Patient Experience (PX) Ambassador Program


Note: This application must be completed in one sitting; you cannot save a partially-completed version of this application. Using the back button may result in loss of content.

If you do not complete each section of this application, your application will not be considered



The site for this program is Banner University Medical Center with options to participate at the Main Campus or BUMC-South, located a short drive from UA’s Main Campus.  All participants will have a site contact person as well as supervisors within the unit to which they are assigned.  Additional information will be provided upon acceptance into the program. Please indicate your availability/willingness to participate at either or both campuses as indicated below.


Further details about your Learning Objectives, the activities anticipated for this internship as well as evaluation procedures will be provided in a D2L Class Site and/or Student Handbook upon acceptance into the program.

  1. To further explore your career goals by talking with health care professionals whose own career paths are congruent with your interests.
  2. To observe and begin to develop the communication and empathy skills which are fundamental to effective patient care.
  3. To develop interpersonal skills through interaction with hospital patients.
  4. To prepare for the application process to health professional programs through the application process for this internship and periodic writing assignments.


If you are accepted to the PX Program, you must complete and pass a screening process through My Clinical Exchange (cost approx. $36.50 paid directly to that company) by December 1, 2019.  There is also a drug screening required by the same deadline as part of the MCE clearance for an additional cost of $25.00. Students accepted into the program are responsible for payment of these fees which go directly to MCE and the screening lab.  More information on this upon acceptance.

Qualifications include the following:

  • Excellent communication skills.
  • Excellent organizational and time management skills.
  • Prioritization of patient-centered care; excellent customer service.
  • Attention to detail.
  • Ability to perform routine tasks effectively.
  • Flexibility.
  • Good judgment.

Potential Ambassadors may contact the Pre-Health Professions Advising Office at 520-621-7763 with questions. This program is limited to 40 students.   

Biographical information

Expected Graduation Date *
Format: 01/2020
Please select the BUMC Campus you would prefer to participate at
(include grades for transfer coursework)

Note: If you are copying/pasting from other sources please make sure the entire section is copied over correctly.


List all volunteer, leadership, club, clinical and/or research experiences in which you have participated since starting college.  Include at least one sentence regarding the importance of this activity to you.  Please also list any awards or scholarships you have received.


List all math, physics, chemistry and biology courses you have completed at the college level and include your grades in these courses.  Calculate your GPA for those courses and include that GPA (also called your BCPM-biology, chemistry, physics, math-GPA) at end of the page. Include grades from any transferred courses.

Essay Questions:

Respond to each prompt as indicated.