2026 Membership Renewal

Name of Organization(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Who will serve as the Primary Contact for InterHab(Required)

First Last

Email Address for Primary Contact(Required)

Primary Contact Cell Phone(Required)

Who will serve as the Alternate Contact for InterHab

First Last

Email Address for Alternate Contact

Alternate Contact Cell Phone

Please list one person's name and email address where you would like us to send your invoices(Required)

First Last

Email for invoices(Required)

How many employees do you have(Required)

How many individuals do you serve(Required)

What counties do you provide service for(Required)

Audited staff salaries and wages for the last full year(Required)

2026 Membership Dues

Dues are calculated using your organization's salaries and wages paid to full-time and part-time employees for the most recent full year of operation. Wages paid to individuals served should not be included in this total. Dues are calculated as follows: - For all organizations, dues are equal to 1.2% of audited staff salary from the most recent full year of operation; - For organizations with audited staff salaries above $1 million, dues are 1.2% of audited salaries for the first $1 million and .1% for all audited wages over $1 million. - Minimum dues are $800.00.

Total amount of dues to be paid(Required)

Dues Payment Preferences

Dues may be paid in the following manner: 1) Annual (due by 1/1/2026) 2) Semi-Annual (installments due 1/1/2026 and 7/1/2026) 3) Quarterly (installments due 1/1/2026, 4/1/2026, 7/1/2026 and 10/1/2026)

How will you be paying your dues?(Required)

Annually

Semi-Annually

Quarterly

Members will receive invoices for their first 2026 dues payment in December 2025. Annual dues/first installment payments will be due January 1, 2026. Organizations will be invoiced for all subsequent payments.

*Please note that InterHab participates in ANCOR’s “100% membership” plan. InterHab members will be assessed an additional amount to cover their portion of this membership plan. Individual portions are calculated based on the organization’s percentage of InterHab’s total dues revenue. This additional amount will be invoiced with the organization’s first payment of 2026.

Commitment to Ethical Practices

InterHab as an Association and its members commit to the following principles in the fulfillment of responsibilities to the individuals and families served; our interactions with one another; and in our role as community members. We endeavor to adhere to the highest ethical standards and integrity. As a member of InterHab, each organization shall:

Develop, adopt, and actively promote an agency specific statement of ethical conduct – to be on file with the InterHab office for membership reference;
Provide quality supports and services designed to meet the needs of the individual with emphasis on promoting systems and funding that result in the maximization of freedom and control that someone can bring to their life; and in a manner that stresses integrity, compassion, and respect for individual differences and choice;
Respect the privacy of persons served and protect the rights of confidentiality in all matters as they relate to the provision of supports and services;
Work diligently to foster a climate of trust between InterHab member organizations by safeguarding all information that may compromise the integrity of InterHab or any one of its member organizations;
Give preference to professional responsibility over any personal interests in all actions;
Advocate for, adopt, and affirm standards that promote positive outcomes for people before corporate or bureaucratic advancement;
Work cooperatively with other InterHab members in the development of ideas, findings, concepts, understanding, knowledge and practices to further promote a seamless statewide system of locally responsive community supports;
Encourage and advocate for the protection of the individuals served and the community network as a whole against unethical and/or illegal practices or actions by other individuals or organizations engaged in providing supports;
Advocate for and actively demonstrate a commitment to program practices that do not discriminate because of race, color, religion, age, sex, sexual orientation, disability, or national ancestry and shall work to eliminate or prevent such discrimination within the community; and
Serve as a responsible steward for public and private funds; operating in a manner that is transparent and in compliance with all applicable licensure requirements, auditing guidelines and community standards.