October 17, 2026
Dear [Hiring manager's name],
At Harborview Birth & Family Center I attend more than 180 births a year across hospital and freestanding birth-center settings, carrying a prenatal caseload of 45 to 55 patients each month from the first visit through postpartum. I'm applying for the certified nurse-midwife opening at [Birth center name] because your model of continuity care matches how I already practice.
My primary cesarean rate is 12%, against a regional average of 26%, and I support a 68% successful VBAC rate among eligible patients through individualized labor planning and shared decision-making. I also coordinate an average of 30 collaborative OB transfers a year under standardized escalation protocols, with zero adverse outcomes attributed to delay.
I hold active CNM certification through the American Midwifery Certification Board, an unrestricted RN license, and current NRP and ACLS credentials. I precept four to six midwifery students annually through labor, delivery and postpartum rotations, and I chart every encounter in Epic without falling behind on same-day documentation. When labor drifts from the plan, I would rather walk a patient through her real options early than manage a crisis of trust later.
I would welcome the chance to talk through your caseload model and call structure, and I'm glad to meet your team in person before an offer moves forward at [Birth center name]. Thank you for considering my application.
Sincerely,
Skyler Garcia, CNM
