The attached file contains a couple of samples that you can use to gather information about an applicant's work history. Customize either one to suit your needs, but be sure not to add any unlawful inquiries to your work history document.
File Description:
The file is in rich text format (RTF) that is suitable for use with most word processing programs used in the Windows environment.
Download:
Applicant work history forms
More information:
Checking Employment References