表され"]
[]
[]
[null,null,null,"　","a",null,"当該違反行為を是正していない。"]
[]
[null,null,null,"　","b",null,"送検後１年が経過していない。"]
[]
[null,null,null,"　","c",null,"是正してから６カ月が経過していない。"]
[]
[null,null,"（４）求人不受理期間中に再度同一の対象条項違反により、\n　　　労働基準監督署による是正勧告を受けており、その後、"]
[]
[]
[null,null,null,"　","a",null,"当該違反行為を是正していない。"]
[]
[null,null,null,"　","b",null,"是正してから6ヶ月が経過していない。"]
[]
[null,null,"（※１）対象となる労働基準法の規定"]
[null,null,null,"内容",null,null,null,null,null,null,null,null,"規定"]
[null,null,null,"男女同一賃金",null,null,null,null,null,null,null,null,"第4条"]
[null,null,null,"強制労働の禁止",null,null,null,null,null,null,null,null,"第5条"]
[null,null,null,"労働条件の明示",null,null,null,null,null,null,null,null,"第15条第1項及び第3項"]
[null,null,null,"賃金",null,null,null,null,null,null,null,null,"第24条、第37条第1項及び第4項"]
[null,null,null,"労働時間",null,null,null,null,null,null,null,null,"第32条、第36条第6項（第2号及び第3号に係る部分に限る）、第141条第3項"]
[null,null,null,"休憩、休日、有給休暇",null,null,null,null,null,null,null,null,"第34条、第35条第1項、第39条第1項、第2項、第5項、第7項及び第9項"]
[null,null,null,"年少者の保護",null,null,null,null,null,null,null,null,"第56条第1項、第61条第1項、第62条第1項及び第2項、第63条"]
[null,null,null,"妊産婦の保護",null,null,null,null,null,null,null,null,"第64条の２（第1号に係る部分に限る）、第64条の３第1項、第65条、第66条、第67条第2項"]
[null,null,null,"※労働者派遣法第44条（第4項を除く）により適用する場合を含む。"]
[]
[null,null,"（※２）対象となる最低賃金法の規定"]
[null,null,null,"内容",null,null,null,null,null,null,null,null,"規定"]
[null,null,null,"最低賃金",null,null,null,null,null,null,null,null,"第4条第1項"]
[]
[]
[null,null,"２．職業安定法、労働施策総合推進法、男女雇用機会均等法および育児・介護休業法関係"]
[]
[]
[null,null,"（１）対象条項（※３，４，５，６）違反の是正を求める勧告又は改善命令に従わず、企業名が公表（注１）され、"]
[]
[]
[null,null,null,"　","a",null,"当該違反行為を是正していない。"]
[]
[null,null,null,"　","b",null,"是正してから６カ月が経過していない。"]
[]
[null,null,null,"（注１）職業安定法第48条の３第３項、労働施策総合推進法第33条第2項、男女雇用機会均等法第30条または育児・介護休業法第56条の２の規定による公表。"]
[]
[null,null,"（２）求人不受理期間中に再度同一の対象条項違反により、\n　　　①需給調整事業課（室）による助言や指導、勧告、\n　　　②雇用均等室による助言や指導、勧告を受けており、その後、"]
[]
[]
[]
[null,null,null,"　","a",null,"当該違反行為を是正していない。"]
[]
[null,null,null,"　","b",null,"是正してから６カ月が経過していない。"]
[]
[null,null,"（※３）対象となる職業安定法の規定"]
[null,null,null,"内容",null,null,null,null,null,null,null,null,"規定"]
[null,null,null,"労働条件等の明示",null,null,null,null,null,null,null,null,"第5条の３第1項、第2項及び第3項"]
[null,null,null,"求職者等の個人情報の取り扱い",null,null,null,null,null,null,null,null,"第5条の４"]
[null,null,null,"求人の申込み時の報告",null,null,null,null,null,null,null,null,"第5条の５第3項"]
[null,null,null,"委託事業",null,null,null,null,null,null,null,null,"第36条"]
[null,null,null,"労働者募集に係る報酬受領\n・供与の禁止",null,null,null,null,null,null,null,null,"第39条、第40条"]
[null,null,null,"労働争議への不介入",null,null,null,null,null,null,null,null,"第42条の３において読み替えて準用する法第20条"]
[null,null,null,"秘密を守る義務",null,null,null,null,null,null,null,null,"第51条"]
[]
[null,null,"（※４）対象となる労働施策総合推進法（労働政策の総合的な推進並びに労働者の雇用の安定及び職業生活の充実等　　　　\nに関する法律）の規定"]
[null,null,null,"内容",null,null,null,null,null,null,null,null,"規定"]
[null,null,null,"パワーハラスメント防止に関する雇用管理上の措置",null,null,null,null,null,null,null,null,"第30条の２第1項"]
[null,null,null,"パワーハラスメント等を理由とする不利益取扱の禁止",null,null,null,null,null,null,null,null,"第30条の２第2項（第30条の５第2項、第30条の6第2項おいて準用する場合を含む。）"]
[null,null,null,"※第30条の2第1項を労働者派遣法第47条の規定により適用する場合を含む。"]
[]
[null,null,"（※５）対象となる男女雇用機会均等法（雇用の分野における男女の均等な機会及び待遇の確保等に関する法律）の規定"]
[null,null,null,"内容",null,null,null,null,null,null,null,null,"規定"]
[null,null,null,"性別を理由とする差別の\n禁止",null,null,null,null,null,null,null,null,"第5条、第6条、第7条"]
[null,null,null,"セクシャルハラスメント、出産等を理由とする不利益取扱いの禁止",null,null,null,null,null,null,null,null,"第9条第1項、第2項及び第3項、第11条第2項（第11条の3第2項、第17条第2項、第18条第2項において準用する場合を含む。）"]
[null,null,null,"セクシャルハラスメント等の防止に関する雇用管理上の措置",null,null,null,null,null,null,null,null,"第11条第1項、第11条の3第1項"]
[null,null,null,"妊娠中、出産後の\n健康管理措置",null,null,null,null,null,null,null,null,"第12条、第13条第1項"]
[null,null,null,"※労働者派遣法第47条の2の規定により適用する場合を含む。"]
[]
[null,null,"（※6）対象となる育児介護休業等育児又は家族介護を行う福祉に関する法律）の規定"]
[null,null,null,"内容",null,null,null,null,null,null,null,null,"規定"]
[null,null,null,"育児休業、介護休業等の申出があった場合の義務、不利益取扱いの禁止",null,null,null,null,null,null,null,null,"第6条第1項、第10条（第16条、第16条の4、第16条の7において準用する場合を含む）、第12条第1項、第16条の3第1項、第16条の6第1項、第16条の10、第18条の2、第20条の2、第23条の2、第25条第1項、第25条第2項（第52条の4第2項、第52条の5第2項において準用する場合を含む。）"]
[null,null,null,"所定外労働等の制限",null,null,null,null,null,null,null,null,"第16条の8第1項（第16条の9第1項において準用する場合を含む）、第17条第1項（第18条第1項において準用する場合を含む。）、第19条第1項（第20条第1項において準用する場合を含む。）第23条第1項、第2項及び第3項、第26条"]
[null,null,null,"※労働者派遣法第47条の3の規定により適用する場合を含む。"]
[]
[null,null,"３．その他の不受理自由"]
[]
[]
[null,null,null,"　","a",null,"暴力団員（注2）に該当する。"]
[]
[null,null,null,"　","b",null,"法人の場合、役員の中に暴力団員がいる。"]
[]
[null,null,null,"　","c",null,"暴力団員が自身（又は法人）の事業活動を支配している。"]
[null,null,null,null,"（注2）暴力団員による不当な行為の防止等に関する法律第2条6号に規定する暴力団員をいう。"]
[]
[null,null,"４．その他（求人不受理のためのチェック項目ではりませんが、ご確認ください。）"]
[]
[null,null,null,"職業紹介事業者は、同盟罷業（ストライキ）又は作業所閉鎖（ロックアウト）が行われている事業所に対して職業紹介を"]
[null,null,null,"行ってはならないこととされていますので、該当する場合はチェックをお願いします。"]
[]
[null,null,null,"　",null,null,"事業所において、同盟罷業又は作業閉鎖が行われている。"]