Have you written out the cost of each school including housing, clinical site travel, etc. Do you know anyone in either city who you could have for support? Does one start before the other? What about clinical sites and number of hours/cases? Spokane is much different than the hustle of DC. What about where you would want to live after you're done? I'm sort of in a similar boat. I've been accepted to a school and already put a deposit down but waiting on the deadline of my "dream" school. But as I look more into it I'm leaning toward the school I already accepted due to the clinical sites. (Big city vs more rural). Also they do clinical at a major city level 1 trauma center, dedicated ortho, children's, and women's hospitals along with an independent CRNA site in a private practice. I've heard great things from both SRNAs but I am genuinely more excited at how strong I'll come out of school with the better clinical sites. According to former and current students the rumor is that everyone wants graduates from that program because they are very strong CRNAs. I am keeping an open mind and will decide if it falls into my lap but you need to trust your gut.