How to address an "administrative assistant"

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Always start with Mr/Ms. until they tell you otherwise. I'd say that for pretty much everybody older than me (although some people clearly aren't Mr/Ms)
 
Giving them the respect of a title is a good idea if you want them to do something for you.
 
No one will fault you for using too much respect at first, as long as it's genuine.
 
In all professional communication, use a formal salutation unless you are well acquainted with that person.
 
I currently have a job AS an administrative assistant while I'm applying. I'm a secretary to a surgeon - and he evaluates quite a few medical students. If you are speaking to her (assuming female, I could be wrong), first name is probably ok. If you are writing to her, use Ms.

The really important thing to remember though, is that I ALWAYS tell my boss about the med students, etc. So if you are genuine, polite, and helpful, I tell him how great I think you are. If you are rude, arrogant, or talk about him behind his back (yes, it's happened), then he knows that too.

The cool thing I learned about this job is that the secretaries can make or break you. It's also funny how the doctors depend on the secretaries to tell them things like that. 🙂

So just err on the side of polite and you'll be fine!
 
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