TOPS Form 3285 at a glance
What it is: TOPS Form 3285 is an Application for Employment (Pre-Employment Questionnaire) from an Equal Opportunity Employer.
Who signs: The applicant signs on the SIGNATURE line and enters the DATE.
A filled-in TOPS Form 3285 example: an applicant fills out page 1

How to fill out TOPS Form 3285, box by box
Personal information

Under PERSONAL INFORMATION, enter the Date, the SOCIAL SECURITY NUMBER, the NAME (LAST, FIRST, MIDDLE), the Present Address, the Permanent Address and the Phone No.
Enter Yes or No: ARE YOU 18 YEARS OR OLDER?
Enter Yes or No: ARE YOU EITHER A U.S. CITIZEN OR AN ALIEN AUTHORIZED TO WORK IN THE UNITED STATES?
Employment desired
Education
Special skills, activities and military service
Employers
References
In case of emergency notify and your signature

Under IN CASE OF EMERGENCY NOTIFY, enter the NAME, ADDRESS and PHONE NO.
By signing, you certify that the facts contained in this application are true and complete to the best of your knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.
The applicant signs on the SIGNATURE line and enters the DATE.
The statement about lie detector tests applies in Maryland and Massachusetts, and the form has a blank to fill in the name of the state. It is unlawful in the state to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. In Maryland and Massachusetts, the applicant also signs on the Signature of Applicant line under that statement.
Sources
[1] Application for Employment (Pre-Employment Questionnaire), TOPS Form 3285 (the served file; no issuer file found) (the Official source link on this page).





