16 / 24
14
Fellow Members (FCMSA) 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.
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
Supporting evidence of the PTD
activity:
Please state the evidence that you
can provide, if requested by the
CMSA, of this PTD activity
Total time of PTD activity:
In hours and/or minutes.
Comments (optional):
Please add any additional
information or comments in relation
to this PTD activity that you
consider relevant for the attention
of the CMSA.
Declaration:
I solemnly and sincerely declare that the information I have
provided is true and correct to the best of my knowledge and belief.
I acknowledge that I may be required upon request by the CMSA
to provide supporting evidence of the PTD activity claimed within this
form.
I have read the CMSA Fellow Application Guidelines and
checked that this PTD activity is a recognised and approved PTD
activity by the CMSA as recorded within the said Guidelines.
Signature:
_________________________________________
Date:
Attachment 2 - Professional Training and Development (PTD) Form A - Page 2 of 2