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: -------------------------- ------------------------------------ ------------------------------------ [Please print name exactly as it appears on the stock certificate, if more than one name, please include all names] SIGNATURES FOR INDIVIDUALS: ------------------------------------ ------------------------------------ ------------------------------------ [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)