On behalf of the above named member organization, I hereby submit our application for the LeadingAge PA Higher Education Internship Grant. It is understood that if we accept the awarded funds, we will use these funds responsibly, as defined in the application, and will keep LeadingAge PA informed of the progress of the program. We have read and understand all program guidelines. We grant LeadingAge PA permission to verify the information contained herein and confirm all eligibility criteria.