January 1, 2005

Boyd R. Buser, D.O.
Associate Dean for Clinical Affairs and NEOMEN Chief Academic Officer
University of New England
College of Osteopathic Medicine
11 Hills Beach Road
Biddeford, ME 04005-9599

Dear Dr. Buser:

Please accept my request for appointment to both the faculties of the University of New England College of Osteopathic Medicine (UNECOM) and the Northeast Osteopathic Medical Education Network (NEOMEN) in the department of __________.

I have been active in medical education for _____ years and teach at ____________.

Enclosed is my complete application for your review including letters of support from Dr. ____________, Director of Osteopathic Medicine, and Dr. _____________, Title.

Should you need any additional information, please contact the medical education office at (207) 555-1212.

Sincerely,

Name, D.O.

cc:
Executive Director
NEOMEN-OPTI
11 Hills Beach Road
Biddeford, ME 04005-9599