Schools are currently located in Daviess, Dubois, Gibson, Perry, Pike, Posey, Spencer, and Warrick counties.

The Pocket Athletic Conference was established in 1938 with nine founding schools: Cannelton, Chrisney, Lynnville, Mount Vernon, Owensville, Petersburg, Poseyville, Rockport, and Tell City.

The first current member appeared in 1958 when Poseyville consolidated with Cynthiana, Griffin, and Wadesville to form North Posey.

In 2007, Forest Park, located in Ferdinand, officially joined the PAC from the Blue Chip Conference increasing the number of members back to the original nine.

Forest Park, Gibson Southern, North Posey, Southridge, and Tecumseh have all been ranked within the last eight years in either girls or boys basketball, sometimes both.

Boonville and Washington bring additional strength on the conference's basketball schedule as well as two more of the state's largest gymnasiums.

Starting in 2024, Gibson Southern will compete in AAAA in girl's basketball due repeated appearances in semi-state and now a state title in AAA.

Both South Spencer and Gibson Southern won the softball state title in their respective classes in 2015.

The Pocket Athletic Conference has a long history of being a periodic powerhouse in football with several members having state titles or runner-ups.

Pocket members Gibson Southern, Heritage Hills, Forest Park, North Posey, and Southridge have either periodically or regularly ranked in the top ten in the last 10 years and the conference title has been considerably less predictable in the last ten years, even with the divisions.

Boonville Pioneers (2) Forest Park Rangers (5) Gibson Southern Titans (5) Heritage Hills Patriots (1) Mount Vernon Wildcats (0) North Posey Vikings (3) Pike Central Chargers (0) Princeton Community Tigers (2) Southridge Raiders (3) South Spencer Rebels (5) Tecumseh Braves (8) Tell City Marksmen (0) Washington Hatchets (9) Cannelton Bulldogs (0) Wood Memorial Trojans (1) Forest Park Rangers (4) Gibson Southern Titans (6) Heritage Hills Patriots (3) North Posey Vikings (4) Pike Central Chargers (1) Southridge Raiders (6) South Spencer Rebels (2) Tecumseh Braves (10) Tell City Marksmen (1) 1Occurred when Forest Park was a member of the Blue Chip Conference.