MSD of Mount Vernon Volunteer Application

Thank you for your interest in volunteering with the MSD of Mt. Vernon!

If you're applying to be a volunteer coach for a grade 9-12 IHSAA-recognized sport, you must first contact the athletic director. These coaches are subject to additional requirements from the IDOE and IHSAA not covered through this application process.

When completing the volunteer application, you must use your full legal name and answer all required questions to ensure proper submission. You will be able to select from a variety of activity types and locations - please choose all that interest you.

For application updates and volunteer communications, a valid email address is required. You will be notified of your application status within 1-2 business days following submission.

All information collected in the application will remain confidential and will not be shared outside of the volunteer program.

If you have any questions, please contact us at (812)833-5114.

Thank you again for your commitment to volunteering with the MSD of Mt. Vernon!

Your Photo

Take your photo with your computer or device's camera. For security, your photo is required in order to register as a volunteer with MSD of Mount Vernon.

Please ensure the camera captures your entire face and wear appropriate clothing for your photo.

Activate Camera Take Photo

Your Information

All fields are required. Please ensure that the information you provide matches your government issued identification in order to perform any screening necessary to process your application.

First Name

Middle Name

Last Name

Date of Birth

Social Security Number

Sex

Address

Phone Number

Email Address

Drivers License / State ID Number (optional)

ID Expiration Date (optional)

Volunteer Types

What type of volunteer are you?

Volunteer Types

School Selections

At which school(s) would you like to be a volunteer?
( NOTE: When no locations are selected, you will be assigned to "ALL" active locations )

Desired Locations

I have been found guilty of a felony offense.

List the dates and cities in which you have had a felony conviction:

By checking the box, I certify that all of the information on this application is true and correct to the best of my knowledge. Failure to disclose information may lead to a delay in the processing of the application. I understand this completed application will place me on a volunteer applicant list for MSD of Mount Vernon; this does not guarantee acceptance in the MSD of Mount Vernon volunteer program.

Cancel

By click SUBMIT, each volunteer acknowledges and agrees to:

1. Abide by all Board policies and District guidelines while on duty;

2. Be covered under the District's liability policy but acknowledges the District shall not provide any type of health insurance to cover illness or accident incurred while serving as a volunteer;

3. Not be eligible for workers' compensation, release the District of any obligation should the volunteer become ill or receive any injury;

4. Be required to report any arrests, the filing of criminal charges, or convictions for a crime of which they volunteer is the subject; and

5. Be required to report any substantiated report of child abuse or neglect of which the volunteer is the subject.