5 / 24
3
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.
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 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).