©ANZ Certification Application Guidelines eBook

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THE ONLINE APPLICATION FORM Each applicant will be required to submit different information, and certified scanned copies of evidence, at the time of the online application. It is important that you read and prepare the information and/or evidence (attachments) pursuant to your nominated Pathway to Certification (as outlined below) in readiness for your online application. Where “attachments” are requested you are required to upload a scanned copy or PDF copy of the document requested. Please ensure you have these copies available to access at the time of your online application. It is important you understand that you must provide all information as requested in order for your application to be processed by the CMSA. Omitting (by default) any required information as listed below will render your application invalid by the CMSA and you will be required to resubmit your online application.

PATHWAY 1 – 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

Suburb (Australia) or Town / City (New Zealand)

State / Territory (Australia)

Postcode

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.

1. Pathway 1

I have read the Certification Application Guidelines

1. Yes 2. No - Please ensure you have read these guidelines prior to continuing with your application 1. Pathway 1 - CHC82015, KPMG Case Management Fundamentals OR Masters degree, PhD in Case Management

Please select and attach evidence of your minimum level of qualification. Copy must be certified.

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

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

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

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.