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4 waitlists...letter of intent? Should ranking matter?

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Hi SDN, I'm currently sitting on 4 waitlists (no acceptances) and I was wondering if it would be wise to send a letter of intent to increase my chances, even though I'm not completely sure about which school I DEFINITELY want to go to.

I'd be very grateful to go to any medical school but I also feel hesitant to limit my choices (including financially), but I also don't want to risk not getting in anywhere because I didn't send a letter of intent.

The schools I was waitlisted at are:...

4 waitlists...letter of intent? Should ranking matter?

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