The starting paragraph should always begin with your acceptance of the job offer letter. The letter should convey your enthusiasm for the role and include the key terms of employment, such as salary, benefits and job title.You can not reject the offer and keep your benefits (might be able to appeal but benefits will be stalled until then). A job acceptance letter lets you outline the details of the job so that you are clear about your role in the company prior to your joining. The starting paragraph should always begin with your acceptance of the job offer letter. Make sure that the hiring department has your up-to-date contact information. Gov all the information you need for your tax paying needs. An opportunity for students in college, graduate, and professional school to perform a summer research internship in the Intramural Research Program at the NIH. The Medical College Admissions Test (MCAT) is required for acceptance. The MCAT must be taken no later than September in the year the application is submitted.