Absolutely I think in a lot of cases this helps you. I am from NY state, but wanted to go to VCU because I did my grad work there (moved back to NY after) and that is where my husband has more job opportunities. I contacted VCU in April of last year, before the app. cycle started and expressed my interest and desire to attend VCU as my first choice. They responded enthusiastically. I asked how I could improve, figuring I would be told raise your DAT or get more experience observing (I had about 80 hrs), but no... they said everything looked good and I was accepted December 1. I really think it did help me as an out of stater to express my interest in their program, but maybe primarily because I did it before the application cycle started. If you do it after, it may seem like a last ditch, or butt kissing effort. Good luck. Oh, and I did this via e-mail.