© 2013 Associate Fellow Application Guidelines
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Associate Fellow Online Application Form
Title
First Name
Last Name
Agency
Position Title
Department Name
Business Address Line 1
Business Address Line 2
Business Address Line 3
Suburb
State
Postcode
Postal Address Line 1
Postal Address Line 2
Postal Address Line 3
Suburb
State
Postcode
Business Phone
Mobile
Primary Email Address
Secondary Email Address
Date of Birth
Qualifications (please list) I have attained the minimum5 years FTE (9210 hrs) vocational case management experience. Please note you must have practised for 12 months (1824 hrs) in the last 3 years. Please attach the Employment Verification Form signed by your employer & Certified OR if Self Employed please attach a Statutory Declaration.
1. Employment Verification Form 2. Self Employed (Statutory Declaration)
Please attach a copy of your Curriculum Vitae (CV).
C A S E M A N A G E M E N T S O C I E T Y O F A U S T R A L I A & N E W Z E A L A N D 1 9 9 6
Associate Fellow Members (AFCMSA) of the Case Management Society of Australia & New Zealand (CMSA) adhere to the CMSA National Standards & National Code of Ethics for Case Management in all their day-to- day professional interactions with colleagues, the community, clients & /or representatives, key stakeholders & employer thus contributing to the veracity, integrity & fidelity of the profession of case management.
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