© Certification Application Guidelines

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THE ONLINE APPLICATION FORM Each candidate 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 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

Employer Name (Agency)

Position Title

Department Name

The Case Management Society of Australia (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.