A review of the literature indicates that international undergraduate students need significant support to adapt both academically and socially to American university life; however, there are few studies that evaluate program effectiveness through an examination of students' perceived struggles and needs. Thus, this study summarizes current programs and progress, and attempts to build on the few findings about international students' academic and social acclimation to US universities through a mixed methods data collection involving surveys, focus groups interviews, and analysis of international students' GPA and retention rates. Initial findings indicate that Pathways students, like most international students, have unique academic and social needs, but were also unique in identifying specific programs they believed beneficial to them. Recommendations for programs supporting international students' needs are also made based on Pathways participants' responses and engagement in this research project. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com.bibliotheek.ehb.be/en-US/products/dissertations/individuals.shtml.]