The purpose of this study was to determine the adjustment problems, coping methods, and choice of helpers of international students attending a large Pennsylvania university (main campus). It also proposed to determine when these problems are encountered and what facilities and services the students suggest the university should consider providing. The study utilized a questionnaire, International Student Problems Checklist (ISPC), revised and developed by the researcher to collect the datISPC was derived from the Yeung (1980) and Wong (1991) questionnaire, Foreign Student Problems Checklist . Of the total sample, 261 students (64.60%) responded: 100 females and 161 males. This study answered six research questions and tested ten null hypotheses. The results indicated that most international students encounter adjustment problems in these areas: communication and language, social and cultural, psychological and personal, health, housing and food. There were significant differences among international students from different geographical regions based on the number of reported problems. Africa reported the highest number of problems in the following areas: academic, social and cultural, financial, and housing and food. Asia reported the highest number in the psychological and personal problem areLatin American students reported more problems than other regions in communication and language. International students from the Middle East reported the highest number of problems in international student advising. Most international students (90%) encounter adjustment problems in the first year. Gender, age, language of instruction in high school (English/not English), and having/not having children were not significant variables for international students in adjusting to the U.S. International students with any of the following variables reported the most adjustment problems: studying at master's level, living in the U.S. two years or less, or married. Most students sought help from a friend, school/office or classmate, teacher/instructor/professor/faculty member, family/family member, or advisor (in order of preference) when they experienced adjustment problems. The study made practical recommendations for services as well as for further research studies.