2021-2022 NCHN Network Membership Renewal

Please use the electronic form below to renew your membership and provide updated information regarding your network. We use this information to update our membership database and your network's information on our website. 

This serves as your network's renewal from May 1, 2021 - April 30, 2022.

NCHN annual dues are determined by the member organization’s most recent fiscal year’s operating expenses, as reported on their 990 form and/or other Internal Revenue Service reporting format, including expenditures for all programs and services, including programs supported by grant funds, and any additional companies that are under the management of the parent organization.

NCHN dues are as follows: 

Operating Budget




$250,001 - $500,000


$500,001 - $750,000


$750,001 - $1,000,000


$1,000,001- $5,000,000

$1, 850

> $5,000,000






Membership Renewal and Dues Assessment Form