EXHIBIT A

                     Form of Stockholder Written Consent























                                     -16-



                               WRITTEN CONSENT

                   IN LIEU OF A MEETING OF THE STOCKHOLDERS

                                      OF

                   AMERICAN CONSOLIDATED GROWTH CORPORATION



          The undersigned, being holders of the issued and outstanding stock 
of American Consolidated Growth Corporation, a Delaware corporation (the 
"Corporation"), in accordance with Section 228 of Title 8 of the Delaware 
Code hereby consent to take the following actions without a meeting:

          RESOLVED, that, on the recommendation of the Board 
          of Directors of the Corporation, the stockholders hereby 
          approve, confirm, ratify and authorize the merger of 
          Eleventh Hour, Inc. with INS Acquisition Sub, Inc. 
          pursuant to the terms of that certain Agreement and Plan 
          of Merger, dated December 20, 1996, by and among 
          International Nursing Services, Inc., INS Acquisition 
          Sub, Inc., Eleventh Hour, Inc. and the Corporation; and 
          further

          RESOLVED, that, on the recommendation of the Board 
          of Directors of the Corporation, the stockholders hereby 
          approve, confirm, ratify and authorize an amendment to 
          the Certificate of Incorporation of the Corporation 
          reducing the number of authorized shares of stock so that 
          the total number of shares that the Corporation shall have 
          the authority to issue is 21,000,000 shares, of which 
          1,000,000 shares shall be Preferred Stock, par value 
          $0.10 per share, and 20,000,000 shares shall be Common 
          Stock, par value $0.10 per share; and further

          RESOLVED, that Louis F. Coppage, Margie Dole and B. 
          Mack Devine are elected as directors of the Corporation 
          to hold office until the next annual meeting of the Board



          of Directors or until their successors are elected and 
          qualified.

          IN WITNESS WHEREOF, the undersigned, being holders of  the issued 
and outstanding stock of the Corporation have, by execution of the following 
signature pages, hereunto set their hand to be effective as specified above.

                          STOCKHOLDER'S SIGNATURE





Date:                                Name:
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                                          [Please print name exactly as it 
                                          appears on the stock certificate, if 
                                          more than one name, please  include 
                                          all names]


                                          SIGNATURES FOR INDIVIDUALS:

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                                          ------------------------------------
                                          [All stockholders named on the stock 
                                          certificate must sign the Consent]

                                          SIGNATURES FOR CORPORATION, 
                                          PARTNERSHIP, TRUST, IRA ACCOUNT 
                                          OR OTHER ENTITY:

                                          ------------------------------------

                                          Title:
                                                ------------------------------


                           ----------------------------
                                  Written Consent
                    In Lieu of a Meeting of the Shareholders of
                     National Marketing Alliance Holding, Inc.
                                 (Signature Page)



                                       [Please indicate title of person signing]


























                           ----------------------------
                                  Written Consent
                    In Lieu of a Meeting of the Shareholders of
                     National Marketing Alliance Holding, Inc.
                                 (Signature Page)