©ANZ Certification Learn More eBook

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two (2) years FTE (3648 hrs) vocational case management practice experience²

Employment Verification Form or Statutory Declaration ¹ ²

PDF (scanned copy)

Yes*

Two (2) professional referees³ Referee Form 1³ Referee Form 2³

PDF (scanned copy)

Yes*

EXPLANATORY NOTES

These documents are submitted as evidence (proof) of your stated level of skills, knowledge, experience and/or qualifications and to substantiate your eligibility to apply for endorsement as a Certified Practising Case Manager™ via Pathway One (1).These documents are essential for the CMSA to authenticate your application and are uploaded to the online CPCM application form. As you complete the online form you will be prompted to do so. ¹ A Statutory Declaration Form may be used for Pathway One (1) in lieu of the Employment Verification Form should an applicant be self-employed and/or need to reference multiple employers/appointments for the required two (2) years FTE (3648 hrs) of vocational case management experience. 1. the total hours of your vocational case management experience - this must be equal to or greater than the hours as stated within this Pathway (i.e. >3648 hrs) 2. your vocational case management experience in chronological order commencing with your most recent position including: the dates you commenced and ceased employment in each position (in month and year format MM /YY), your position title, your employers name (company name) and location (suburb, city/town, state). ² Vocational case management experience must be recent. An applicant must demonstrate they have practised for at least 12 months (1824 hrs) in the last 3 years. ³ Referees must have been in professional working relationship with the applicant for at least 6 months in the last 3 years and familiar with the applicant’s professional practice and their certification application. Please note: if you choose to provide the Statutory Declaration Form it must include:

IMPORTANT ~ PLEASE READ:

(i) All information must be typed into each CCM form (not handwritten).

(II) Each CCM form must be printed off and signed by the individual completing the form.

(ii) Each CCM form must be certified by a Justice of the Peace (JP).

(iv) Each CCM form must be scanned into a PDF file.

Obtaining a “certified copy” requires you to (i) make a photocopy of the original form or document - this is the copy that is to be certified as “a copy of the original document” by a JP (ii) Provide the JP with the original form or document and a photocopy of the original form or document (iii) ask the JP to certify the photocopy “as a copy of the original document”.

COPYRIGHT © 2017 Case Management Society of Australia and New Zealand and Affiliates (CMSA)

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

C E R T I F I E D C A S E M A N A G E R A U S T R A L I A & N E W Z E A L A N D

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.