Eastern Campus Classroom: 1225 Ostrander Avenue, Riverhead, New York 11901 
Western Campus Classroom: 1979 Marcus Avenue, New Hyde Park, New York 11042 
Mailing Address: 1300 Roanoke Avenue (1 Heroes Way), Riverhead, New York 11901 
Phone: (631) 548-6173 
Email: xrayschool@pbmchealth.org  
 
Entrance Examination Request Form 
 
Name: _______________________________________________________________________________ 
 
Home Telephone #: ____________________________ Cell Phone #: ___________________________ 
 
Current Email Address: _________________________________________________________________ 
 
*YOU MAY TAKE THE EXAM UP TO THREE TIMES PER YEAR* 
**ALL TESTS WILL BE FACTORED INTO YOUR APPLICATION Ð THE ADMISSIONS COMMITTEE WILL FACTOR THE HIGHER SCORES FOR YOUR OVERALL APPLICATION** 
***IT IS NOT MANDATORY TO TAKE THREE TESTS*** 
1)
 Please review the Exam Date(s) below that you would like to secure your seat for. 


Example: January 20, 2025 at 2:30PM _YES_ 
The following are the examination dates for potential candidates in September, 2025: 
 
(Fri) February 28, 2025 at 9:00AM __________ (NEW HYDE PARK CAMPUS Ð 1979 Marcus Avenue)  
 
(Sat) March 8, 2025 at 9:00AM _____________ (RIVERHEAD CAMPUS Ð 1225 Ostrander Avenue) 
 
(Thurs) March 13, 2025 at 5:00PM _____________ (RIVERHEAD CAMPUS Ð 1225 Ostrander Avenue) 
 
(Fri) March 21, 2025 at 1:00PM _____________ (RIVERHEAD CAMPUS Ð 1225 Ostrander Avenue) 
 
(Fri) March 28, 2025 at 1:00PM _____________ (RIVERHEAD CAMPUS Ð 1225 Ostrander Avenue) 
 
 
Signature: ____________________________________________________________________________ 
(YOU ARE REQUIRED TO SIGN THIS FORM TO OBTAIN YOUR RESULTS via email!) 
 
2)
 Contact Janice Zilnicki Ð 631 Ð 548 Ð 6173 to inform her and schedule your exam with her. 


 
3)
 Janice will forward you a confirmation letter with your test date and specific instructions approximately two weeks prior to the date of your chosen exam.  PLEASE REMEMBER THAT YOU SHOULD NOT SCHEDULE YOUR TEST UNTIL WE HAVE RECEIVED YOUR APPLICATION TO THE SCHOOL! 


 
4)
 The examination will take approximately 2.5 hours Ð 3 hours and is given at our Riverhead campus and the New Hyde Park campus. 


 
5)
 The fee for the entrance exam is $75.00 submitted with a CERTIFIED BANK CHECK OR PERSONAL CHECK to be paid at the time of the test.  DO NOT SEND ENTRANCE EXAM FEE WITH YOUR APPLICATION!  WE CAN NO LONGER ACCEPT CASH AT THE SCHOOL! 


Date(s) You Have Chosen: ______________________________________________________________ 
You may want to consider and possibly review the following skills for SATISFACTORY ACHIEMENT on the entrance examination: 
Science Section 
*Graph Interpretation 
*Basic & Minimal Understanding of High School Biology, Chemistry, Physics, Anatomy and Physiology 
*Interpretation of Data 
*Knowledge of Metric System 
 
Mathematics Section 
*Algebra (Basic Addition, Subtraction, Multiplication, and Division of Whole Numbers, Decimals, Fractions, Percentages) 
*Word Problems Using Algebra 
*Knowledge of Exponents 
*Knowledge of Metric System 
*Basic Knowledge of Scientific Notation 
*Geometry (Angles) 
*Graph Interpretation 
*Knowledge of Roman Numerals 
*Greatest Common Factor & Least Common Denominator 
***REMEMBER YOU WILL BE PROVIDED A CALCULATOR FOR THIS SECTION*** 
 
Reading Comprehension Section 
*Knowledge of High School/First Year College Vocabulary 
*Reading High School/First Year College Passages 
*Decipher Meaning from those Reading Passages 
*Identify Noun, Verb, and Adjective 
 
 
 
 
 
 
 
 
 
 
 
Spelling Section 
*Identify Correct Spelling  
*Identify Incorrect Spelling 
 
Analytic Section 
*Graph and Data Interpretation 
 
I do wish you the best of luck on your examination and I look forward to meeting you and reviewing your application. 
 
 
 
 
Professor Frank Zaleski 
Program Director