Should I send an update letter with these items?

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For some reason I am having anxiety about this. I feel like I have valid things to inform schools of, but I am afraid they will perceive me as desperate or nagging. These are items I specifically meant to do in my gap year...I just didn't have them around in time for my AMCAS submission/secondaries.

The following are the three things I would include:

1.) Publication
2.) Detailing my new job as a clinical assistant in a ped clinic. Lots of patient interaction...I triage, take patient histories, and can order labs. I am there to take the load off of nurses in simple cases, so I get to do what they do essentially.
3.) I started volunteering again at the homeless shelter I volunteered at in college.

I am leaning towards sending this letter but my main question is this: should I only send it to schools who have seemingly passed me up for an II, or should I also send it to schools who have not even sent out IIs. It is a substantial amount of information that I'd like every school to eventually know...
 
For some reason I am having anxiety about this. I feel like I have valid things to inform schools of, but I am afraid they will perceive me as desperate or nagging. These are items I specifically meant to do in my gap year...I just didn't have them around in time for my AMCAS submission/secondaries.

The following are the three things I would include:

1.) Publication
2.) Detailing my new job as a clinical assistant in a ped clinic. Lots of patient interaction...I triage, take patient histories, and can order labs. I am there to take the load off of nurses in simple cases, so I get to do what they do essentially.
3.) I started volunteering again at the homeless shelter I volunteered at in college.

I am leaning towards sending this letter but my main question is this: should I only send it to schools who have seemingly passed me up for an II, or should I also send it to schools who have not even sent out IIs. It is a substantial amount of information that I'd like every school to eventually know...

Go ahead and update all the schools with the information. Try to tailor a part of each essay to every school to make it more personal. Triple check that you remove the name of each school before sending it off (I prefer to bold the name and abbreviations of the school so I could quickly find what I needed to change before sending it off).

Maybe even try to find one or two things that you have done but didn't realize or will do in the next month to make it a huge update. A publication and the new job are great, but the only problem is that it is a NEW job. Have you worked it much or have you literally just started?
 
Go ahead and update all the schools with the information. Try to tailor a part of each essay to every school to make it more personal. Triple check that you remove the name of each school before sending it off (I prefer to bold the name and abbreviations of the school so I could quickly find what I needed to change before sending it off).

Maybe even try to find one or two things that you have done but didn't realize or will do in the next month to make it a huge update. A publication and the new job are great, but the only problem is that it is a NEW job. Have you worked it much or have you literally just started?

I have worked there for about 2 months (8-9 weeks) for 15 hours/week.
 
Oh, I should ask...are there any schools notorious for not being open to update letters? Somewhere I had thought I heard USC wasn't...
 
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