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The Case Management Society of Australia and New Zealand and Affiliates
(CMSA) Certification sets the benchmark of excellence in case management.
Certified Practising Case Managers™ (CPCM) and Certified Case Managers
(Non Practising)™ (CCMNP) adhere to the CMSA National Standards and
National Code of Ethics for Case Management and are recognised for their
advanced education, experience, knowledge and skills by their colleagues,
consumers and employers.
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The Case Management Society of Australia and New Zealand and Affiliates (CMSA) Certification sets the benchmark of
excellence in case management. Certified Practising Case Managers™ (CPCM) and Certified Case Managers (Non Practising)™
(CCMNP) adhere to the CMSA National Standards and National Code of Ethics for Case Management and are recognised for
their advanced education, experience, knowledge and skills by their colleagues, consumers and employers.
COPYRIGHT © 2017 Case Management Society of Australia and New Zealand and Affiliates (CMSA)
PATHWAY 2 – CERTIFIED PRACTISING CASE MANAGER™ APPLICATION
Title
First Name
Last Name
Gender
Business Address - Street Name/PO Box
Business Address Line 2
Business Address Line 3
Area
Emirate State / Province
Postal code
Country
Business Phone
Mobile
Primary Email Address
Secondary Email Address
Date of Birth
Employer Name (Agency)
Position Title
Department Name
I am applying via the following Vocational Pathway to
Certification.
2. Pathway 2
I have read the Certification Application Guidelines.
1. Yes
2. No - Please ensure you have read these guidelines prior to
continuing with your application
Please select and attach evidence of your minimum level of
qualification. Copy must be certified.
2. Pathway 2 - Undergraduate Bachelor degree (from any
discipline)
I have attained the minimum vocational case management
experience. Please note you must have practised for 12
months (1824 hrs) in the last 3 years?
2. Pathway 2 - 3 years FTE (5472 hrs)
Please attach the Employment Verification Form (copy must
be 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)